HEDIS Coordinator 2- Remote

BCForward is looking for HEDIS Coordinator 2- Remote Job Title: HEDIS Coordinator Work Location: Remote Duration: 6 months (Contract-to-Hire) Pay Rate: $34/hour Schedule: 8am-5pm EST (lunch-noon-1pm) As project volume increases, OT will be required with OT pay (flexible with OT hours worked with prior approval) Position Purpose: Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities. Assist with quality improvement initiatives in the service and clinical areas. Education/Experience: • Bachelor’s degree in related field or equivalent experience • 3+ years of quality improvement or healthcare-related experience • Working knowledge of the National Committee on Quality Assurance (NCQA) • HEDIS requirements preferred Responsibilities: • Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results • Establish and maintain an action plan to improve HEDIS scores • Implement processes to request and evaluate member compliance reports for each HEDIS measure and identify improvement opportunities • Collaborate with providers and internal departments on rate investigation and validation activities, maintaining all evidence, documentation, and changes • Manage the HEDIS project, including assignment of nurses, adherence to timelines, and vendor oversight for timeliness and quality • Conduct quality audits and maintain data and process controls to ensure compliance • Perform other duties as assigned • Comply with all company policies and standards Day-to-Day Responsibilities: • Participate in the HEDIS project measuring provider performance and effectiveness of care • Abstract data from medical records and enter it into designated systems and programs • Work within multiple systems with provided training Required Skills: • Basic Excel and Word skills • EMR and medical record review experience (within a medical office setting) • Flexibility and adaptability to changing workloads Preferred Skills: • Strong customer service and communication abilities • Quick learner • Technologically proficient • Knowledge of HEDIS requirements Education Requirement: Bachelor’s degree in a related field or equivalent experience with 3+ years in quality improvement or healthcare and working knowledge of NCQA. Education Preferred: Bachelor’s degree in a healthcare-related discipline with HEDIS experience. Company DescriptionAbout BCforward: Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally. BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work. BCforward is an equal opportunity employer.