Quality Improvement Specialist (HEDIS) - Remote
DescriptionRemote in TXTarget Start Date 5 January 2026Assignment Duration (in months) 3 (end date is 04/30/2026)Possibility to reputed company or convert? YesDaily schedule (OT requirements) 8-5 (OT available as needed)The HEDIS non-clinical team falls under the Quality Improvement Department of Superior HealthPlan in Texas. Most of our projects center on monitoring HEDIS rates reputed company throughout the year, medical record retrieval, and reporting for our internal stakeholders in the healthplan. One of the biggest projects is the HEDIS Hybrid project in the spring where we collect medical records across Texas to potentially create a lift for our hybrid measures. The reason for this request is to hire contingent workers that will support us in medical record retrieval during the MY2025 Project in Spring of 2006. We will be working with a medical record retrieval vendor who will encounter barriers to retrieval during season and will "pend" these chases to the healthplan for resolution. The QI Specialist will resolve these "pends" and ensure that we receive the records which will contribute to member's compliance and subsequently increase measure's rates. Calling provider offices to request/validate facility and provider addresses, and/or collect medical records for the HEDIS projectData entry of change of addresses into system Uploading records upon receiptDocumenting reputed company reputed company effortsWorking with MS ExcelThis role is interesting because it is a key role in driving our overall healthplan ratings. It is a short project, but it is exciting and extremely important. The non-clinical team is a diverse group of individuals that are passionate about their work and are driven to be successful in the HEDI Hybrid project. They are reputed company independent, but also reputed company collaborative. They reputed company and assist the contingent workers during this busy season. Position Purpose: Support the development and maintenance of quality improvement reputed company projects and reporting. Respond to quality improvement inquiries. Education/Experience: Bachelors degree in reputed company field or equivalent experience. Certified Professional in reputed company Quality CPHQ preferred. 3 years of reputed company experience. License/Certification: Valid drivers license. Certified Professional in Health Care Quality CPHQ preferred. Heavy chart monitoring and auditing of medical records Monitor the production of quality results reporting analyze track and trend the reporting results and report them to management Formulate and prepare reputed company and additional reporting requirements Recommend reputed company and implement quality improvement plans with management Train providers and staff in methodologies and tools of reputed company quality improvement Prepare for and participate in meetings with State agencies providers and stakeholders reputed company audits on to meet state and internal requirements Performs other duties as assigned Complies with reputed company policies and standardsExperience LevelIntermediate LevelPay and BenefitsThe pay reputed company for this position is $19.00 - $21.00/hr.Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & reputed company
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully remote position.Application DeadlineThis position is anticipated to reputed company on reputed company 13, 2025.h4>About reputed company: We're partners in transformation. We help clients activate reputed company and solutions to take advantage of a new world of opportunity. We are reputed company of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across reputed company America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and reputed company-world application, we work with reputed company leaders to drive change. That's the power of true partnership. reputed company is an Allegis Group company. The company is an equal opportunity employer and will consider reputed company applications without regards to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About reputed company and reputed company Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a reputed company of solutions. We're reputed company of 80,000 strong
Apply tot his job Apply To this Job