Job Description
Position Title: Quality Improvement Abstractor
Work Location: Remote – TX
Assignment Duration: Four months
Work Schedule: 7 am to 4 pm, or 8 am to 5 pm CST; overtime with prior approval
Work Arrangement: Remote (Texas only)
Position Summary:
Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements.
Background & Context:
This position supports the Clinical Quality Team during the MY2025 HEDIS Project in 2026.
Key Responsibilities:
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Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards
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Review medical records and abstract data for HEDIS and other measure sets in compliance with standards
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Track and report on issues and outcomes related to abstractions and over-reads
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Communicate outcomes of abstraction and over-sight activities with health plans and vendors when required
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Perform other quality initiatives as necessary
| Education/Certification | Required: Texas LVN/RN license. | Preferred: Bachelor of Science in Nursing (BSN) | ||
| Licensure | Required: Texas LVN/RN license. | Preferred: Texas LVN/RN license. | ||
| Years of experience required: Previous HEDIS abstraction/overread experience. Disqualifiers: Absence of an active nursing license. Additional qualities to look for: Independent worker, critical thinking skills, computer application proficiency. Previous experience with HEDIS, NCQA, Quality Initiatives/Standards. Advanced knowledge of Microsoft Applications including Excel. | ||||
| 1 | Computer application proficiency - Microsoft Applications, Teams, Outlook, etc. | ||
| 2 | Ability to maintain productivity and accuracy goals. | |||
| 3 | Previous experience with HEDIS abstraction and overreading. | |||
- For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 38.00/hr.