Spectraforce Technologies
Quality Improvement Specialist (HEDIS)
Spectraforce Technologies, Little Rock, Arkansas, United States, 72208
Position Title:
Quality Improvement Specialist (HEDIS)
Work Location:
Remote - Arkansas
Assignment Duration:
3 Months
Work Schedule:
8-5 CST
Position Summary:
* Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations.
* The position exists to support the health plans in the clinical aspect of medical record review.
Key Responsibilities:
* Train providers, health plans, and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes.
* Provide clinical support to the medical record abstraction, over-read, and audit processes.
* Monitor performance on established contractual quality indicators.
* Analyze, track, and trend results.
* Prepare for and participate in meetings with various committees, state agencies, providers, health plans, vendors, and stakeholders.
* Recommend, develop, and implement quality performance improvement plans (PIPs) with management utilizing the PDSA model.
* Monitor and report PIPs progress through closure.
* Perform other duties as assigned.
* Comply with all policies and standards.
Qualification & Experience:
* Bachelor's degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) or equivalent experience in related healthcare experience.
* Valid state clinical license preferred (LPN, RN, etc.).
* Experience in HEDIS or NCQA or related topics preferred.
Background & Context:
* Arkansas Quality Team needs staff to assist with End of Year Push projects to increase gap closure rates.
* This will include medical record retrieval and abstraction among other quality interventions.
Quality Improvement Specialist (HEDIS)
Work Location:
Remote - Arkansas
Assignment Duration:
3 Months
Work Schedule:
8-5 CST
Position Summary:
* Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations.
* The position exists to support the health plans in the clinical aspect of medical record review.
Key Responsibilities:
* Train providers, health plans, and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes.
* Provide clinical support to the medical record abstraction, over-read, and audit processes.
* Monitor performance on established contractual quality indicators.
* Analyze, track, and trend results.
* Prepare for and participate in meetings with various committees, state agencies, providers, health plans, vendors, and stakeholders.
* Recommend, develop, and implement quality performance improvement plans (PIPs) with management utilizing the PDSA model.
* Monitor and report PIPs progress through closure.
* Perform other duties as assigned.
* Comply with all policies and standards.
Qualification & Experience:
* Bachelor's degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) or equivalent experience in related healthcare experience.
* Valid state clinical license preferred (LPN, RN, etc.).
* Experience in HEDIS or NCQA or related topics preferred.
Background & Context:
* Arkansas Quality Team needs staff to assist with End of Year Push projects to increase gap closure rates.
* This will include medical record retrieval and abstraction among other quality interventions.