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Job Title: HEDIS Data Reviewer Location: Hybrid - Philadelphia, PA 19113 USA Duration: 3+ Months (Possible Extension) Shift: Mon to Fri 8 AM to 5:30 PM EST Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO) with duties including but not limited to the following: • Coordination of the medical records identification process, collection activities and review., • Performing and applying structured auditing abstraction criteria to medical records to determine compliance., • Utilizing various software applications to support department operations and accurately entering the results of chart audits into the database., • Developing and maintaining expertise in the requirements and parameters of mandated HEDIS and State performance measures., • Completing medical record review abstraction and overread and providing feedback for medical records that do not meet the HEDIS or State Measure Technical Specifications criteria within a live software environment., • Providing clinical and administrative support to providers as directed., • Maintaining productivity level of a minimum of chases/charts per defined period according to policy., • Maintaining an abstraction proficiency rate of 98% by correctly reading, interpreting, and abstracting various components of the medical record such as notes, consultations, medication forms, treatment plans, health history, interval history, and past history., • Assisting in the medical record collection process including making phone calls, sending out faxes/letters or chart retrieval requests to providers as assigned., • Completing additional designated projects assigned and deemed as necessary." Skills: • Three to five years working with HEDIS data including chart review/collection. HEDIS, QRS, or STARs experience. Knowledge of medical terminology and basic charting to include diabetic labs, HPV testing, preventive health screenings, immunization and well-care terminology for children, adults and pregnant women., • Understanding of current HEDIS Technical Specifications., • Knowledgeable in the HEDIS audit process (PSV, CSV and MRRV)., • Proficiency in Excel, Word, Power Point and Outlook., • Experience with medical record abstraction tool(s) and wiliness to learn any medical record abstraction tool., • Experience in the Pediatric, Maternity, Diabetic or Provider Office Setting., • Familiar with the Cancer Registry., • Familiar with Bright Futures., • Strong written and oral communication skills, critical thinking skills, strong organizational skills., • Able to think and work independently, effectively, and under pressure of deadlines." Education: Associates Degree, RN, LPN, or relevant work experience EEO: Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans. Thanks in advance for your time and consideration; please feel free to provide a current version of your resume. I look forward to hearing from you!

Title: HEDIS Data Reviewer Location: Philadelphia PA 19113 Duration: 3 months with possibility of ext Pay range: $40-$45/hr Job Description Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO) with duties including but not limited to the following: • Coordination of the medical records identification process, collection activities and review., • Performing and applying structured auditing abstraction criteria to medical records to determine compliance., • Utilizing various software applications to support department operations and accurately entering the results of chart audits into the database., • Developing and maintaining expertise in the requirements and parameters of mandated HEDIS and State performance measures., • Completing medical record review abstraction and overread and providing feedback for medical records that do not meet the HEDIS or State Measure Technical Specifications criteria within a live software environment., • Providing clinical and administrative support to providers as directed., • Maintaining productivity level of a minimum of chases/charts per defined period according to policy., • Maintaining an abstraction proficiency rate of 98% by correctly reading, interpreting, and abstracting various components of the medical record such as notes, consultations, medication forms, treatment plans, health history, interval history, and past history., • Assisting in the medical record collection process including making phone calls, sending out faxes/letters or chart retrieval requests to providers as assigned., • Completing additional designated projects assigned and deemed as necessary. Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian's platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals. Dexian's brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit to learn more. Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.

Position: HEDIS Data Reviewer Location: Onsite: Hybrid 3 days onsite: 200 Stevens Drive, Philadelphia, PA 19113 PA-based (Stevens Drive Location) Duration: 03+ months contract with possibility of extension Shift timing: 8 am -5:30 pm EST, Monday – Friday, some weekend (8 hrs/day & 40 hrs/week) Pay Rate: $45.23/hr on W2 JOB ID- 36583565 Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO) with duties including but not limited to the following: • Coordination of the medical records identification process, collection activities and review., • Performing and applying structured auditing abstraction criteria to medical records to determine compliance., • Utilizing various software applications to support department operations and accurately entering the results of chart audits into the database., • Developing and maintaining expertise in the requirements and parameters of mandated HEDIS and State performance measures., • Completing medical record review abstraction and overread and providing feedback for medical records that do not meet the HEDIS or State Measure Technical Specifications criteria within a live software environment., • Providing clinical and administrative support to providers as directed., • Maintaining productivity level of a minimum of chases/charts per defined period according to policy., • Maintaining an abstraction proficiency rate of 98% by correctly reading, interpreting, and abstracting various components of the medical record such as notes, consultations, medication forms, treatment plans, health history, interval history, and past history., • Assisting in the medical record collection process including making phone calls, sending out faxes/letters or chart retrieval requests to providers as assigned., • Completing additional designated projects assigned and deemed as necessary." Required Skills: • Three to five years working with HEDIS data including chart review/collection. HEDIS, QRS, or STARs experience. Knowledge of medical terminology and basic charting to include diabetic labs, HPV testing, preventive health screenings, immunization and well-care terminology for children, adults and pregnant women., • Understanding of current HEDIS Technical Specifications., • Knowledgeable in the HEDIS audit process (PSV, CSV and MRRV)., • Proficiency in Excel, Word, PowerPoint and Outlook., • Experience with medical record abstraction tool(s) and willingness to learn any medical record abstraction tool., • Experience in the Pediatric, Maternity, Diabetic or Provider Office Setting., • Familiar with the Cancer Registry., • Familiar with Bright Futures., • Strong written and oral communication skills, critical thinking skills, strong organizational skills., • Able to think and work independently, effectively, and under pressure of deadlines." Education: • Associates Degree, RN, LPN, or relevant work experience

