Change Healthcare Quality Assurance Representative in Albany, New York
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
Work Location: Fully Remote - U.S.
Change Healthcare is hiring multiple Quality Assurance Representatives who will confirm that quality of services rendered meet audit standards by checking information against health plans to determine if measures met. This position reports to a HEDIS Measure Manager and will work with a dynamic team of seasonal remote HEDIS staff.
Identify appropriate information from medical records according to NCQA HEDIS Technical Specifications and Change Healthcare guidelines
Enter data into Change Healthcare proprietary software
Provide coaching comments to abstractors for errors made, marking such with an appropriate error type
Maintain accuracy thresholds as set forth by Change Healthcare
Comply with HIPAA laws and regulations
At least 2 years of recent HEDIS experience
Either: RN, NP, PA, LPN, with a current license OR Certified Coder, RHIT or RHIA through AAPC or AHIMA
Working knowledge of HIPPA requirements, recognizing a commitment to privacy, security, and the confidentiality of all medical chart and patient health information
High-speed internet access and phone service
Strong computer skills, including familiarity with internet applications and MS Office (e.g., Excel and Word)
Availability to work a minimum of 20 hours per week
Availability to work up to 40 hours per week
In addition to HEDIS experience, we look for Inpatient or Outpatient clinical experience in any of the following areas: pediatrics, health department, school nurse, medical surgical, cardiology, diabetes, oncology, OB/GYN, geriatrics, and urgent care.
Working Conditions/Physical Requirements:
General office demands
100% work from home
Flexible working schedule (20 minimum hours per week)
Self-paced paid training
California / Colorado / New Jersey / New York / Rhode Island / Washington Residents Only:
The applicable base pay for your state is listed below. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Change Healthcare offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with Change Healthcare, you’ll find a far-reaching choice of benefits and incentives.
Diversity, Equity & Inclusion :
•At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.•Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity Feeling Inspired? Ready to #MakeAChange? Apply today!
COVID Vaccination Requirements
We remain committed to doing our part to ensure the health, safety and well-being of our team members and our communities. As such, some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf .
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to
Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.
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