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HEDIS Specialist 22-01560

Company: Careerbuilder-US
Location: Rancho Cucamonga
Posted on: January 18, 2023

Job Description:


Data Retrieval Specialist (HEDIS)


Under the direction of the Manager, Data Quality, the Data Retrieval Specialist is responsible for providing technical, administrative, and clerical support for the year-round efforts to collect medical records for key quality projects (i.e., HEDIS, Risk Adjustment, DHCS special projects, ad hoc activities). Responsible for supporting departmental activities including collaboration with Providers for collection of medical records, data management, research, data entry, quality control, report generation and analysis, and adherence to established departmental workflows. The Data Retrieval Specialist exercises independent judgment to ensure appropriate escalation protocols when trends or deficiencies are identified.
1. Manage the scheduling, retrieval, tracking, monitoring and quality assurance of data collection requirements from physicians for audits and internal processes supporting all HEDIS, Risk Adjustment and Quality activities.
2. Technical aptitude to navigate various Electronic Medical Records (EMR) systems in order to skillfully extract needed data per specified project needs.
3. Establish relationships with Providers and staff to foster ongoing collaboration for data collection efforts.
4. Serve as Team Lead to support all aspects of HEDIS Chart Collection, including planning, preparation, hands-on training, and ongoing project support for the HEDIS Task Force, HEDIS equipment testing, Provider outreach, collection of assigned charts, quality assurance and follow-up chart pursuit efforts.
5. Perform research, data entry and quality control on key data sources following prescribed guidelines/protocols in support of regulatory reporting requirements including: HEDIS, Risk Adjustment and Quality activities.
6. Perform a broad range of administrative duties using initiative and judgment in handling confidential and time sensitive information.
7. Provide backup support for Quality Systems Coordinators, assisting with supplement data efforts including data collection, data entry, research, quality assurance and reporting.


  • Three or more (3+) years of administrative experience in an office environment, including use of Microsoft Office Suite. One year of experience in healthcare data collection from various Electronic Medical Record systems. Demonstrate superior interpersonal and administrative skills commensurate with years of experience.
  • Experience as an EMR technician preferred.
  • Health Information Management (HIM) certification preferred.
  • Yes, must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on insurance standards of no more than three (3) points.

    Additional Information

    • temporary assignment for 3 months


Keywords: Careerbuilder-US, Rancho Cucamonga , HEDIS Specialist 22-01560, Other , Rancho Cucamonga, California

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