Molina Healthcare · 1 day ago
Abstractor, HEDIS /Quality Improvement (Remote)
United States
Full-time
Remote
Mid Level
$19.84/hr - $38.69/hr
3+ years expMolina Healthcare is focused on quality improvement and data collection for HEDIS projects. The role involves coordinating medical record reviews, participating in vendor meetings, and ensuring compliance with HEDIS standards.
Health CareHospitalMedical
Responsibilities
Coordinates 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
Qualification
Required
High School Diploma or equivalency
3 years experience in healthcare
Basic knowledge and understanding of HEDIS projects
Preferred
Bachelor's Degree
At least one year of medical record abstraction experience or 3-5 years experience with HEDIS audits (including but not limited to chart collection, project management, etc.)
1 year 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
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
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 CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
2026-01-17
2026-01-16
Hartford Business Journal
2026-01-14
Company data provided by crunchbase