Clinical Reviewer for HEDIS Measures

2 weeks ago


San Antonio, Texas, United States Actalent Full time
About the Job

We are seeking an experienced LPN/LVN to work on our HEDIS team in San Antonio, TX. The ideal candidate will have at least 2 years of experience working with HEDIS roles and be licensed in Texas.

Job Responsibilities:
  • Review medical records for data collection, data entry, and quality monitoring that close gaps in care.
  • Communicate identification of pursuit leads for additional medical records, if needed, to other members of the team.
  • Attend conference calls as necessary to provide information relating to clinical reviews and compliance.
Required Skills and Qualifications:
  • Active license in LPN/LVN in state of TX is Mandatory.
  • 2+ Years of experience working with HEDIS Roles is Mandatory.
Benefits:
  • Medical, dental, vision & 401K.


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