Senior Abstractor, HEDIS​/Quality Improvement; Remote

Senior Abstractor, HEDIS/Quality Improvement (Remote)

Molina Healthcare

Molina's Quality Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS‑like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over‑read standards. Sr. Abstractors also provide mentoring to entry level abstractors.

• Coordinating and preparing the HEDIS medical record review, including ongoing review of records submitted by providers and annual review.
• Participating in meetings with vendors for the medical record collection process.
• Collecting medical records and reports from provider offices, loading data into the HEDIS application, and comparing documentation to specifications.
• Participating in scheduled meetings with the National Over‑Read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and review results.
• Assisting with projects and process improvement initiatives.
• Mentoring entry level abstractors.

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.

• 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.

To all current Molina employees:
If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Mid‑Senior level

Full‑time

Sales and Management

Hospitals and Health Care