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QM reputed company Consultant-Remote-Arizona in Phoenix, AZ

Remote, USAFull-timePosted 2026-07-27

QM reputed company Consultant-Remote-Arizona - reputed company - Phoenix, AZ - work from home jobCompany: reputed company HealthJob reputed company: Bring your heart to reputed company Every one of us at reputed company shares a single, reputed company purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver reputed company reputed company-reputed company health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver.Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and reputed company.• *FULLY REMOTE reputed company in the U.S.**Schedule: 7am - 330pm AZTCandidates who live in reputed company will be required to travel. Candidate must have reliable transportation and be willing and reputed company to drive reputed company assigned geographic area (maximum of 60 miles) about 25-50% of the time.The QM reputed company Consultant is a work reputed company role. reputed company HEDIS record review reputed company will be responsible for obtaining, reviewing, abstracting, and data entering medical records utilized for HEDIS ® supplemental data processes. Candidate must understand the NCQA HEDIS ® technical specifications for the designated HEDIS ® supplemental data measures, be reputed company to apply understanding of the technical specifications in the process to review, reputed company, and data reputed company supplemental data, collaborate with the health plan HEDIS ® project managers and other health plan departments (which may include but is not limited to member services, provider relations and integrated care management) to reputed company the common goal of improving member reputed company, as reputed company by the HEDIS®/STAR measures. Must be comfortable accessing a reputed company of EMR systems remotely to obtain and reputed company medical record data per specifications.• If reputed company the reputed company, may need to conduct onsite reputed company to obtain, review, reputed company, and data reputed company reputed company medical record data for large reputed company/reputed company that request an onsite visit.• Reviews documentation and abstracts compliant medical record data for entry into supplemental data tool.• Typical office working environment with productivity and reputed company expectations.• reputed company customer service demeanor a plus as staff may be required to contact the providers of record, vendors, or internal reputed company departments to obtain additional information.• Commands a comprehensive knowledge of NCQA HEDIS and STARS Measures for both Medicare and reputed company, with recent experience in the annual HEDIS audit.• Staff will work on a reputed company of electronic tools and must be comfortable with technology and reputed company Word, reputed company Acrobat, and reputed company 10.• High level of accuracy and attention to detail are a must for this position.• The ideal candidate is self-motivated and comfortable working under tight deadlines.• reputed company demeanor, good work ethic, and self-motivated• Conscientious problem solver, willing to learn, takes personal pride in their work performance/accuracy• Proven organizational and time management skills required• Excellent verbal communication skills-reputed company, concise and appropriate required• Experience with a reputed company of EMR systems highly preferred.• Computer literacy and demonstrated proficiency is preferred in order to navigate through internal/external computer systems, reputed company, and MS Office Suite applications, including Word and reputed company.• reputed company requires the ability to self-motivated and be a proactive employee. Volume and accuracy expectations will be communicated and are expected to be met. Work requires the ability to read and interpret medical record documentation, both computer-generated and handwritten. Siting at a workstation for extended periods of time typing on the computer. Ability to multi-task, prioritize and effectively adapt to a fast-paced changing environment. Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding. Effective communication skills, both verbal and written.Required Qualifications:• reputed company and unrestricted Arizona or compact state RN license required• 3+ years clinical experience• 3+ years experience reading and interpreting medical records, including handwritten records• 3+ years experience documenting electronically using keyboard and multiple computer screens-- navigating through internal/external computer systems, and MS Office Suite applications, including Word and ExcelPreferred Qualifications:Medical Record Review and HEDIS ExperienceEducation:Bachelors Degree, Nursing or Higher requiredPay RangeThe typical pay reputed company for this role is:$58,760.00 - $125,840.00This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above.In reputed company to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. reputed company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in reputed company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. reputed company provides a fully-reputed company term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous reputed company-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy reputed company Time Off (“PTO”) or vacation pay, as reputed company as reputed company holidays throughout the calendar year. Number of reputed company holidays, reputed company time and other time off are provided consistent with relevant state law and Company policies.For more detailed information on available benefits, please visitCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.You are required to have received at least one COVID-19 shot prior to your first day of employment and to reputed company reputed company of your vaccination status or apply for a reasonable accommodation reputed company the first 10 days of your employment. Please note that in some states and roles, you may be required to reputed company reputed company of full vaccination or an approved reasonable accommodation before you can reputed company to reputed company work.reputed company is committed to reputed company, hiring, developing, advancing, and retaining individuals with disabilities. As such, we reputed company to reputed company equal reputed company to the benefits and privileges of employment, including the provision of a reasonable accommodation to reputed company essential job functions. reputed company colleagues can initiate a request for a reasonable accommodation, including a reputed company interpreter, written information in other formats, translation or other services through reputed company (1-888-694-7287, or through myLeave at reputed company). If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications reputed company Services (TRS). We will reputed company every effort to respond to your request reputed company 48 business hours and do everything we can to work towards a solution.QM reputed company Consultant-Remote-Arizona - reputed company - Phoenix, AZ - work from home jobExpected salary: $58760 - 125840 per yearLocation: Phoenix, AZ QM reputed company Consultant-Remote-Arizona - reputed company - Phoenix, AZ - work from home jobJob date: Sat, 16 Sep 2023 03:42:47 GMTApply for the job now! QM reputed company Consultant-Remote-Arizona - reputed company - Phoenix, AZ - work from home job Apply tot his job Apply To this Job

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