Sr. Abstractor, HEDIS/Quality Improvement

2 months ago


Garden Grove, United States Molina Healthcare Full time

Job Description

Job Summary

Molina's Quality Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. Sr. Abstractors will also provide mentoring to entry level abstractors.

Job Duties

  • Performs 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.

  • As needed, may collects medical records and reports from provider offices, loads data into the HEDIS application, and compares the documentation in the medical record to specifications to determine if preventive and diagnostic services have been correctly performed.

  • Participates in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results.

  • Assists with projects and process improvement initiatives

  • Mentors entry level Abstractors

Job Qualifications

REQU I RED ED U C A TI O N :

Bachelor's degree or equivalent experience

REQU I RED E X PE R I E N C E/KNOWLEDGE, SKILLS & ABILITIES:

  • 3 years experience in healthcare Quality/HEDIS specific to medical record review and abstraction

  • Intermediate knowledge and understanding of HEDIS projects

PR E FE R RED E X PE R I E N C E:

  • At least 3 years of medical record abstraction experience

  • 3+ years managed care experience.

  • Advanced knowledge of HEDIS and NCQA

PR E FE R RED L I C E N S E, C E R TI FI C A T I O N , AS S O C I A TI O N :

Active RN license for the State(s) of employment

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $19.64 - $42.55 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.


  • Sr. Quality Engineer

    1 month ago


    Buffalo Grove, United States Aegis Worldwide Full time

    Job DescriptionJob DescriptionAegis is seeking a Sr. Quality Engineer for a client of ours in Lake Zurich, IL. Please see qualifications below and apply if you meet them. Bachelor’s degree in mechanical or industrial engineer, or industrial technology5-8+ years of quality experienceMUST have experience working in an ISO certified facility – specifically...

  • Sr. Quality Engineer

    4 weeks ago


    Buffalo Grove, United States Aegis Worldwide Full time

    Job DescriptionJob DescriptionAegis is seeking a Sr. Quality Engineer for a client of ours in Lake Zurich, IL. Please see qualifications below and apply if you meet them. Bachelor’s degree in mechanical or industrial engineer, or industrial technology5-8+ years of quality experienceMUST have experience working in an ISO certified facility – specifically...


  • Buffalo Grove, United States NEMERA Full time

    Nemera is a world leader in the design, development, and manufacturing of drug delivery devices for the pharmaceutical, biotechnology, & generics industries. With locations worldwide, some of our services and products include eyedroppers, pumps, valves, inhalation devices, airless dispensers, and auto-injectors.We put patients first when creating drug...


  • Maple Grove, Minnesota, United States Upsher-Smith Laboratories, LLC Full time

    Upsher-Smith Laboratories, LLC is seeking a Sr. Product Quality Specialist to share time between Plymouth, MN, and Maple Grove, MN, to be responsible for providing Quality support to the Upsher pharmaceutical product portfolio, inclusive of products in development through the lifecycle of discontinuation. In addition, this position will also represent QA on...

  • Sr. Regulatory

    3 weeks ago


    Elk Grove, United States Affinity Executive Search Full time

    Job Summary: The Sr. Regulatory & Compliance Specialist is responsible for assuring compliance with all food safety & regulatory matters, also for supporting the Sr. QA Manager in developing, implementing, and enforcing Food Safety Programs for the company (including SQF program), oversees the plant SQF program to ensure certification is maintained. Prepare...


  • Garden Grove, United States LISI AEROSPACE NORTH AMERICA Full time

    SUMMARY:The Quality Assurance Manager will be responsible for developing, implementing, and managing quality assurance processes to ensure the production of aerospace fittings meets or exceeds customer and regulatory requirements. The ideal candidate will possess extensive experience in quality management within the aerospace industry, demonstrating strong...


  • Garden Grove, United States LISI AEROSPACE NORTH AMERICA Full time

    SUMMARY:The Quality Assurance Manager will be responsible for developing, implementing, and managing quality assurance processes to ensure the production of aerospace fittings meets or exceeds customer and regulatory requirements. The ideal candidate will possess extensive experience in quality management within the aerospace industry, demonstrating strong...


  • Garden Grove, United States Saint-Gobain Full time

    Pourquoi a-t-on besoin de vous ?If you want to discover your greatest potential, Saint-Gobain provides one-of-a-kind opportunities for innovative problem solvers. We're one of only two companies in the world that is consistently recognized as both a top Global Employer and a Top 100 Global Innovator, but Saint-Gobain's remarkable story and culture of...


