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- 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.Job
Responsibilities: 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 evidences, 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
Education/Experience: Bachelors degree in related field or equivalent experience.2-4 years of experience
**Serious inquiries only, please contact Tracy Chamberlin!**