Job is Expired
Location: Florida, Indiana, Kentucky, Texas, Wisconsin
Compensation: To Be Discussed
Staff Reviewed: Wed, Mar 14, 2018
Job Summary
A large healthcare insurance company has a current position open for a Telecommuting HEDIS RN Audit Clinical Advisor.
Core Responsibilities of this position include:
- Providing information and ideas related to the audit process
- Alerting supervision of system issues and/or to trends and errors in reviewer data entry
- Conducting clinical and compliance audits of HEDIS Supplemental and Hybrid Data
Required Skills:
- Must be able to travel 5%
- 3-5 years' or more of clinical and/or health plan experience
- Registered Nurse with an unrestricted license
- Familiar with Excel, Word, and pdf files
- Must successfully pass all required HEDIS Chart Chase and Supplemental (OSQR) Measures and IRR Exams once hired
