Russell Tobin · 3 months ago
Remote Clinical Quality Analyst (Lead HEDIS Abstractor & Over-Reader)
United States
Full-time
Remote
Mid, Senior Level
$38/hr - $42/hr
1+ years expRussell Tobin is hiring Remote Senior Clinical Quality Analysts to support our client's 2026 HEDIS season. The role involves supervising contractors, monitoring performance reports, and ensuring compliance with HEDIS quality measures.
ConsultingHuman ResourcesLegalStaffing Agency
Responsibilities
Supervision of Contractors (Clinical Quality Analyst) performing overread and research of non-compliant members in HEDIS® quality measures
Partner with the Operational Strategy & Oversight staff to set priorities and troubleshoot any issues that arise
Monitor performance reports available of the Clinical Quality Analyst and provide remediation as needed
Perform quality assurance on Clinical Quality Analyst performance as it relates to chart review and ability to perform research and collection of chart data for HEDIS® and HEDIS® -like quality measures
Provide remediation training as needed
Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately
Communicates questions and/or concerns to the Operational Strategy & Oversight staff, as appropriate, in a timely manner
Attends team meetings to provide information relating to clinical reviews and compliance
Successfully completes HEDIS® technical specification training and testing with a passing score of 95% or greater
Successfully completes HEDIS® software training and uses software correctly
Performs other duties as assigned
Qualification
Required
Management/ supervision experience
At least 1 year of HEDIS abstraction / medical record review experience is required
Reliable hardwired high-speed internet access (no Wi-Fi) required
Private US-based in-home office that follows HIPAA regulations required
Preferred
Clinical licensure - RN, LPN, LVN preferred but not required
Company
Russell Tobin
Russell Tobin is a staffing and recruiting company that provides recruitment and staffing advisory services.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
John Woronowich, JD
Vice President - Search, Staffing & Embedded Partnerships
Ashley Steger
Director of Talent Acquisition and People Operations- Embedded Partnerships
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