HEDIS Specialist

Are you an experienced HEDIS Specialist-LVN/LPN looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities: 

•  Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.

• Participates in meetings with vendors for the medical record collection process.  Assists Manager with medical record vendor oversight.

• Assists Manager in training abstractor staff and participates in the medical record IRR.

• Identifies member service gaps based on data loaded in the MHI HEDIS application.

• Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.