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Licensed RN/LVN/LPN
fixed
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What this posting tells you
The job is a remote contract Healthcare Data Specialist role focused on HEDIS data abstraction and medical record review. Candidates must be bilingual Spanish, licensed RN/LVN/LPN, and experienced with HEDIS. The role supports Molina Puerto Rico with medical record collection, data loading, and quality improvement projects. No salary disclosed. Location is remote within the United States.
Data, Education, Healthcare admin, HR and recruiting, Medical billing, Operations, Product, Software, Customer support
United States
Timezone overlap is not stated.
mid · contract
- Required timezone overlap is not stated
- Compensation is not listed
Data hiring on WFH.team
Category counts come from WFH.team's latest published remote job market snapshot.
Explore the remote job marketRemote HEDIS Specialist at Healthcare Support Staffing
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Company Job Description/Day to Day Duties
Remote worker with ability to read and write in Spanish and medical records. Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.
Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
Participates in meetings with vendors for the medical record collection process. Assists Manager with medical record vendor oversight.
Assists Manager in training abstractor staff and participates in the medical record IRR.
Identifies member service gaps based on data loaded in the MHI HEDIS application.
Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.
Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.
Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.
Assists the QI staff with physician and member interventions and incentive efforts as needed.
Provides data collection and report development support for Quality Improvement studies and performance improvement projects.
Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.
Minimum Education/Qualifications/Licensures
Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico
Licensed RN/LVN/LPN
HEDIS knowledge
Ability to read and understand medical records
Independent and able to work on their own
Interested in hearing more about this great opportunity? Please call and e-mail your resume to Brianne Salazar (Office number: 321-710-4799) for immediate consideration.