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Position Title: Quality Improvement Specialist (HEDIS)
Work Location: Remote - United States but must work 8am-5pm EST
Assignment Duration: 4 months
Work Arrangement: Remote Position Summary:
* This is a backfill position for a temporary employee. This employee will help with Risk projects, MCD VBP initiatives, and medical record retrieval.
* The purpose of our team is to drive care gap closure, and help support initiatives that provide better outcomes for our members. Background & Context:
This role supports The Organization's Medicaid initiatives through HEDIS operations, Risk, and member outreach in a collaborative environment. Key Responsibilities:
* Pulling charts out of EMR's and conducting member outreach.
* Cross trained to help with different projects and initiatives including Risk projects that continue year round, as well as VBP measure initiatives for Medicaid.
* Download of around 50 charts per day on average.
* Communicate and ask questions when they arise.
* Support member outreach initiatives to improve MCD rates. Qualification & Experience:
* Bachelor's degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) OR equivalent experience in related healthcare experience.
* 2+ medical record review & member outreach.
* Preferred: LPN or RN.
* Strong communication skills, experience reviewing medical records, attention to detail, tech savvy.
* Microsoft Office - Excel (basic knowledge), Outlook, Teams, Word, OneDrive.
* Medical Terminology.
Education/Certification
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Required: Bachelor's degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) OR equivalent experience in related healthcare experience.
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Preferred: Bachelor's Degree
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Licensure
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Required:
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Preferred: LPN or RN
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Years of experience required: 2+ medical record review & member outreach Disqualifiers: Supervisor positions/over qualified, position longevity (please state if contract AND IF COMPLETED), Additional qualities to look for: Strong communication skills, Can-do attitude, fast learner, positive attitude, experience reviewing medical records, attention to detail, tech savvy,
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1
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Medical Record retrieval/ validation, excellent verbal and written communication skills,
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2
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Microsoft Office - Excel (needs the basic excel knowledge), outlook, teams, word, one drive
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3
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Medical Terminology, tech savvy
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Spectraforce Technologies
Jul 15, 2026