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Quality Clinical Management Analyst

  • Location

    Hooksett, United States

  • Sector:

    Other Area(s)

  • Job type:

    Contract

  • Contact:

    Leric Arcigal

  • Job ref:

    21982

  • Published:

    about 1 year ago

  • Expiry date:

    2020-11-06

  • ALL POSITIONS ARE REMOTE**

Must have reliable internet connection and

experience working in a remote setting Ability to travel to provider offices to collect and/or abstract medical records as needed

  • This req will be filled with all returning workers*

OVERREAD TEAM

The Healthcare Effectiveness Data and information Set(HEDIS) Quality Assurance Nurse Overreader works under the direction of the HEDIS Quality Assurance Team Lead and other Cigna personnel to Perform Quality Assurance reviews on medical records. The HEDIS Quality Assurance Nurse Reviewer will validate abstracted medical record data and enter findings electronically into a specified data base to support HEDIS Reporting and Quality Improvement.The candidate may be required to perform other duties toward HEDIS collection as assigned including HEDIS medical record review and outreach for collection of medical records. This is a fast-paced environment and candidates must adhere to measured productivity and accuracy requirements. The candidate is required to attain a score of 100% on specific measure testing prior to conducting live medical record reviews and overread. Candidate must also be able to achieve and maintain a quality reliability score of 95% or higher to remain eligible for employmentfor the duration of the project.