Job Title : Clinical Quality Reviewer - Hybrid
Location : New York, NY 10004
Duration : 7 Months
Education : High School/GED
Shift Details : 9:00 AM -5:00 PM
Specific Skills :
Licensure/Certification Required: Health Educator, LPN, RN, LMSW, or LCSW with ≥2 years HEDIS review experience
General Description:
We are seeking for a Clinical Quality Reviewer – Seasonal to perform medical record audits for compliance with HEDIS, QARR, and Medicare Advantage Star specifications. This role is critical to our annual Medical Record Review project
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