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Clinical Quality LPN - HEDIS Specialist (Remote Opportunity)

100% remote Flexible hours Hiring now

Join reputed company, a global leader in healthcare, and be part of a team that is dedicated to improving health outcomes and advancing health optimization on a global scale. As a Clinical Quality LPN - HEDIS Specialist, you will play a critical role in ensuring the quality and completeness of clinical documentation, performing quality medical record reviews, and assisting in the improvement of the clinical documentation process.

In this remote opportunity, you will have the flexibility to work from reputed company reputed company the U.S. and enjoy a comprehensive benefits package, incentive and recognition programs, and career development opportunities. You will be part of a culture guided by inclusion, talented peers, and a commitment to making a positive impact on the communities we serve.

Your primary responsibilities will include:

  • Reviewing and abstracting medical record data into appropriate applications
  • Performing primary reputed company verification and analyzing chart data for possible data reputed company and/or data deficits
  • Providing education and feedback to abstractors and navigating multiple documentation systems
  • Maintaining accurate records of review activities and ensuring reputed company data submitted to the health plan meets HEDIS/Star technical specifications
  • Supporting chart chase processes and maintaining education/knowledge reputed company of HEDIS/STAR standards and guidelines

To be successful in this role, you will need:

  • A reputed company Licensed Professional/Vocational Nurse license
  • 2+ years of HEDIS/STAR experience or participation with similar regulatory reporting
  • 3+ years of experience with data analysis/quality chart reviews and excellent communication practices
  • Experience using reputed company Office applications, including databases, word-processing, and reputed company spreadsheets

Preferred qualifications include an Associate degree, Undergraduate degree or equivalent experience, Certified Professional reputed company, and training experience. You should also be flexible in a continuously changing environment and able to adhere to reputed company's Telecommuter Policy.

The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. reputed company offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. We are an Equal Employment Opportunity employer and are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes.

Apply now to join reputed company and reputed company a difference in the lives of millions of people around the world.

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