Remote HEDIS Auditor at The Judge Group Inc. in Pennington, New Jersey

Job Description:

Location: Pennington, NJ

Salary: $36.00 USD Hourly - $38.00 USD Hourly

Description: Our client is currently seeking a Remote HEDIS Auditor!



Job Details: Ongoing Contract (W2, Weekly Pay, Benefits Available)

Location: REMOTE



Hours: Monday-Friday, Business Hours



Compensation: Competitive and based on experience



**1 Day of Orientation in December, Start Date 01/2025**



This job will have the following responsibilities:

• Conducting quality audits for state audits, HEDIS and quality referral and complaints issues.


• Responsible for preparing weekly, monthly, quarterly and year-end reports.
• Conducts remote reviews of physicians medical records, and compliance with documentation standards.


• Prepares appropriate documentation to summarize on-site findings with physician, providing education and discussing opportunities for improvement.


• Provides data support services to facilitate the process and analyze trends/ patterns for quality improvement and health management.


• Assists the Quality Management department with various special projects and focused clinical studies.


• Responsible for analysis of audit findings and coordinating corrective action plan.


• Conducts re-audits ensuring prior deficiencies were addressed.
  
  

Qualifications & Requirements:

• Must have Active RN or LPN license (any state or compact)


• Must have recent HEDIS experience at a Health Plan

All qualified and interested candidates, please send your most updated resumes to
edemey@judge.com
for immediate consideration!



Contact: edemey@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com Apply Now