Quality Review and Audit Senior Analyst

Tailored Management is a professional staffing firm dedicated to developing strong relationships with career seekers and long-term partnerships with clients. Never content with industry norms, we are always innovating and constantly researching new ways to evolve our approach. This culture of perpetual ingenuity and inspiration is what allows us to create a more effective custom recruiting solution for you – faster than any competitor! We accomplish unparalleled success with many Fortune 500 companies within our Centralized Recruiting Hub. This approach is prime for the digital age. Even though our team is headquartered in one Columbus, Ohio office, our reach is beyond nationwide – Tailored Management is international. We can place top-notch candidates globally! Every client is assigned a dedicated Account Manager and recruiting team. This highly-trained group of staffing and recruiting experts follows the same principles that we use to guide our own business. And that’s exactly where we separate ourselves from the rest of the pack: Our team approaches the staffing process the same way we would approach our own. We act with the same urgency that you exhibit and with your best interests at heart. Your success is our success. "The people business is personal." This simple but profound phrase shapes the exact thinking that has made Tailored Management into a driving national force in the staffing industry. With unwavering passion, we are driven to finding the perfectly tailored candidate for each role we fill. Where there’s a need, there’s talent – and we will find the right person for the job!

Role: Quality Review and Audit Senior Analyst Location: 100% Remote Contract Duration: 7 Months (Potential for extension/conversion pending attendance, performance and business need) Pay Rate: $25.49-36/hour, paid weekly Tentative Start Date: 10/20/2025 Responsibilities: Annually we report Healthcare Effectiveness Data and Information Set (HEDIS), this requires a medical record retrieval process and nurses are needed to conduct abstraction of medical records.

Apply structured auditing criteria to abstract medical records, follow defined procedures for saving approved medical record documentation and accurately enter the results of chart audits into the health plans database. Abstract medical record documentation submitted for HEDIS measures, used annually for reporting to the National Committee for Quality Assurance (NCQA). The HEDIS measures are used to assist in measuring quality of health care provided to healthplan members. Maintains productivity level with less than a 5% error rate in record abstraction and data entry on an ongoing basis. Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. Maintain complete confidentiality of company related business. Maintain effective communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.