What are the responsibilities and job description for the Quality Improvement Specialist position at Cam Bay Health Care?
Job Advertisement: Quality Improvement Coordinator I (HEDIS Season)
Location: Hybrid (50% onsite in Columbus, OH; 50% remote)
Employment Type: Temporary, Full-Time (HEDIS Seasonal Role)
Shift: Monday–Friday, 8:00 AM–5:00 PM (1-hour lunch)
Target Start Date: February 17, 2025
About the Role:
We are seeking a detail-oriented Quality Improvement Coordinator I to join our Buckeye Health Plan team for the upcoming HEDIS season. This hybrid role will involve collaborating with internal teams and provider practices to ensure accurate and timely management of healthcare quality data. If you’re organized, tech-savvy, and passionate about healthcare quality improvement, this is a great opportunity to make an impact.
Key Responsibilities:
- Communicate with provider practices to confirm the completion and upload of TRC/MRP (Transition of Care/Medication Reconciliation Post-Discharge) into electronic medical records (EMR).
- Audit medical records to ensure TRC/MRP compliance.
- Handle administrative tasks such as requesting, processing, and tracking medical records.
- Maintain daily performance metrics, including abstractions, record requests, and chart processing.
- Collaborate with internal HEDIS teams and statewide (Ohio) provider groups to ensure data accuracy and compliance.
Performance Expectations:
- Meet daily and weekly targets for record abstractions, medical record requests, and incoming chart processing.
- Maintain accuracy and timeliness in auditing medical records and communication with providers.
Required Skills/Experience:
- Proficiency with Microsoft Office programs (Excel, Word).
- Experience in healthcare, health insurance, or clinical work.
- Familiarity with sending and receiving faxes and emails for record management.
Preferred Skills/Experience:
- Previous HEDIS experience or familiarity with TRC HEDIS measures.
- Experience handling medical records.
Education & Certifications:
- Required: Associate’s degree or LPN certification.
- Preferred: Bachelor’s degree in Nursing or a related field; Active RN license.
What to Expect on Day One:
- Onboarding and introductions to the team.
- Process walk-through and Centene University training and testing.
Why Join Us?
- Impactful Work: Play a critical role in ensuring compliance and improving healthcare outcomes during HEDIS season.
- Collaborative Environment: Work closely with internal HEDIS teams and Ohio-based providers.
- Flexible Schedule: Enjoy a hybrid work model with the opportunity to make a difference both on-site and remotely.
If you’re ready to contribute to healthcare quality improvement, apply now to join our team for HEDIS season!
Job Types: Full-time, Contract, Temporary
Pay: $23.40 - $26.83 per hour
Expected hours: No less than 40 per week
Benefits:
- Flexible schedule
- Health insurance
- Paid time off
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- HEDIS: 4 years (Required)
- EMR systems: 4 years (Required)
License/Certification:
- LPN (Required)
Work Location: Remote
Salary : $23 - $27
