Temporary HEDIS Abstractor, Nurse

Job not on LinkedIn

🔥 2 hours ago

🗽 New York – Remote

🗽 New York – Remote

⏰ Full Time

🟢 Junior

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

MVP Health Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1983

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

MVP Health Care is a regional health insurer offering Medicare Advantage, Medicaid, individual and family plans, Child Health Plus, Essential Plans, and employer-sponsored group coverage. The company provides dental and vision add-on plans, prescription benefits, 24/7 virtual care through its Gia online portal, member services for billing and claims, and community wellness programs focused on affordable, accessible coverage in New York and nearby regions.

📋 Description

• Perform medical record abstraction and chart review for assigned HEDIS measures, including GSD, BPD, CBP, COA, PPC, WCC, and TRC • Review electronic and paper medical records to identify required clinical documentation, labs, vitals, visits, and measure-specific compliance elements • Accurately enter abstraction results into MVP-designated HEDIS systems, databases, and/or vendor tools • Apply NCQA HEDIS technical specifications and internal abstraction guidance to determine compliant documentation • Maintain required productivity, accuracy, and post-training performance thresholds • Support provider outreach and medical record retrieval as needed • Participate in quality assurance review, overreads, and audit support activities as assigned • Maintain confidentiality of provider, practitioner, and member information

🎯 Requirements

• Current New York unrestricted RN or LPN/LVN license • Minimum 1–2 years of clinical, quality, or healthcare experience • Prior experience with HEDIS abstraction, chart review, or medical record review • Working knowledge of NCQA HEDIS guidelines/specifications • Experience using EMR/EHR systems and abstraction/documentation tools • Strong knowledge of medical terminology, clinical documentation, and abstraction workflows • Prior seasonal HEDIS experience in a health plan, managed care, vendor, or quality environment • Experience with abstraction tools/platforms such as Inovalon, Quality Reporter, or similar systems • Proficiency in at least 4 of the following measures: GSD, BPD, CBP, COA, PPC, WCC, and TRC • Proficient in MS Office Suite, including Excel, Word, Outlook, and Teams • References from manager at place of last HEDIS position worked • Must comply with privacy requirements • Ability to complete pre-employment criminal background checks and drug testing

🏖️ Benefits

• Growth opportunities to uplevel your career • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team • Competitive compensation and comprehensive benefits focused on well-being • Opportunity to shape the future of health care • Pre-employment criminal background checks and drug testing are part of the hiring process

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume