Senior Abstractor, HEDIS/Quality Improvement (Remote) jobs in United States
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Molina Healthcare · 3 weeks ago

Senior Abstractor, HEDIS/Quality Improvement (Remote)

positionUnited States
timeFull-time
remoteRemote
seniorityMid, Senior Level
money$21.82/hr - $51.06/hr
date3+ years exp

Molina Healthcare is focused on improving healthcare quality, and they are seeking a Senior Abstractor for HEDIS/Quality Improvement. This role involves conducting data collection and abstraction of medical records for HEDIS projects, mentoring entry-level abstractors, and ensuring productivity standards are met.

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H1B Sponsor Likelynote

Responsibilities

Performs the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review
Participates in meetings with vendors for the medical record collection process
As needed, may collects medical records and reports from provider offices, loads data into the HEDIS application, and compares the documentation in the medical record to specifications to determine if preventive and diagnostic services have been correctly performed
Participates in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results
Assists with projects and process improvement initiatives
Mentors entry level Abstractors

Qualification

HEDIS knowledgeMedical record abstractionManaged care experienceRN licenseMentoring skills

Required

Bachelor's degree or equivalent experience
3 years experience in healthcare Quality/HEDIS specific to medical record review and abstraction
Intermediate knowledge and understanding of HEDIS projects

Preferred

At least 3 years of medical record abstraction experience
3+ years managed care experience
Advanced knowledge of HEDIS and NCQA
Active RN license for the State(s) of employment

Benefits

Competitive benefits and compensation package

Company

Molina Healthcare

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Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
dateFounded in 1980
location
Long Beach, California, USA
people-size10001+ employees
web-link
https://investors.molinahealthcare.com/

H1B Sponsorship

Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (56)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)

Funding

Current Stage
Public Company
Total Funding
$2.35B
2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M

Leadership Team

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Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
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Debbie Simkins
Vice President, Office of the CIO
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Recent News

Hartford Business Journal
Some ConnectiCare customers report enrollment, billing problems
2026-01-14
Sherwood News
Insurers rise as House tees up ACA extension vote
2026-01-09
Business Wire
Molina Healthcare of Washington Announces $75,000 Grant to the Seattle Indian Health Board to Support Completion of Thunderbird Treatment Center
2026-01-06
Company data provided by crunchbase