Reviewer

• Use rubrics and supplemental information to provide fair and consistent evaluations with encouraging, specific, and actionable feedback
• Maintain an in-depth knowledge of every component of curriculum within assigned workload
• Swiftly respond to student outreach and return evaluations to students within 48 hours of submission
• Work with Goal Lead to provide proactive outreach to students in need of academic assistance
• Participate in Reviewer online community
• Support academic integrity validation and processing potential violations
• Participate in quality assurance processes and project improvement activities, as needed

Reviewer evaluating student projects at Southern New Hampshire University

Reviewer responsible for evaluating student project submissions at Southern New Hampshire University. Provide actionable feedback and ensure academic integrity in evaluations.

• In-person interview may be required during the hiring process
• Manage relationships with internal and external customers/vendors

MD Appraisal Reviewer managing automobile appraisals at Mercury Insurance

MD Appraisal Reviewer

MD Appraisal Reviewer managing automobile appraisals at Mercury Insurance. Collaborating with internal and external teams to ensure efficient processes and accurate valuations.

• Performs clinical chart reviews and audits to ensure accuracy and compliance with HEDIS measures.
• Develops reports to identify HEDIS care gaps and trends and works closely with providers to ensure the necessary services are provided and documented according to HEDIS requirements.
• Assists in the coordination of outreach efforts to request, collect, and secure clinical documentation from individual providers or provider groups as indicated by individual HEDIS measure specifications.
• Collaborates with health plan departments to identify HEDIS data sources and develop systems to capture this data in accordance with HEDIS technical specifications, such as supplemental databases.
• Collaborates with data analysts and quality teams to support performance improvement.
• Documents findings and recommends strategies to improve HEDIS measure performance.
• Applies clinical expertise to identify and validate data discrepancies.
• Educates non-clinical staff on HEDIS requirements and clinical relevance of data.
• Corresponds with members and clinical providers to effectively coordinate care, obtain medical records, and ensure patients receive preventive and chronic disease management services.

Nurse HEDIS Reviewer performing clinical reviews for Martin's Point Health Care

HEDIS Nurse Reviewer – New England Region

Nurse HEDIS Reviewer performing clinical reviews and audits ensuring compliance with HEDIS standards at Martin's Point Health Care. Collaborating with teams to enhance healthcare outcomes.

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Reviewer

MD Appraisal Reviewer

HEDIS Nurse Reviewer – New England Region