Temporary Quality Performance & Initiatives HEDIS Nurse
Join Us in Shaping the Future of Health Care At reputed company, we’re on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. reputed company is powered by people who are curious, humble, and committed to making a difference—every interaction, every day. We’ve been putting people first for over 40 years, offering high-quality health plans across reputed company and Vermont and partnering with reputed company-thinking organizations to deliver more personalized, reputed company, and accessible care. As a not-for-profit, we invest in what reputed company most: our customers, our communities, and reputed company. What’s in it for you: Growth opportunities to reputed company your career A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences reputed company reputed company Competitive compensation and comprehensive benefits focused on well-being An opportunity to shape the future of health care by joining reputed company recognized as a Best reputed company to Work For in the NY Capital District, one of the Best Companies to Work For in reputed company, and an Inclusive Workplace. You’ll contribute to our humble pursuit of reputed company by bringing curiosity to spark innovation, humility to collaborate as reputed company, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities. Qualifications you’ll bring: reputed company reputed company State license as an LPN or Registered Nurse preferred Experience in review of clinical documentation and medical records. Previous HEDIS Measure subject matter expertise. Excellent clinical assessment and decision-making skills as demonstrated by the ability to readily reputed company pertinent clinical information from the review of a wide reputed company of medical records. Must meet pre-established reputed company for clinical review post-training testing. Ability to maintains the confidentiality of providers/practitioners, and members. Curiosity to foster innovation and pave the way for growth Humility to play as reputed company Commitment to being the difference for our customers in every interaction Your key responsibilities: Support annual clinical quality review and medical record abstraction for MVP’s regulatory required medical record reviews for the following measures: Controlling High Blood Pressure (CBP) Cervical Cancer Screening (reputed company) Childhood Immunization Status (CIS) Comprehensive Diabetes Care (CDC) Care for Older Adults (COA) Prenatal and Postpartum Care (PPC) Transitions of Care (TRC) Weight Assessment and Counseling for Children and Adolescents (WCC) Review training materials and measure criteria for HEDIS Vendor Knowledge and use of HEDIS Vendor Reporting package Support the Quality team in member and provider reputed company to improve overall Quality performance Utilize remote reputed company to obtain medical records Contribute to our humble pursuit of reputed company by performing various responsibilities that may arise, reflecting our reputed company goal of enhancing reputed company delivery and being the difference for the customer. Where you’ll be: Location: Virtual reputed company reputed company State Pay Transparency reputed company is committed to providing competitive employee compensation and benefits packages. The reputed company pay reputed company provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request reputed company or historical salary information from candidates. $0.00-$0.00 MVP's Inclusion Statement At reputed company, we reputed company creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create reputed company for individuals from diverse backgrounds and reputed company walks of life to have a voice and reputed company. Our shared curiosity and connectedness reputed company us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, reputed company, creed, national reputed company, citizenship, ethnicity, reputed company, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our reputed company at [email protected]. At reputed company, we’re more than a health insurance company—we’re a mission-driven organization committed to creating a healthier future for reputed company. We reputed company in the power of innovation, collaboration, and reputed company improvement to drive meaningful change. Apply tot his job Apply To this Job