Location: Philadelphia PA 19113(Hybrid) Duration: 3 months contract with possible extension Job Description: • Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO) with duties including but not limited to the following:, • Coordination of the medical records identification process, collection activities and review., • Performing and applying structured auditing abstraction criteria to medical records to determine compliance., • Utilizing various software applications to support department operations and accurately entering the results of chart audits into the database., • Developing and maintaining expertise in the requirements and parameters of mandated HEDIS and State performance measures., • Completing medical record review abstraction and overread and providing feedback for medical records that do not meet the HEDIS or State Measure Technical Specifications criteria within a live software environment., • Providing clinical and administrative support to providers as directed., • Maintaining productivity level of a minimum of chases/charts per defined period according to policy., • Maintaining an abstraction proficiency rate of 98% by correctly reading, interpreting, and abstracting various components of the medical record such as notes, consultations, medication forms, treatment plans, health history, interval history, and past history., • Assisting in the medical record collection process including making phone calls, sending out faxes/letters or chart retrieval requests to providers as assigned., • Completing additional designated projects assigned and deemed as necessary." Required Skills: • Three to five years working with HEDIS data including chart review/collection. HEDIS, QRS, or STARs experience. Knowledge of medical terminology and basic charting to include diabetic labs, HPV testing, preventive health screenings, immunization and well-care terminology for children, adults and pregnant women., • Understanding of current HEDIS Technical Specifications., • Knowledgeable in the HEDIS audit process (PSV, CSV and MRRV)., • Proficiency in Excel, Word, Power Point and Outlook., • Experience with medical record abstraction tool(s) and wiliness to learn any medical record abstraction tool., • Experience in the Pediatric, Maternity, Diabetic or Provider Office Setting., • Familiar with the Cancer Registry., • Familiar with Bright Futures., • Strong written and oral communication skills, critical thinking skills, strong organizational skills., • Able to think and work independently, effectively, and under pressure of deadlines." Education: • Associates Degree, RN, LPN, or relevant work experience About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit . US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruiter Details: Name: Aman Email: Internal Id: 25-52079

Job Title: HEDIS Data Reviewer Location: Philadelphia, PA 19113 Work Arrangement: Hybrid – 3 days onsite, 2 days remote Schedule: 8:00 AM – 5:30 PM EST, Monday–Friday (some weekends may be required) Position Summary The HEDIS Data Reviewer supports quality reporting by reviewing and abstracting medical records for HEDIS and State EQRO measures. This role ensures data accuracy, compliance with technical specifications, and timely completion of assigned records. Key Responsibilities • Review and abstract medical records in alignment with HEDIS and State performance measures., • Enter chart audit results accurately into databases and maintain data integrity., • Coordinate medical record retrieval and ensure timely completion of assigned chases., • Maintain a minimum 98% accuracy in abstraction., • Support provider offices with chart collection activities., • Experience: 3–5 years in HEDIS data review, chart abstraction, or medical record collection., • Knowledge: Strong understanding of HEDIS Technical Specifications, medical terminology, and healthcare quality programs (QRS/STARs)., • Technical Skills: Proficient in Excel, Word, Outlook, and medical record abstraction tools., • Clinical Background: RN, LPN, or experience in Pediatric, Maternity, Diabetic, or Provider Office settings. Associate’s Degree in a related field or equivalent experience (RN/LPN preferred).

