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Quality Improvement Abstractor
Spectraforce
US
Remote

5 hours ago

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:

  • Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards

  • Review medical records and abstract data for HEDIS and other measure sets in compliance with standards

  • Track and report on issues and outcomes related to abstractions and over-reads

  • Communicate outcomes of abstraction and over-sight activities with health plans and vendors when required

  • 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.
  • Top 3 must-have hard skills stack-ranked by importance
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.
 
Applicant Notices & Disclaimers
  • 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.

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