• RN - Prior Authorization-Concurrent

    Actalent (Sunrise, FL)


    Actalent is Hiring Multiple Remote HEDIS RN Abstractor

    Description:

    Position Purpose: Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements.

    Responsibilities:

    + Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards

    + Review medical records and abstract data for HEDIS and other measure sets in compliance with standards

    + Track and report on issues and outcomes related to abstractions and over-reads Communicate outcomes of abstraction and over-sight activities with health plans and vendors when required

    + Perform other quality initiatives as necessary

    Skills:

    Quality improvement, data, audit, data abstraction, chart review, medical, quality audit, managed care, Medicare

    Work Environment:

    Remote Work

    Pay and Benefits

    The pay range for this position is $28.00 - $33.00/hr.

     

    Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision

     

    - Critical Illness, Accident, and Hospital

     

    - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available

     

    - Life Insurance (Voluntary Life & AD&D for the employee and dependents)

     

    - Short and long-term disability

     

    - Health Spending Account (HSA)

     

    - Transportation benefits

     

    - Employee Assistance Program

     

    - Time Off/Leave (PTO, Vacation or Sick Leave)

     

    Workplace Type

     

    This is a hybrid position in Sunrise,FL.

     

    Application Deadline

     

    This position is anticipated to close on Jun 6, 2025.

    About Actalent

    Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

     

    The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

     

    If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email [email protected] (%[email protected]) for other accommodation options.