HEDIS Data Reviewer – Hybrid (Philadelphia, PA) 📍 Location: 200 Stevens Drive, Philadelphia, PA 19113 🕒 Schedule: Monday – Friday, 8:00 AM – 5:30 PM EST (Hybrid: 3 days onsite, some weekends as needed) 📅 Contract Duration: Dec 8, 2025 – Mar 15, 2026 💼 Department: Abstractions | Category: Non-Clinical (Nursing/Tech) About the Role We’re seeking experienced HEDIS Data Reviewers to join our Abstractions team in Philadelphia, PA. In this role, you’ll support our annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO reporting processes by performing medical record abstraction, quality review, and data validation. You’ll play a vital part in improving patient care quality by ensuring data accuracy and compliance with HEDIS and state performance measure standards. Key Responsibilities • Perform medical record abstraction and overreads following HEDIS and State Technical Specifications., • Coordinate medical record identification, collection, and review activities., • Accurately enter audit results using designated abstraction software tools., • Maintain a 98% abstraction proficiency rate and meet productivity standards., • Assist with medical record collection—including provider outreach via phone, fax, or mail., • Provide clinical and administrative support to providers as needed., • Stay current with HEDIS Technical Specifications and audit processes (PSV, CSV, MRRV)., • Complete assigned special projects supporting Quality Reporting initiatives. Required Skills & Experience • 3–5 years of experience working with HEDIS data, chart review, or data abstraction., • Strong understanding of HEDIS, QRS, and STARs programs., • Knowledge of medical terminology, chart components, and preventive health screenings., • Proficient in Microsoft Excel, Word, PowerPoint, and Outlook., • Experience with medical record abstraction tools (willingness to learn new systems)., • Background in Pediatric, Maternity, Diabetic, or Provider Office settings preferred., • Familiarity with Cancer Registry and Bright Futures is a plus., • Strong organizational, critical thinking, and communication skills., • Ability to work independently and meet deadlines in a fast-paced environment. Education • Associate Degree in Nursing or related field, or equivalent relevant experience. You’ll contribute directly to quality improvement initiatives that shape better healthcare outcomes. If you’re passionate about data integrity, clinical excellence, and improving patient care quality—this role is for you. Apply Now to join a mission-driven team dedicated to advancing healthcare quality through accurate data and insight.

The Clinical Appeals Reviewer is responsible for processing appeals and ensuring all milestones are met in compliance with regulatory requirements.This role involves outreach to appellants or their representatives, obtaining and reviewing medical records, packaging pertinent information into a case

Job Description The Complaints and Grievances Behavioral Health Liaison will be responsible for the scheduling of Second Level Complaints and Grievances in Accordance with PS&R, Appendix H. Essential Functions: Coordinate with Providers and Members regarding Grievance and Complaint Hearings: • Contact providers to confirm if member is still in the level of care (loc) that is the subject of the grievance., • If member is no longer in the loc that is subject of the grievance, follow up with the member to determine if they want to continue with the grievance., • Schedule hearing and send out invitations to all parties., • Interact and interface with Consumer Advocate agencies and independent peers for the purpose of assigning for upcoming hearings. Additionally, for independent advocates, complete the monthly invoice for advocate to be compensated., • Interact and interface with DBHIDS as needed for assignment of County Representatives for Second Level Complaint hearings., • Place all relevant documentation in the member’s grievance or second level complaint folder., • Download and request hearing CDs, • Coordinate conference rooms and telecommunication as needed, • Maintain documentation in electronic record, • Prepare and send requested complaint and grievance packets to DBHIDS monthly, • Responsible for sending and retrieving files to/from Global for transcription and preferred language requests Education: • Bachelor’s Degree, • License/Certification: N/A, • Detail-oriented, • Strong organization and prioritization skills, • Computer skills, including demonstrated proficiency in Excel and database maintenance, • Strong verbal and written communication skills, • Strong customer service skills CBH offers a robust compensation and benefits package, including: • Family Planning, Fertility, Adoption Benefits, • 403B Retirement Plan, • PTO Days/Sick Days, • Wellness Program, • Employee Assistance Program, • Health, Dental, Vision Insurance, • Medical, Prescription Drug Insurance, • Tuition Reimbursement, • Commuter Benefits, • Flexible Spending Core Expectations: Community Behavioral Health (CBH) will hold each employee accountable for the following expectations which align with our mission, vision, and corporate code of conduct. • Perform key responsibilities as detailed in this job description in a dependable, responsible, and positive manner, consistent with all state and federal guidelines., • Serve as a role model by exemplifying professional behavior, language, skills, and attire in order to promptly and accurately serve the needs of stakeholders, members and their families., • Assure adherence to CBH policies and procedures so that all work is of the highest quality and delivered in the most culturally competent and cost effective manner., • Promote and manage diversity and acceptance within CBH and with all members and stakeholders by honoring and respecting their individuality, dignity and rights., • Offer suggestions and develop solutions to help promote effective and efficient work processes and innovative programs., • Actively participate in required meetings and complete all mandatory trainings., • Maintain high levels of advocacy and member confidentiality to ensure the success of CBH and our mission., • CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.

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