HEDIS Abstraction Lead Representative - Work from home

Remote, Work from home

The HEDIS Abstraction Lead Representative works under the direction of the HEDIS Abstraction Lead within the Cigna Medicare Stars and Risk Adjustment Department. These home-based positions are responsible for working independently to review and abstract pertinent medical record information in accordance with multiple study criteria and in alignment with the HEDIS specifications. The information to be abstracted will be obtained from medical records copied from physician offices/healthcare facilities and sent to Cigna.

These personnel abstract clinical data into HEDIS nonstandard supplemental sources for HEDIS year round working in partnership with other teams. They are also responsible for identifying gaps in documentation to share back to providers and market staff for future improvement of HEDIS rates. During the annual HEDIS Medical Record Review (MRR) project (January-May), they also serve as a member of the HEDIS MRR abstraction/over-read team. Must possess proven ability and prior experience using HEDIS software, abstraction and identifying medical chart opportunities for providers. Demonstrates understanding of HEDIS technical Specifications and ability to apply knowledge in a fast-paced environment.

Required:

• Current RN or LPN/LVN license is preferred.
• 3+ years' experience with HEDIS MRR or HEDIS abstraction/over-read required.
• Experience with data entry and audit of HEDIS -QSHR Inovalon, and use of Excel based audit tools preferred.
• Intermediate Level experience working with Microsoft Office Products. (Outlook, Word, Excel,and PowerPoint).

For this position, we anticipate offering an hourly rate of $23 - $34, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.