Clinical HEDIS Specialist

3 weeks ago


Baltimore, Maryland, United States Collabera Full time
Job Summary:

We are seeking a skilled Clinical HEDIS Specialist to join our team at Collabera. As a key member of our healthcare quality team, you will be responsible for abstracting and reviewing medical records to ensure compliance with HEDIS standards.

Key Responsibilities:

• Abstract and review medical records to identify quality metrics and trends
• Collaborate with healthcare providers to ensure accurate and complete data collection
• Develop and implement quality improvement initiatives to enhance patient care and outcomes
• Analyze and report on data to inform business decisions and drive process improvements

Requirements:

• Bachelor's degree in Nursing or related field
• 3 years clinical experience and 5 years HEDIS and Overread experience
• At least two consecutive HEDIS seasons with the same company
• Strong analytical and problem-solving skills, with ability to work independently or as part of a team
• Excellent communication and interpersonal skills, with ability to effectively collaborate with healthcare providers and stakeholders

What We Offer:

• Competitive salary and benefits package
• Opportunity to work with a dynamic and growing healthcare organization
• Collaborative and supportive team environment
• Professional development and growth opportunities

This is a hybrid role, requiring on-site work 2-3 days per quarter. If you are a motivated and detail-oriented individual with a passion for healthcare quality, we encourage you to apply.

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