Sr. Abstractor, HEDIS/Quality Improvement

Welcome to Molina Healthcare, a leading provider of quality healthcare services for Medicare and Medicaid beneficiaries. We are currently seeking a highly skilled and experienced Sr. Abstractor, HEDIS/Quality Improvement to join our team and play a crucial role in ensuring the delivery of high-quality care to our members. In this role, you will be responsible for collecting and analyzing data related to healthcare quality measures, and using your expertise to identify areas for improvement within our organization. If you have a passion for improving healthcare outcomes and meet the qualifications listed below, we encourage you to apply and become a part of our mission to provide accessible, affordable, and quality healthcare to our communities.

Collect and analyze data related to healthcare quality measures, such as HEDIS (Healthcare Effectiveness Data and Information Set) and other quality improvement metrics.
Use advanced analytical skills and expertise to identify areas for improvement within the organization’s healthcare services.
Collaborate with cross-functional teams to develop and implement strategies to improve healthcare outcomes.
Utilize various data sources, tools, and software to track and report on quality improvement initiatives.
Actively participate in quality improvement meetings and provide insights and recommendations based on data analysis.
Stay updated on industry trends and best practices related to quality improvement and incorporate them into the organization’s processes.
Develop and maintain relationships with internal stakeholders, including healthcare providers, to ensure effective communication and collaboration.
Train and mentor junior abstractors and provide guidance on data collection and analysis techniques.
Ensure compliance with all relevant regulations and standards related to quality improvement.
Contribute to the development of policies and procedures related to quality improvement within the organization.
Continuously evaluate and improve data collection and analysis methods to ensure accuracy and efficiency.
Communicate findings and recommendations to leadership in a clear and concise manner.
Participate in special projects and initiatives related to quality improvement as needed.
Maintain confidentiality of all data and information collected during the course of the job.
Uphold Molina Healthcare’s mission, values, and standards of ethics in all job duties.
Perform any other duties as assigned by the supervisor.

Molina Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.