HEDIS Coordinator

BCforward is currently seeking a highly motivated HEDIS Coordinator for an opportunity in Remote EST!

Position Title: HEDIS Coordinator

Location: Remote EST

Anticipated Start Date: 11/4/2024

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 6+ Months of contract with possible extension

Job Type: [FULL TIME (>%3D30 HRS WEEKLY)], [CONTRACT], [Remote]

Pay Range: $34 - $36/hr

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Requirements:

• RN OR LPN License
• HEDIS Experience

Job Description:

Position Title: HEDIS Coordinator (Remote)

Location: REMOTE - EST

Anticipated Start Date: 11/4

Expected Duration: 6 months

Job Type: Contract with possible extension

Shift: 8am-5pm EST (lunch-noon-1pm)

As project volume increases, OT will be required with OT pay (flexible with OT hours worked with prior approval)

Pay Rate: $36.00/hr on W2.

Note: Need RN OR LPN License with Prior HEDIS Experience.

Job Description:

Will be working the HEDIS project which measures performance and effectiveness of care by providers/provider groups.

Abstracting from Medical records for certain information.

Training will be provided.

Enter data into a specific program.

Will work with multiple systems.

Work with hiring manager to verify access and to complete training modules

Required Skills/Experience:

MUST HAVE LPN OR RN

Basic Excel and Basic Word

EMR and medical record review experience

Can be flexible with workload and can adapt to daily change

Preferred Skills/ Experience:

Customer service and great communication skills

Quick learner

Must be knowledgeable of technology

Position Purpose:

Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities.

Assist with quality improvement initiatives in the service and clinical areas.

Education/Experience:

Bachelor's degree in related field or equivalent experience.

3+ years of quality improvement or healthcare related experience.

Working knowledge of the National Committee on Quality Assurance (NCQA).

HEDIS requirements preferred.

Requirements:

Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results

Establish and maintain an action plan to improve HEDIS scores

Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities

Collaborate with providers and internal departments on rate investigation and validation activities, including maintaining all evidence, documentations, and changes

Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality

Conduct quality audit and maintain all data and process controls to ensure compliance

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

Keywords:

[RN OR LPN License, HEDIS Experience]

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 228521 when responding to this ad.