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Home Based Remote Hedis Abstractor Jobs in Virginia

IT HEDIS & Analytics Manager

Norfolk, VA · On-site +1

$29.25 - $38.75/hr

... file-based integrations, APIs, testing, reconciliation, and production support. * Experience ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Remote Customer Service Agent

Falls Church, VA · Remote

$16.50 - $22.25/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

Remote Customer Service Agent

Herndon, VA · Remote

$16 - $21.25/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

Remote Customer Service Agent

Newport News, VA · Remote

$14 - $18.75/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

Remote Customer Service Agent

Glen Allen, VA · Remote

$14.75 - $19.50/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

Remote Customer Service Agent

Sterling, VA · Remote

$15.25 - $20.50/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

Remote Customer Service Agent

Charlottesville, VA · Remote

$15.50 - $20.50/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

Remote Customer Service Agent

Springfield, VA · Remote

$16.25 - $21.75/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

Remote Customer Service Agent

Stafford, VA · Remote

$15.50 - $20.75/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

Remote Customer Service Agent

Fredericksburg, VA · Remote

$15.25 - $20.50/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

Remote Customer Service Agent

Portsmouth, VA · Remote

$15 - $20/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

Remote Customer Service Agent

Ashburn, VA · Remote

$15.75 - $21.25/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

Remote Customer Service Agent

Henrico, VA · Remote

$14 - $18.75/hr

Remote (US-Based) Liveops is seeking independent contractors to provide virtual customer service ... This opportunity offers the flexibility to run your own home-based business while delivering high ...

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Home Based Remote Hedis Abstractor information

What cities in Virginia are hiring for Home Based Remote Hedis Abstractor jobs?

Cities in Virginia with the most Home Based Remote Hedis Abstractor job openings:

IT HEDIS & Analytics Manager

Sentara Healthcare

Norfolk, VA • On-site, Remote

$29.25 - $38.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago


Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 416 frontline employees who took The Breakroom Quiz

498th of 898 rated healthcare providers


Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Overview
The IT HEDIS Manager is responsible for leading the technology, data integration, platform operations, and technical validation functions that support the organization's HEDIS program. This role manages ETL developers and operational support staff while serving as a key IT partner to HEDIS, Quality, business, vendor, audit, and project stakeholders. The manager oversees HEDIS data feeds, production operations, platform support, data-quality controls, technical documentation, vendor coordination, audit support, and reporting deliverables. This role will also support a major HEDIS engine replacement initiative, including migration from the current Inovalon/Cotiviti environment to a future-state platform with Arcadia supporting portions of HEDIS and NCQA-related functionality.
Education
  • Bachelor's degree in Information Technology, Computer Science, Data Management, Healthcare Administration, or a related field (Preferred)
or
  • 7+ years relevant experience may be accepted in lieu of degree

Certification/Licensure
  • No specific certification or licensure requirements

Experience
  • Seven or more years of experience in healthcare data, payer technology, analytics, data warehousing, quality measurement, HEDIS operations, or related IT functions (required )
  • Three or more years of leadership experience managing ETL, data engineering, technical operations, analytics, production support, or similar teams, including direct oversight of staff (required)
  • Experience supporting HEDIS data processing, reporting, validation, audits, quality-measurement platforms, or HEDIS engine implementation, replacement, migration, or parallel-validation activities(Required)
  • Strong knowledge of payer enrollment, claims, encounters, pharmacy, provider, laboratory, clinical, supplemental data, ETL, SQL, data warehouses, Databricks, file-based integrations, APIs, testing, reconciliation, and production support.
  • Experience working with HEDIS-related vendors or platforms such as Arcadia, Cotiviti, Inovalon, or comparable systems, with the ability to communicate technical issues clearly to business, vendor, audit, project, and executive stakeholders.(preferred)
  • Experience supporting an NCQA HEDIS compliance audit.(preferred)
  • Knowledge of ECDS, digital HEDIS measures, FHIR, HIE integration, and clinical-data exchange

Keywords: LinkedIn , HEDIS, Cotiviti, Innovalan,Arcadia
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:116,729.60-216,777.60. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Benefits: Caring For Your Family and Your Career
Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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