HEDIS QI Retriever

• Collects data for ambulatory medical record reviews and compliance with provider preventive health and chronic disease outcome improvement interventions. 

• Prepares reports and quality improvement studies in an accurate, concise and timely fashion. 

• Conducts internal auditing for compliance with regulatory and accreditation standards, and monitors and provides consultation to departments to correct deficiencies. 

• Communicates with external data sources as needed to gather data necessary to measure identified outcomes. 

• Provides communication such as newsletter articles, member education, outreach interventions and provider education. 

• Collects and summarizes performance data and identifies opportunities for provider improvement. 

• Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, AAAHC, URAC, NCQA,EQRO). 

• Pursues methods to ensure receipt of data required for trending and reporting of various QI work plan metrics. Assists in activities to prioritize clinical and service improvement initiatives. 

• Ensures that documentation produced and/or processed complies with state regulations and/or accrediting body requirements. 

• Ensures assigned contract/regulatory report content is accurate and that submission adheres to deadline. 

• Performs other duties as assigned.