HEDIS Nurse - LPN/RN - Atlanta, Georgia | CareerCircle
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HEDIS Nurse - LPN/RN

Actalent

02/21/2022

Posting ID: JP-002658704

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Atlanta, Georgia
Full Time
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Description:

Position Purpose: Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements.

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 over-sight activities with health plans and vendors when required

* Perform other quality initiatives as necessary

Education/Experience: Associates degree in 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 project, study analysis, or NCQA standards) preferred. Advanced knowledge of Microsoft Applications, including Excel and Access.

About Actalent:

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Contact Information

Recruiter: Jean Chambers

Phone: (410) 579-3072

Email: jchambers@careercircle.com

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