All roles

HEDIS Nurse- REMOTE

Remote · USA Full-time New today

Job Description • Lead data collection and abstraction for company quality measures, including HEDIS, CMS, and CHIPRA • Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom • Review medical records and abstract data for HEDIS and other measure sets • 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 Additional Skills & Qualifications • Recent experience with HEDIS, NCQA, Quality Initiatives/Standards. • Previous HEDIS abstraction/overread experience • Advanced knowledge of MS Excel. • Current RN or LPN license

Work Environment

This position will be fully remote. Candidate must have strong internet connection. Hours are Monday through Friday from 8:00am - 5:00pm, 7:00am - 4:00pm, or 9:00am - 6pm CST Dress code is business casual. All work equipment will be provided. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through: • Hiring diverse talent • Maintaining an inclusive environment through persistent self-reflection • Building a culture of care, engagement, and recognition with clear outcomes • Ensuring growth opportunities for our people The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] for other accommodation options. Apply Job!

Related roles

Digital Banking Specialist

Remote · USA Full-time

Part-Time Teller I

Remote · USA Full-time

Mortgage Loan Officer

Remote · USA Full-time

Accounting Associate Intermediate

Remote · USA Full-time

Supervisor, Claims Operation

Remote · USA Full-time

Commercial Relationship Manager

Remote · USA Full-time

Part-time Tax Preparer

Remote · USA Full-time

INSURANCE VERIFICATION SPECIALIST

Remote · USA Full-time

Entry Level Bookkeeper

Remote · USA Full-time

Inbound Sales Associate

Remote · USA Full-time

Experienced Part-Time Data Entry Specialist – Disney Database Management

Remote · USA Full-time

Remote Part‑Time Research Study Participant – Flexible Schedule, No Experience Required, Earn Up to $790 Weekly

Remote · USA Full-time

Field Service Engineer, Advanced

Remote · USA Full-time

assembler1

Remote · USA Full-time

Remote Federal Proposal Manager - Facilities Management

Remote · USA Full-time

Data Entry Job , Earn $1200 Plus Per Week (Remote) – Amazon Store

Remote · USA Full-time

Experienced Full-Time Remote Virtual Chat Assistant – Delivering Exceptional Customer Support through Live Chat Channels

Remote · USA Full-time

Associate Director, Customer Support – Drive Exceptional Customer Experiences at arenaflex

Remote · USA Full-time

Experienced Work-From-Home Data Entry Research Panelist – Remote Opportunity with arenaflex

Remote · USA Full-time

Remote Customer Support Representative – Pet‑Lover Focused, Work‑From‑Home Role at arenaflex

Remote · USA Full-time