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Centene Corporation · 6 hours ago

Quality Improvement Abstractor

United States

Full-time

Remote

Mid Level

$27.02/hr - $48.55/hr

4+ years exp

Centene Corporation is transforming the health of communities, one person at a time, and is seeking a Quality Improvement Abstractor to support quality initiatives. The role involves accurate data abstraction, review, and validation of clinical data to ensure compliance with established guidelines.

Hospital & Health Care

H1B Sponsor Likely

Responsibilities

Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements

Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards

Review medical records and abstract data for HEDIS and other measure sets in compliance with standards

Track and report on issues and outcomes related to abstractions and over-reads

Communicate outcomes of abstraction and over-sight activities with health plans and vendors when required

Perform other quality initiatives as necessary

Performs other duties as assigned

Complies with all policies and standards

Qualification

HEDISQuality measure abstractionOverreadsHealthcare quality improvementClinical records interpretationRN licenseLPN licenseAttention to detail

Required

Experience with HEDIS, quality measure abstraction, and overreads

Familiarity with healthcare quality improvement processes, metrics, and documentation standards

Strong attention to detail and ability to interpret clinical records accurately

Ability to work Monday–Friday, 800 AM–500 PM EST

Must reside in the Eastern (EST) or Central (CST) Time Zone

Associate's degree in related field or equivalent experience

4+ years of nursing, medical assistant, medical coding or data management experience

Preferred

RN or LPN license

Bachelor degree

Experience in quality initiatives (including HEDIS project, study analysis, or NCQA standards)

Current state's RN or LPN license

Benefits

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible approach to work with remote, hybrid, field or office work schedules

Company

Centene Corporation

Glassdoor3.7

Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.

Founded in 1984

Saint Louis, MO, US

10001+ employees

http://www.centene.com

H1B Sponsorship

Centene Corporation 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)

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2021 (1)