HEDIS Quality Improvement Specialist

1 month ago


Atlanta, Georgia, United States Actalent Full time
Job Title: HEDIS Quality Improvement Abstractor

Actalent is seeking a highly skilled HEDIS Quality Improvement Abstractor to join our team.

Job Summary:

The successful candidate will be responsible for leading data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA, and/or other custom measurements. This role requires strong analytical and communication skills, as well as the ability to work independently and as part of a team.

Key Responsibilities:
  • Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards.
  • Review medical records and abstract data for HEDIS and other measure sets in compliance with standards.
  • Track and report on issues and outcomes related to abstractions and over-reads.
  • Communicate outcomes of abstraction and oversight activities with health plans and vendors when required.
  • Perform other quality initiatives as necessary.
Requirements:
  • Associates degree in a related field or equivalent experience. Bachelor degree preferred.
  • 4+ years of nursing, medical assistant, medical coding, or data management experience.
  • Experience in quality initiatives (including HEDIS projects, study analysis, or NCQA standards) preferred.
  • Advanced knowledge of Microsoft Applications, including Excel and Access.
About Actalent:

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation, and speed to market.

Diversity, Equity & Inclusion:

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. We are committed to creating a culture of care, engagement, and recognition with clear outcomes.

We are an equal opportunity employer and welcome applications from diverse candidates. If you require a reasonable accommodation, please email us for options.



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