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HEDIS Quality Compliance Professional 2 - VSP

Description
Responsibilities include for this position include:
Review Medical Records for compliance with HEDIS measures.
Utilize Humana systems for research to find information needed for compliance with HEDIS measures.
Contact providers, when appropriate, to obtain missing documentation.
This role is a VSP: Variable Staffing Pool are Associates who work flexible hours to meet business needs, with no guaranteed minimum or maximum number of hours in any week.
Responsibilities
Responsibilities include for this position include:
Review Medical Records for compliance with HEDIS measures.
Utilize Humana systems for research to find information needed for compliance with HEDIS measures.
Contact providers, when appropriate, to obtain missing documentation.
This role is a VSP: Variable Staffing Pool are Associates who work flexible hours to meet business needs, with no guaranteed minimum or maximum number of hours in any week.
Role Essentials
Active unrestricted LPN/ RN license
Ability to work independently under general instructions and with a team.
Excellent computer skills and knowledge of Microsoft Word and Excel.
Comfort learning/using new system applications.
Role Desirables
Education: BSN or Bachelor's degree in a related field
Knowledge of HEDIS specifications and data collection
Scheduled Weekly Hours
40



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