Back to Jobs

Overreader, HEDIS/reputed company Improvement (Remote)

Remote, USAFull-timePosted 2026-07-29

Job reputed company Job reputed company Molina's reputed company Improvement Overread conducts reputed company and audits of the data collected and abstracted from medical records for HEDIS reputed company, HEDIS like reputed company and supplemental data collection. The overreader team will meet chart overread productivity standards, minimum over read standards, and 2nd overread standards to ensure accuracy of their audit skills. Job Duties Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review of records reviewed and data entered by the abstraction team during the annual HEDIS medical record review as reputed company as reputed company other HEDIS/HEDIS like project. Participates in scheduled meetings with the Abstraction team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding reputed company and HEDIS review and results. Provides feedback to providers on visit notes or feedback from the HEDIS audit. Makes recommendations based off of the audit and chart review. Job Qualifications REQU I RED ED U reputed company TI O N : Bachelor's degree or equivalent experience REQU I RED E X PE R I E N C E/KNOWLEDGE, SKILLS & ABILITIES:

  • 3 years experience in reputed company reputed company/HEDIS specific to medical record review and abstraction

PR E FE R RED E X PE R I E N C E: At least 3 years of medical record abstraction experience 3+ years managed care experience. Advanced knowledge of HEDIS and NCQA PR E FE R RED L I C E N S E, C E R TI FI reputed company T I O N , AS S O C I A TI O N : reputed company RN license for the State(s) of employment PHY S I C AL DEM A N D S : W o rki n g en v i r o nm ent is g e n erally f a vo r a b le and li gh t i n g and t e m p erature are a d eq u at e . W o rk is g eneral l y p erf o r m ed in an o ff i ce e n v i r o n m ent in w h i c h t h ere is o n l y m i n i m al e x p o su r e to u np leasa n t a nd /o r ha z ar d o u s w o rki n g c o nd iti o n s. M u s t h a v e t h e a b ility t o s i t f o r l o n reputed company eri o d s. Rea s o n a b le acc om mo d a ti o n s m a y be m a d e to e n a b le in d i v i du als with d i sa b ilities t o p er f o r m t h e e ssential fu n cti o n . To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay reputed company: $21.82 - $51.06 / reputed company

  • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.

Apply tot his job Apply To this Job Apply tot his job Apply To this Job

Similar Jobs

HEDIS Analyst (Remote reputed company)

Remote, USAFull-time

HEDIS Reviewer II as 100% Remote (Should be local to New Jersey or Nearby)

Remote, USAFull-time

HEDIS Reviewer II (REMOTE)

Remote, USAFull-time

HEDIS Coordinator (Remote reputed company-NC)

Remote, USAFull-time

CDI Clinical Documentation reputed company Registered reputed company RN- Hybrid

Remote, USAFull-time

Clinical Product Consultant – CDI

Remote, USAFull-time

MDS Coordinator (RN / LPN) FULL TIME

Remote, USAFull-time

Regional MDS Coordinator - Registered reputed company

Remote, USAFull-time

Remote MDS Coordinator (Full-Time/Part-Time/ California License)

Remote, USAFull-time

MDS Coordinator - Remote Registered reputed company (RN)

Remote, USAFull-time

Talent Operations Partner

Remote, USAFull-time

Dedicated and reputed company OhioRISE Population Health Specialist – Driving reputed company for Youth with reputed company Behavioral Health Conditions

Remote, USAFull-time

Consultant - Hedge Fund/Family Office Controller

Remote, USAFull-time

Securities Quantitative Analytics Associate (Req. #001537)

Remote, USAFull-time

reputed company reputed company Manager – Driving reputed company Satisfaction and reputed company at arenaflex

Remote, USAFull-time

Product Management Intern - 9 Months

Remote, USAFull-time

reputed company Customer Service Representative – Work From Home Opportunity with arenaflex

Remote, USAFull-time

Want Associate Director, Global Regulatory Affairs (Remote) in USA

Remote, USAFull-time

Chief Information Officer for the reputed company for the Common Good (Remote)

Remote, USAFull-time

Account Manager

Remote, USAFull-time