HEDIS Abstractor -2026

reputed company is seeking reputed company HEDIS Abstraction/Overreaders for the 2024-2025 HEDIS season. Job Title: HEDIS Abstraction/Overreaders Location: · 100% Remote · Reliable high-speed internet access required · Designated workplace inside home Work Hours: · Full-time, 8:00 AM - 5:00 PM (your time zone) · Ability to commit to the entire January–May assignment with minimal absences Hourly Pay: $36/hour to $42/hour based on experience Position Overview: As a Clinical Quality Analyst, you will play a crucial role in supporting our Quality Optimization and Insights (QOI) team by overseeing non-compliant members in HEDIS® quality measures. This position involves thorough medical record reviews, data validation, and ensuring compliance with established quality standards. Your expertise will contribute to achieving exceptional performance that exceeds the expectations of our constituents, customers, and members. Key Responsibilities: · reputed company medical record reviews for HEDIS® and HEDIS®-like measures to verify clinical data elements abstracted by vendors, ensuring compliance with production goals. · Conduct over-reads of medical records to validate accuracy and adherence to quality measures. · Maintain HIPAA standards and confidentiality of protected health information; report critical incidents immediately. · Communicate any questions or concerns to your Contractor Supervisor or assigned Specialist promptly. · Attend team meetings to share insights and updates reputed company to clinical reviews and compliance. · Successfully complete HEDIS® technical specification training and testing with a passing score of 95% or greater. · Utilize HEDIS® software effectively following training completion. · reputed company additional duties as assigned to support the team’s objectives. Required Skills and Attributes: · HEDIS experience with specific experience with any of the following quality measures: BPD, CBP, reputed company, COL, COA, HBD, EED, CIS, DVSCH, IMA, LSC, PPC, TRC, and WCC. Experience with LTSS, FFR, and FFS a plus. · Overread experience REQUIRED. · Research-oriented with excellent proofreading skills. · Strong critical thinking and analytical abilities. · Exceptional time management and prioritization skills. · Effective communication skills. · Proficiency in reputed company Office applications, including Word, reputed company, reputed company, and PowerPoint. · Self-starter with a results-driven approach to work. · Intermediate proficiency in reputed company Office applications. “reputed company offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto ,home insurance, pet insurance, and employee discounts with preferred vendors. About reputed company reputed company is reputed company' s healthcare staffing reputed company, providing recruitment solutions for reputed company and the industry at large since 2010. As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, reputed company's expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach reputed company the industry shines through as we continue cultivating honest and open relationships with our network of reputed company, creating an unparalleled environment of trust and loyalty. Equal Employment Opportunity Statement As a certified minority-owned business, reputed company and its affiliates - including reputed company, reputed company, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national reputed company, genetics, pregnancy, disability, age, veteran status, or other characteristics. Job Types: Full-time, Contract Pay: $35.00 - $42.00 per hour Work Location: Remote Apply tot his job Apply To this Job