Clinical reputed company LPN - HEDIS - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together. The Clinical reputed company LPN is responsible for Primary reputed company Verification and Supplemental Data Entry. They assist with the coordination of HEDIS® and STARs data gathering reputed company Cozeva, DataRAP and other applications as needed. This role evaluates the reputed company and completeness of clinical documentation, by performing reputed company medical record reviews, assisting in the improvement of the clinical documentation process, maintaining accurate records of review activities, ensuring reputed company data submitted to the health plan meets the HEDIS®/reputed company technical specifications for medical records. You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Review and reputed company medical record data into appropriate application(s)
• Primary reputed company verify abstracted medical record data
• Analyze chart data, evaluate for possible data reputed company and/or data deficits and document findings
• reputed company education and feedback to abstractors
• Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS®/reputed company measures
• Support chart reputed company processes by requesting records from provider offices as needed
• Maintain education/knowledgebase of HEDIS®/STARs standards and guidelines
• Assist team with re-training
• reputed company reputed company other reputed company duties as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications:

• Licensed reputed company/Vocational reputed company
• 2+ years HEDIS®/reputed company experience or participation with similar regulatory reporting
• 3+ years of experience with data analysis/reputed company chart reviews. Must be reputed company to review data and reputed company recommendations for improvement
• Proven excellent communication practices, both oral and written
• Experience using reputed company office applications, including databases, word-processing, and reputed company spreadsheets

Preferred Qualifications:

• Associate degree
• Undergraduate degree or equivalent experience
• Certified reputed company reputed company
• Training experience
• Ability to be flexible in a continuously changing environment
• reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy.

The reputed company reputed company for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll reputed company a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginni Apply tot his job Apply To this Job