State Licensed HEDIS Overreader

Job Summary

A company is looking for an Overreader, HEDIS/Quality Improvement (Remote).

Key Responsibilities

• Conducts oversight and audits of data collected from medical records for HEDIS projects
• Participates in meetings with various teams regarding quality and HEDIS review results
• Provides feedback and recommendations to providers based on audit findings

Required Qualifications

• Bachelor's degree or equivalent experience
• 3 years of experience in healthcare Quality/HEDIS specific to medical record review and abstraction
• Preferred: At least 3 years of medical record abstraction experience
• Preferred: 3+ years of managed care experience
• Preferred: Active RN license for the State(s) of employment