Job Title: HEDIS Quality Management ConsultantQualifications
RN Compact License
Bachelor's degree in Nursing
Previous HEDIS experience
Job DescriptionSupport the Quality Management team during the upcoming HEDIS season. Review, abstract, and manage 40-50 medical records per day based on NCQA and HEDIS technical specifications. Document information clearly and concisely from patient records into the HEDIS vendor’s software application. Perform claims research, provider outreach, and create medical record requests. Ensure compliance with HEDIS audit and technical specification standards, as applicable to HEDIS reporting. Communicate with internal/external stakeholders by making appropriate follow-up phone calls for additional medical information needed to complete reviews. Comply with regulatory standards, accreditation standards, and internal guidelines; remain current and consistent with the standards pertinent to the Quality Management team. Other duties as assigned.Contract DurationContract from February 2025 - May 2025 About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
