Quality Reviewer HEDIS Job at Pacer Staffing, New York, NY

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  • Pacer Staffing
  • New York, NY

Job Description

  • Job Title : HEDIS Quality Reviewer
  • Location : 50 Water Street, FL 7, New York, NY
  • Duration : 13 weeks
  • Shift :9:00am- 5:00pm
  • Requirements:

    • Clinical background: Health Educator, RN, LPN, RN, LMSW or LCSW, Foreign Medical Graduate (FMG) with a minimum of three years relevant work experience.
    • Experience with medical record review working on HEDIS/QARR in a managed care or health plan setting.
    • 3 5 years in Quality Improvement in a health care and/or Managed Care setting strongly preferred.
    • Ability to travel within the MetroPlus service area.
    • Knowledge of HEDIS and QARR specifications.
    • Experience using EMR systems, e.g. EPIC, Quadramed.
    • Proficient in Microsoft Office applications including Word, Excel, PowerPoint and Access.
    • Knowledge of ICD-10 and CPT codes preferred.
    • Ability to proficiently read and interpret medical records; Ability to measure compliance and identify deficiencies in chart documentation against standards.

    Required Skills:
    EXCELLENT MULTI-TASKER
    MICROSOFT WORD
    ACCESS
    MS POWERPOINT
    EXCEL

Job Tags

Full time, Work experience placement, Work at office, Travel, Shift work,

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