Integrity Staffing Solutions
Integrity Staffing Solutions

HEDIS Reviewer

Dauphin, Pennsylvania
Contract
Posting date: 6/24/2019
Job ID: 60467

 

Assisting with this position:
Christina Mancinelli

Job Description
Job Description

HEDIS Reviewer needed in Harrisburg, PA        


Integrity Staffing Solutions is currently seeking a HEDIS Reviewer in the Harrisburg area. Integrity Staffing Solutions provides comprehensive professional level staffing services on a nationwide basis and has been bringing companies and professionals together almost 20 years. At Integrity Staffing Solutions, we find the best, highest paying professional level positions within the top companies in the area. Most of the positions we identify will never be found in a newspaper or online because of the exclusive relationships we have with our clients who trust Integrity Staffing Solution's recruiting team to identify top talent to fill their critical hiring needs. Finding a top paying job at a great company is often like signing the contract of a lifetime; let us get to work for you today!


Responsibilities:

  • Makes outbound calls to members to provide assistance in obtaining services (i.e.,
    provide reminders, make appointments, arrange transportation, etc.) to avoid
    delays in treatment and improve member health outcomes. Identifies when to
    refer member to Social Worker or Case Manager.
  • Facilitates provider and member outreach to ensure member receipt of important clinical
    services to improvement member health outcomes. Provides support for Healthcare
    Effectiveness Data and Information Set (HEDIS) quality initiatives and
    regulatory/contractual requirements including outreach to members who are
    non-compliant in the designated outreach services. Supports effective medical
    record capture for HEDIS medical record review and abstraction of supplemental
    data.

Required Skills:

Min 3 years recent and related health care outreach and/or health education
experience. * Recent and related experience with HEDIS criteria * Experience in
call center environment * Strong communication skills and experience speaking
with medical providers. * Ability to work independently. * Ability to use standard
corporate software packages and corporate systems.

 

Additional Information:

  • Hours: 8:00 AM – 5:00 PM
  • Pay: $22.69
  • Employment Type: Contract
  • Limited medical and dental coverage for contractors and their families available immediately
  • Opportunities for professional growth.

As an equal opportunity employer, Integrity Staffing Solutions is committed to a diverse workforce and to a barrier-free application process. As part of the Integrity Staffing Solutions Accessibility Policy, if you have a disability and are having issues accessing any portion of our website or in applying for a job, please contact us for direct assistance by sending an email to er@integritystaffing.com . Include your name, phone number, email address and the nature of your issue. Only communications regarding disability access issues will be receive a response. A member of our staff will be in contact with you within 48 business hours, Monday-Friday, excluding holidays, to discuss the information you have provided and to help you complete your inquiry. Thank you for your patience and our team is looking forward to assisting you!!


INTEGRITY STAFFING IS AN EQUAL OPPORTUNITY EMPLOYER

OPENAF

 



Disability Accommodations

As an equal opportunity employer, Integrity Staffing Solutions is committed to a diverse workforce and to a barrier-free application process. As part of the Integrity Staffing Solutions Accessibility Policy, if you have a disability and are having issues accessing any portion of our website or in applying for a job, please contact us for direct assistance by sending an email to er@integritystaffing.com. Include your name, phone number, email address and the nature of your issue. Only communications regarding disability access issues will receive a response. A member of our staff will be in contact with you within 48 business hours, Monday-Friday, excluding holidays, to discuss the information you have provided and to help you complete your inquiry. Thank you for your patience and our team is looking forward to assisting you.

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INTEGRITY STAFFING IS AN EQUAL OPPORTUNITY EMPLOYER