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Quality Measurement Specialist, Santa Barbara, CA


CenCal Health

Professional

Santa Barbara, CA

September 23, 2019


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Quality Measurement Specialist

Administrative QUALI01175
Posted: June 24, 2019
Full-Time
Santa Barbara, CA, USA

Job Details

Description

  • Provide project coordination for the annual HEDIS project, including development, coordination and management of the HEDIS provider on-sites schedule
  • Maintain provider on-site database; continuously conduct medical record research;
  • Provide expert user support and serve as a primary resource for licensed HEDIS software
  • Create administrative databases for HEDIS reporting and perform associated database maintenance
  • Conduct HEDIS-related research and supervised medical record review, and other HEDIS projects as needed
  • Act as HEDIS liaison to providers and vendors in collaboration with the Senior Quality Measurement Specialist
  • Other duties as assigned

Qualifications

Education

Required

Bachelors or better in Health Administration or related field.

Experience

Required

2 years: Experience in a managed care quality management setting, or a combination of academic, professional or work experience that demonstrates ability to perform the duties of the position

Preferred

Emphasis in Medicare or Medicaid/Medi-Cal managed care
Experience in HEDIS medical record data abstraction
Knowledge of HEDIS technical specifications and NCQA Compliance Audits standards and procedures
Certified Professional in Healthcare Quality (CPHQ) or similar certification

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