Job description
Top Managed Care company is hiring a Registered Nurse to work the HEDIS project in the Providence RI area.
Contract for 13 wks with Possible extensions.
Onsite position to start
Coordinate medical record-related tasks for Healthcare Effectiveness Data Information Set (HEDIS). Perform a variety of assignments to support team members and leaders. Collaborate with team members to ensure that all medical record reviews are accurately completed and meet intended quality.
- Conduct provider site visits and medical record reviews annually for HEDIS and as needed to audit the population health registry tool
- Coordinate project-related tasks for HEDIS activities across the organization.
- Review HEDIS deliverables; support HEDIS Manager to ensure all deliverables are accurately completed and meet intended quality.
- Perform testing on population health registry tool.
- Prepare documentation, data, and reports for management.
- Utilize various data and information systems supporting these activities. Work with technical staff on maintenance of data, and the utilization of various systems to maximize the clinical and business benefits of effective information management.
- Assist team with department initiatives and projects.
- Perform other duties as assigned.
Requirements:
- Associates degree; or an equivalent combination of education and applicable work experience
- Two to four years of experience in conducting HEDIS medical record review audit
- Must be fully vaccinated
Preferred requirements:
- Experience in the health insurance industry
- Project coordination experience
- Knowledge of project management methodologies
- Proficiency with Microsoft Suite of products; i.e., Word, Excel, PPT, etc
- Working knowledge of Microsoft Office including Excel, and Word
- General computer proficiency
- Written and verbal communications skills
- Good organization skills
- Time management skills
- Detail oriented
- Ability to research and organize data
- Ability to organize work efficiently to meet established time and quality standards
Job Types: Full-time, Contract
Pay: $36.00 - $42.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Application Question(s):
- Are you in commutable distance to Providence RI?
- Are you fully Vaccinated for Covid-19?
Experience:
- Direct HEDIS review: 2 years (Preferred)
License/Certification:
- RN (Preferred)
Work Location: One location
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