HEDIS Specialist

Job Description

Duration: 3+ months contract, This is a Temp-to-Perm position

Shift: Any 8 hours between 8 am - 6 pm - Monday through Friday only, no OT.

Requirements/Certifications:

·Strong written and verbal communication skills, Microsoft Office Products (Word- copy and paste, print, table formatting, and saving.

·Excel - inputting data, cell formatting, borders, format number and cell styles, be able to sort and filter lists, and saving; Outlook--emails and calendar).

·HEDIS experience, facilitation experience, provider outreach experience, ability to multi-task, owning and accountable for provider sites.

·A minimum of 2-4 years of Managed Care experience within the Healthcare industry.

·2 years of HEDIS medical record collection and abstraction.

·License Required: LPN or RN for state of IL .

Duties:

·Sending out fax requests for medical records.

·Receiving medical records via fax or mail, filing, scanning, and uploading medical records.

·Basic medical retrieval calling into offices or driving to provider offices to pick up records.

Description:

·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.

Qualifications

LPN or RN for state of IL 

Additional Information

All your information will be kept confidential according to EEO guidelines.