integrated resources
Chicago, IL, USA
Job DescriptionJob Purpose: This position is responsible for conducting data collection and abstraction of medical records for HEDIS and Quality projects including supplemental data collection. Responsible for interacting with various internal staff, internal departments, and network providers/IPAsto ensure quality performance and results for Client managed care products. Responsible for auditing all aspects of client clinical quality improvement projects and evaluating PCP/MG/IPA compliance with client clinical practice guidelines. Also responsible for data analysis, interaction with providers practices and IPAs to educate on HEDIS measures, gaps in care and quality programs. Translate data into actionable information and determine areas for improvements as well as help implement actions toward improvement and report results to internal and external customers. Job Responsibilities: Interact with various internal departments, network practitioners, and MG/IPAs to ensure quality for...