  • Garden Grove, California, United States Miller Edge, Inc. Full time

    Job OverviewMiller Edge, Inc. is seeking a highly qualified and experienced Lead Quality Assurance Inspector to enhance our quality assurance team. This pivotal role is essential for guaranteeing that our products adhere to the highest quality standards and regulatory compliance. The successful candidate will possess a keen attention to detail, exceptional...

  • Quality Engineer 3

    3 weeks ago


    Garden Grove, United States ALIGN PRECISION - ANAHEIM, INC. Full time

    Job DescriptionJob DescriptionQuality Engineer is responsible for all engineering aspects of the company quality function and analyzing manufacturing processes. Essential Duties and Responsibilities include the following. Other duties may beassigned.Responsible for all engineering aspects of the company quality function.Receives customer contacts by...


  • Garden Grove, United States Harbinger Motors Inc. Full time

    About Harbinger Harbinger Motors Inc. is a Southern California-based electric vehicle manufacturer on a mission to transform the automotive and transportation industries, bringing to market EVs developed from the ground up to address the needs of the Medium Duty vehicle industry. This broad, and to date poorly addressed, market segment includes class 4 to 7...


  • Elk Grove, California, United States Apple Full time

    SummaryImagine the impact you could have at Apple. Here, innovative ideas evolve into remarkable products, services, and customer experiences at an impressive pace. With your passion and commitment, the possibilities are endless.At Apple, we don't just create products; we cultivate a sense of wonder that has transformed entire sectors. Our diverse team and...


  • Buffalo Grove, United States NEMERA Full time

    Nemera is a world leader in the design, development, and manufacturing of drug delivery devices for the pharmaceutical, biotechnology, & generics industries. With locations worldwide, some of our services and products include eyedroppers, pumps, valves, inhalation devices, airless dispensers, and auto-injectors.Job DescriptionKEY RESPONSIBILITIES/ESSENTIAL...


  • Buffalo Grove, United States NEMERA Full time

    Nemera is a world leader in the design, development, and manufacturing of drug delivery devices for the pharmaceutical, biotechnology, & generics industries. With locations worldwide, some of our services and products include eyedroppers, pumps, valves, inhalation devices, airless dispensers, and auto-injectors.Job DescriptionKEY RESPONSIBILITIES/ESSENTIAL...


  • Winter Garden, United States Lockheed Martin Corporation Full time

    Job ID: 668689BR Date posted: Jul. 11, 2024 Description:Role will be responsible for the analysis, coordination and presentation of quality related data to Sr. Leadership to drive continuous improvement for the enterprise. Participate in various teaming opportunities to further enhance the reporting structure. Participate in strategy sessions to further...


  • Downers Grove, United States IB Appliances US Holdings LLC Full time

    Job DescriptionJob Description#Remote/HybridSummary:As Sr Director Global Sourcing, you will be responsible for the development and execution of the global sourcing strategies for both finished goods, indirect materials and services of Instant Pot Brand, strategies that drive year-over-year productivity, identify and qualify best-in-class suppliers, increase...


  • Maple Grove, United States Grace Management Full time

    Job DescriptionJob DescriptionCompetitive PayThis position is fully remoteGrace Management, Inc. is a nationally recognized leader in delivering exceptional senior living management services. We create exceptional senior living experiences by bringing care and compassion to each and every relationship. For more than three decades, Grace Management has been...


  • Maple Grove, United States Grace Management Full time

    Job DescriptionJob DescriptionCompetitive PayThis position is fully remoteGrace Management, Inc. is a nationally recognized leader in delivering exceptional senior living management services. We create exceptional senior living experiences by bringing care and compassion to each and every relationship. For more than three decades, Grace Management has been...


  • Downers Grove, United States Flexco Full time

    Flexco, a leading global manufacturer, is seeking an Continuous Improvement Specialist, to help us improve our production efforts, in our Downers Grove, IL, facility. The chosen candidate would be responsible for strategy work, centered around the improvement of our procedures, productivity and product quality.This is your opportunity to work in an...


  • Cottage Grove, Minnesota, United States Renewal By Andersen Full time

    Job OverviewRenewal by Andersen is a leading manufacturer of windows and doors, and we are seeking a highly skilled Manufacturing Engineer to join our team. As a key member of our operations team, you will be responsible for providing technical support to our manufacturing lines, optimizing processes, and ensuring customer satisfaction.Key...