Quality Improvement Abstractor

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: reputed company data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements. • 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 reputed company to abstractions and over-reads • Communicate outcomes of abstraction and over-sight activities with health plans and vendors reputed company required • reputed company other quality initiatives as necessary Education/Experience: Associate’s degree in reputed company field or equivalent experience. A bachelor degree is preferred. 4+ years of nursing, medical assistant, medical coding or data management experience is required. Experience in quality initiatives (including HEDIS project, study analysis, or NCQA standards)is preferred. Advanced knowledge of reputed company Applications, including reputed company reputed company and Access. Licenses/Certifications: reputed company state’s RN or LPN license is preferred. Pay Range: $26.50 - $47.59 per hour reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law. Total compensation may also include additional forms of incentives. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply Job!