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Duties and ResponsibilitiesProvide project coordination for the annual HEDIS project, including preparation for a compliance audit, assistance with training materials, development and management of provider scheduling, medical record procurement, medical record review, data entry, claims research.Create administrative databases for HEDIS reporting; perform associated database maintenance while maintaining the maximum level of data accuracy, integrity, consistency, and completeness.Assist with the configuration of certified HEDIS softwareConduct quantitative analyses and data validation to support the creation of annual PCP Performance Reports.Assist in the planning and implementation of projects to improve the delivery of services and quality of care.Support ad-hoc quality measurement activities (e.g., Initial Health Assessment Audit, Encounter Data Validation Audit) to ensure regulatory compliance.
