Description:
Position Purpose: Lead data collection and abstraction for company quality measures including HEDIS CMS CHIPRA and/or any other custom measurements.
Responsibilities:
-Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards
-Review medical records and abstract data for HEDIS and other measure sets in compliance with standards
-Track and report on issues and outcomes related to abstractions and over-reads
-Communicate outcomes of abstraction and over-sight activities with health plans and vendors when required
-Perform other quality initiatives as necessary
Skills:
Excel Data Base, Data Entry & Review, HEDIS Measures
Additional Skills & Qualifications:
Active LPN or RN Certification
AS LPN
BSN RN
Microsoft Office skills
Ability to work independently with daily reporting
Medical knowledge and experience
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
Actalent is an equal opportunity employer.
About Actalent
Actalent connects passion with purpose. We help visionary companies advance their engineering and science initiatives through access to specialized experts that drive scale, innovation, and speed to market. With a network of almost 30,000 engineering and sciences consultants and more than 4,500 clients across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500. An operating company of Allegis Group, the global leader in talent solutions, Actalent launched as a new specialized engineering and sciences services and workforce solutions brand in 2021.