Quality Improvement SpecialistPacer Group • Philadelphia, PA, US
Quality Improvement Specialist
Pacer Group • Philadelphia, PA, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionExperience : 3–5 years in HEDIS data review, chart abstraction, or medical record collection. Knowledge : Strong understanding of HEDIS Technical Specifications, medical terminology, and healthcare quality programs (QRS / STARs). Technical Skills : Proficient in Excel, Word, Outlook, and medical record abstraction tools. Clinical Background : RN, LPN, or experience in Pediatric, Maternity, Diabetic, or Provider Office settings. Soft Skills : Excellent communication, organization, and critical thinking; able to work independently under tight deadlines.
Job Description
Job Title : HEDIS Data Reviewer
Location : Philadelphia, PA 19113
Work Arrangement : Hybrid – 3 days onsite, 2 days remote
Schedule : 8 : 00 AM – 5 : 30 PM EST, Monday–Friday (some weekends may be required)
Position Summary
The HEDIS Data Reviewer supports quality reporting by reviewing and abstracting medical records for HEDIS and State EQRO measures. This role ensures data accuracy, compliance with technical specifications, and timely completion of assigned records.
Key Responsibilities
- Review and abstract medical records in alignment with HEDIS and State performance measures.
- Enter chart audit results accurately into databases and maintain data integrity.
- Coordinate medical record retrieval and ensure timely completion of assigned chases.
- Maintain a minimum 98% accuracy in abstraction.
- Support provider offices with chart collection activities.
- Meet productivity and quality standards for chart reviews.
Required Qualifications
Education
Associate’s Degree in a related field or equivalent experience (RN / LPN preferred).
serp_jobs.job_alerts.create_a_job
Quality Improvement Specialist • Philadelphia, PA, US
Job_description.internal_linking.related_jobs
Being good neighbors - helping people, investing in our communities, and making the world a better place - is who we are at State Farm.
It is at the core of how we operate and the reason for our suc...serp_jobs.internal_linking.show_more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.
We guarantee 15-25 hours per week with an hourly pay of bet...serp_jobs.internal_linking.show_more
Resume alignment to Job Description will determine initial salary grade.Promotion to the full performance level or any intermediate level is contingent upon meeting time-in-grade, experience requir...serp_jobs.internal_linking.show_more
Ignite your career at Builders FirstSource, America's largest supplier of building materials, value-added components and building services to the professional market.
The #1 name in our industry, we...serp_jobs.internal_linking.show_more
EnerSys Advanced Systems (EAS) is a specialized division of EnerSys-a global leader in stored energy solutions for industrial applications.
EAS focuses on cutting-edge energy solutions for the.As we...serp_jobs.internal_linking.show_more
Responsible for the staffing, organization, operation, budget, and maintenance of all activities related to QA monitoring of production activities, assuring that materials and products are inspecte...serp_jobs.internal_linking.show_more
A client of Innova Solutions is immediately hiring for a.Senior Quality Management Systems Specialist.Position Type : Full Time Contract.
Duration : 12 months.Location : Camden,...serp_jobs.internal_linking.show_more
Quality Systems Document Control Specialist.The Quality Systems Document Control Specialist is based on-site at our Curtiss-Wright Defense Solutions Newtown, PA site will be responsible for adminis...serp_jobs.internal_linking.show_more
Quality Assurance Manager – FOOD MANUFACTURER.Salary $100,000 - $115,000 + Bonus + Excellent Benefits + Paid Relocation to the NE USA.
Growing food manufacturer is seeking a Quality Assurance Manage...serp_jobs.internal_linking.show_more
The Technical Capability Leader is a strategic and operational leader responsible for architecting and driving the Agile discipline capability within the Digital Solutions group.The role demands vi...serp_jobs.internal_linking.show_more
Senior Manager, Regulatory Affairs.This role serves as the lead for Operational Food Safety & / or Food Safety-related Regulatory Affairs (FDA) for several Operational Business Units (BUs) in the US ...serp_jobs.internal_linking.show_more
Starting Pay : $65,987 - $95,694 (GS-09 / 11 / 12) Resume alignment to Job Description will determine initial salary grade.
Promotion to the full performance level or any intermediate level is contingent...serp_jobs.internal_linking.show_more
Catalent's 206,878-square-foot Philadelphia-area facility serves as the global Center of Excellence for Clinical Supply Packaging, offering GMP secondary packaging and clinical labeling services.Th...serp_jobs.internal_linking.show_more
Job Title : QA Engineer (Playwright Automation).Philadelphia, PA (Onsite / Hybrid – Specify as needed).Contract (W2 / C2C – as applicable).
We are seeking a highly skilled.QA Engineer with strong Playwri...serp_jobs.internal_linking.show_more
AtRelativity, we make software to help users organize data, discover the truth, and act on it.Our e-discovery platform is used by more than 13,000 organizations around the world to manage large vol...serp_jobs.internal_linking.show_more
The Quality Engineer in the Global Industrial Applications Pre & Post Market Quality team will be fully involved in managing quality processes during product development as well as during the produ...serp_jobs.internal_linking.show_more
Bancroft is a leading service-provider for children and adults with autism, other intellectual or developmental disabilities or those in need of neurological rehabilitation.We provide a full contin...serp_jobs.internal_linking.show_more
Delegation Oversight Credentialing Specialist.Hybrid Onsite Schedule | Monday – Friday, 8 : 00 AM – 4 : 15 PM.We are seeking a detail-oriented and compliance-driven Delegation Oversight Credentialing S...serp_jobs.internal_linking.show_more
Claim Specialist - Property Field Inspection
State Farm • Doylestown, PA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Work From Home Product Tester – $25-$45 / hr – No Experience Needed
OCPA • Buena Vista, New Jersey, us
serp_jobs.filters.remote
serp_jobs.job_card.part_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Quality Insurance Specialist
Naval Foundry and Propeller Center • Philadelphia, PA, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Assembler Mfg Direct - Panel
Builders FirstSource • Berlin, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Senior Manufacturing Engineer I
EnerSys Energy Products, Inc • Horsham, PA, US
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Quality Assurance Manager
Hikma Pharmaceuticals • Cherry Hill, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Senior Quality Management Systems Specialist
Innova Solutions • Camden, NJ, 08103,New Jersey,United States
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Quality Systems Document Control Specialist
Curtiss-Wright • Newtown, PA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Quality Assurance Manager
Austin Allen Company, LLC • Philadelphia, PA, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Technical Capability Leader
RSM • Philadelphia, PA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_hour • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Sr. Manager, Quality - Regulatory Affairs
Kraft Heinz • Doylestown, PA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Production Project Specialist
Veterans Staffing • Philadelphia, PA, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Quality Program Manager
Catalent • Philadelphia, PA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Quality Assurance Engineer
SP Software Solutions • Philadelphia, PA, United States
serp_jobs.job_card.temporary
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Product Manager - Enrichment
Relativity • Philadelphia, PA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Quality Engineer I
bioMerieux Inc. • Philadelphia, PA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
ABA Specialist, Lindens
Bancroft • Mount Laurel, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Credentialing Specialist
IntePros • Philadelphia, PA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted