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Pyramid Consulting, Inc · 1 day ago

Quality Improvement Specialist

United States

Contract

Remote

New Grad, Entry Level

$18/hr - $19/hr

Pyramid Consulting, Inc. is a leading company in the Healthcare Insurance Industry, currently seeking a Quality Improvement Specialist for a 04 Month Contract opportunity with long-term potential. The role involves ensuring timely resolution of documentation gaps, reviewing pend codes, and collaborating with team members to meet productivity expectations.

ConsultingInformation TechnologyLegalProfessional ServicesSoftwareStaffing Agency

Growth Opportunities

H1B Sponsor Likely

Responsibilities

Work assigned quality “pends” to ensure timely resolution of outstanding documentation gaps

Review and interpret pend codes and take appropriate action based on defined workflows

Contact provider offices and medical groups to request missing medical records

Create, send, and track medical record requests through internal systems

Perform claims research to support audit completion and quality gap closure

Accurately document outreach efforts and follow-ups

Meet daily productivity and turnaround time expectations for assigned work

Collaborate with team members and participate in scheduled meetings and training sessions

Qualification

Medical RecordsHEDISHealthcare Quality InitiativesQuality Improvement ExperienceAuditing ExperienceOrganizational SkillsTime Management SkillsCommunication SkillsAttention to Detail

Required

Experience with Medical Records

Experience with HEDIS

Experience with healthcare quality initiatives (HEDIS experience preferred)

Medical record request and follow-up experience preferred

Strong organizational and time management skills

Proficiency with technology tools such as collaboration platforms, spreadsheets, and electronic medical records

Prior quality improvement experience

Previous auditing or compliance-related experience

Knowledge of healthcare quality measures (especially hybrid measures)

Ability to navigate multiple systems efficiently

Strong communication skills for provider outreach

Ability to work independently while meeting strict deadlines

Complete assigned pend workload by the end of each business day

Maintain accuracy, organization, and compliance with established quality standards

Demonstrate reliability, time management, and attention to detail

High School Diploma or GED

Preferred

HEDIS experience preferred

Medical record request and follow-up experience preferred

Benefits

Health insurance (medical, dental, vision)

401(k) plan

Paid sick leave (depending on work location)

Company

Pyramid Consulting, Inc

Glassdoor4.2

Pyramid Consulting, a global leader in workforce and technology solutions, empowers individuals and organizations to transform and thrive in the most challenging and competitive markets.

Founded in 1996

Alpharetta, Georgia, USA

5001-10000 employees

https://pyramidci.com/

H1B Sponsorship

Pyramid Consulting, Inc has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (178)

2024 (112)

2023 (95)

2022 (62)

2021 (50)

2020 (117)