Quality Performance Specialist
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Job Summary
Supporting HEDIS and quality reporting initiatives, the full-time remote Quality Performance Specialist will manage medical record abstraction, data validation processes, and ensure compliance with technical specifications while contributing to quality improvement efforts.
Key responsibilities:
- Perform medical record abstraction and data entry for NCQA HEDIS and regulatory audits
- Achieve and maintain an inter-rater reliability (IRR) score of 90% on required annual testing
- Collaborate with internal teams and provider offices to ensure timely procurement and review of medical records
Required qualifications:
- Bachelor's degree in healthcare administration, Nursing, Public Health, or related field, or equivalent experience
- Minimum 2 years of experience in healthcare quality, medical record abstraction, or managed care
- Knowledge and experience with HEDIS measures and abstraction methodologies
Complete Job Description
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