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About the Role
MVP Health Care is seeking experienced Temporary HEDIS Abstractor Nurses to support seasonal Clinical Quality and HEDIS medical record review activities. This role supports medical record abstraction, provider outreach, quality review activities, and use of HEDIS-related tools.
Responsibilities
- Perform medical record abstraction and chart review for assigned HEDIS measures, including GSD, BPD, CBP, COA, PPC, WCC, and TRC.
- Review electronic and paper medical records to identify required clinical documentation, labs, vitals, visits, and measure-specific compliance elements.
- Accurately enter abstraction results into MVP-designated HEDIS systems, databases, and/or vendor tools.
- Apply NCQA HEDIS technical specifications and internal abstraction guidance to determine compliant documentation.
- Maintain required productivity, accuracy, and post-training performance thresholds.
- Support provider outreach and medical record retrieval as needed.
- Participate in quality assurance review, overreads, and audit support activities, as assigned.
- Maintain confidentiality of provider, practitioner, and member information and comply with privacy requirements.
Requirements
- Current New York unrestricted RN or LPN/LVN license.
- Minimum 1–2 years of clinical, quality, or healthcare experience.
- Prior experience with HEDIS abstraction, chart review, or medical record review.
- Working knowledge of NCQA HEDIS guidelines/specifications.
- Experience using EMR/EHR systems and abstraction/documentation tools.
- Strong knowledge of medical terminology, clinical documentation, and abstraction workflows.
- Prior seasonal HEDIS experience in a health plan, managed care, vendor, or quality environment.
- Experience with abstraction tools/platforms such as Inovalon, Quality Reporter, or similar systems.
- Proficiency in at least 4 of the following measures: GSD, BPD, CBP, COA, PPC, WCC, and TRC.
- Proficient in the use of MS Office Suite, including Excel, Word, Outlook, and Teams.
- References from manager at place of last HEDIS position worked.
Skills
- HEDIS abstraction
- Chart review
- Medical record review
- NCQA HEDIS guidelines
- EMR/EHR systems
- Abstraction/documentation tools
- Medical terminology
- Clinical documentation
- Abstraction workflows
- MS Office Suite
- Excel
- Word
- Outlook
- Teams
Location
- Remote
Work Type
- Temporary
- Seasonal
- Full-time
Experience Level
- 1-2 years
Education Level
- RN or LPN/LVN license
Salary/Compensations
- $0.00-$0.00
Benefits
- Competitive compensation
- Comprehensive benefits focused on well-being
About the Company
- At MVP Health Care, we’re on a mission to create a healthier future for everyone.
- We embrace innovation, champion equity, and continuously improve how we serve our communities.
- Our team is powered by people who are curious, humble, and committed to making a difference.
- We’ve been putting people first for over 40 years, offering high-quality health plans across New York and Vermont.
- We partner with forward-thinking organizations to deliver more personalized, equitable, and accessible care.
- As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
- Recognized as a Best Place to Work For in the NY Capital District.
- Recognized as one of the Best Companies to Work For in New York.
- Recognized as an Inclusive Workplace.
Equal Opportunity
- MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
- To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process.
- If you require accommodations during the application process due to a disability, please contact our Talent team at hr@mvphealthcare.com.