MilwaukeeRecruiter Since 2001
the smart solution for Milwaukee jobs

Sr. Abstractor, HEDIS/Quality Improvement

Company: Molina Healthcare
Location: Milwaukee
Posted on: October 19, 2020

Job Description:

Job DescriptionJob SummaryMolina''s Quality Improvement Sr. Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards.Knowledge/Skills/Abilities Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review. The Senior Abstractor will be asked to perform duties where clinical decision-making may be necessary. Participates in meetings with vendors for the medical record collection process. Assists Manager and Supervisor(s) in training and takes the lead role in these activities, utilizing the standardized training materials and job aids. Collects medical records and reports from provider offices, loads data into the HEDIS application, and compares the documentation in the medical record to specifications to determine if preventive and diagnostic services have been correctly performed. Works with the National Over read team to monitor accuracy of abstracted records as required by specifications. Participates in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors.Qualifications Job QualificationsRequired EducationBachelor''s degree or equivalent experienceRequired Experience Min. 3 years experience in healthcare with minimum 2 years experience in health plan quality improvement, managed care or equivalent experience.Preferred Experience2 years coding and medical record abstraction experience. 1 year managed care experience. Advanced knowledge of HEDIS and NCQA.Preferred License, Certification, AssociationActive RN license for the State(s) of employmentTo all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.by Jobble

Keywords: Molina Healthcare, Milwaukee , Sr. Abstractor, HEDIS/Quality Improvement, Other , Milwaukee, Wisconsin

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Submarine Electronics
Description: ABOUT The most secretive of Navy vessels, a submarine requires a select community of specially trained professionals to operate its classified, highly advanced hardware. The Sailors in the Submarine (more...)
Company: Navy
Location: Sheboygan
Posted on: 10/20/2020

Nuclear Operations
Description: ABOUT Nuclear technicians, power plant operators and subsystems specialists are responsible for keeping vital Naval submarines and aircraft carriers running. These highly trained, hands-on professionals (more...)
Company: Navy
Location: Sheboygan
Posted on: 10/20/2020

Customer Service/Sales
Description: Job DescriptionPosition Purpose: br Customer Service/Sales associates provide fast, friendly service by actively seeking out customers to assess their needs and provide assistance. These associates
Company: The Home Depot
Location: Sheboygan
Posted on: 10/20/2020


Get New Contractor Work Today - Preview Leads In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: Sheboygan
Posted on: 10/20/2020

Dedicated CDL A Truck Driver
Description: Job Description: LIMITED TIME U.S. Xpress is offering NEW dedicated opportunity
Company: U.S.Xpress
Location: Fond du Lac
Posted on: 10/20/2020

CDL-A Lease Purchase Truck Driver
Description: Job DescriptionCDL-A LEASE PURCHASE TRUCK DRIVER JOBS Get In Control Of Your Career With Lease Purchase Opportunities On The Road In ONE DAY With USA With our one-day paid orientation 170 , we keep (more...)
Company: USA Truck
Location: Sheboygan
Posted on: 10/20/2020

Explosive Ordnance Disposal Technician
Description: ABOUT Explosive Ordnance Disposal EOD Technicians have expertise in the most conventional and unconventional explosives to ensure the secure disposal of explosive weaponry. They are on call to respond (more...)
Company: Navy
Location: Sheboygan
Posted on: 10/20/2020

Cryptologic Technician
Description: ABOUT Enlisted Sailors in the Navy Cryptology community analyze encrypted electronic communications, jam enemy radar signals, decipher information in foreign languages and maintain state-of-the-art (more...)
Company: Navy
Location: Sheboygan
Posted on: 10/20/2020

Naval Aviator
Description: ABOUT Search for underwater threats. Deliver payloads of incredible firepower or necessary manpower. Execute strategic aerial maneuvers anywhere from the stratosphere, to mere feet above the sea. This (more...)
Company: Navy
Location: Fond Du Lac
Posted on: 10/20/2020

Navy Chaplain
Description: ABOUT The Navy Chaplain Corps boasts more than 800 Navy Chaplains from more than 100 different faith groups, including Christian, Jewish, Muslim, Buddhist and many others. Each Chaplain is also a Navy (more...)
Company: Navy
Location: Sheboygan
Posted on: 10/20/2020

Log In or Create An Account

Get the latest Wisconsin jobs by following @recnetWI on Twitter!

Milwaukee RSS job feeds