Hire Talent
Quality Clinical Management Senior Analyst
Hire Talent, Hooksett, New Hampshire, us, 03106
**ALL POSITIONS ARE REMOTE***Must have reliable internet connection and experience working in a remote settingOverread Team:The Healthcare Effectiveness Data and information Set (HEDIS) Quality Assurance Nurse Overreader works under the direction of the HEDIS Quality Assurance Team Lead and other *** personnel to perform quality assurance reviews on medical records. The HEDIS Quality Assurance Nurse Reviewer will validate abstracted medical record data and enter findings electronically into a specified data base to support HEDIS Reporting and Quality Improvement. The candidate may be required to perform other duties toward HEDIS collection as assigned including HEDIS medical record review and outreach for collection of medical records. This is a fast-paced environment and candidates must adhere to measured productivity and accuracy requirements. The candidate is required to attain a score of 100% on specific measure testing prior to conducting live medical record reviews and overreads. Candidate must also be able to achieve and maintain a quality reliability score of 95% or higher to remain eligible for employment for the duration of the project.
Follow established procedures for conducting Quality Assurance Overread reviews of abstracted medical recordsExtract electronic medical record data using multiple systemsEnter pertinent data from paper and electronic medical records into database as required by established quality assurance abstraction proceduresCommunicates effectively and professionallyMeet or exceed productivity and accuracy requirementsAbility to work independently and in team environmentExcellent time management and prioritization skillsExcellent communication skills (written and verbal)Strong attention to detailAbility to multi-taskFlexibility with assignment changeHighly organizedEvidence of strong computer skills including the Microsoft office suite (e.g., Microsoft Outlook, Excel, and Word)Maintain patient confidentiality by protecting patient information from unauthorized disclosureOther duties as assigned
Follow established procedures for conducting Quality Assurance Overread reviews of abstracted medical recordsExtract electronic medical record data using multiple systemsEnter pertinent data from paper and electronic medical records into database as required by established quality assurance abstraction proceduresCommunicates effectively and professionallyMeet or exceed productivity and accuracy requirementsAbility to work independently and in team environmentExcellent time management and prioritization skillsExcellent communication skills (written and verbal)Strong attention to detailAbility to multi-taskFlexibility with assignment changeHighly organizedEvidence of strong computer skills including the Microsoft office suite (e.g., Microsoft Outlook, Excel, and Word)Maintain patient confidentiality by protecting patient information from unauthorized disclosureOther duties as assigned