Payer Services and HEDIS

At HCTec, we understand the constantly changing recruiting and hiring challenges all health plans and related organizations are facing. We offer several flexible placement options to help you reach your hiring goals.

Healthcare Effectiveness Data and Information Set, or HEDIS as it is more commonly referenced, is a set of measures at the core of the NCQA evaluation of the nation’s health plans. One call to HCTec can bring an expert HEDIS Program Manager, or dozens of experienced HEDIS professionals to augment your staff.  We have a vast network of nurses, coders, and healthcare professionals experienced in chart review, abstractions, validation, or HEDIS clerical work. HCTec has resources in each state, and we are ready to support your annual review.


We Deliver the Right Fit

At HCTec, we offer three placement types to best fit your organizational needs:

  • Right To Hire, Contract Employment: We place an HCTec Partners employee to work with your company in a short-term or long-term contract or project basis. Some common projects we staff for our clients include HEDIS or Enrollment.
  • Temp-to-Perm Placement: We place an HCTec Partners employee with your company on a contract basis to determine if an employee is the right fit for you by observing the employee on the job. After the contract period is complete, the option is available to hire the employee on a permanent basis. This has proven to be one of the most effective methods to screen candidates, ensuring you hire only the best to join your team permanently. All positions qualify for this placement type.
  • Permanent Placement: HCTec Partners assumes the responsibility for recruiting and screening candidates for a permanent position within your company. Upon hiring, the healthcare professional immediately becomes a permanent employee of your company. Traditionally the permanent placement hiring option is used for nurses, leadership, and executive roles.

The Three Main Verticals We Serve


Managed Care

Clinical Positions

  • ARNP
  • Case Manager I, II, II
  • Complex Case Managers
  • Behavioral Case Management
  • Concurrent Review Nurse
  • HEDIS Nurse
  • HEDIS Coders
  • Data Abstractors
  • Licensed Practical Nurse
  • Licensed Vocational Nurse
  • Management
  • Medical Social Worker
  • Pharmacist
  • Pharmacy Technician
  • Pre-Authorization Nurse
  • Quality Improvement
  • Registered Nurse
  • Triage
  • Utilization Review/Management Nurse

Non-Clinical Positions

  • Accountant
  • Accounting Clerk
  • Administrative
  • Business Analyst
  • Claims Analyst
  • Claims Examiner
  • Client Services
  • Clinical Appeals
  • Coder
  • Compliance
  • Community Outreach
  • Credentialing
  • Customer Service/Call Center
  • Data Analyst
  • Enrollment
  • Financial Analyst
  • Grievance and Appeals
  • HEDIS support
  • Management
  • Medical Records
  • Member Services
  • Provider Relations
  • Quality
  • Reimbursement Analyst
  • Software Engineer


Revenue Cycle Management (RCM)

  • Accountant
  • Admin
  • A/R Reps
  • A/P Reps
  • Billing Clerks
  • Coders
  • Collections
  • Customer Service
  • Financial Counselors
  • Patient Access Rep
  • Refunds and Credits Reps
  • Remote Coders
  • ICD-10 Coders
  • Directors
  • Nurse Auditors


Third Party Adminstrators

Clinical

  • Case Management
  • Concurrent Review
  • EMR Nurse
  • HEDIS nurse
  • LPN
  • LVN
  • Prior Authorization Nurse
  • Quality Improvement
  • RN Auditors
  • Utilization Review Nurse

Non Clinical

  • Accountant
  • A/R Reps
  • A/P Reps
  • Billing Clerks
  • Billing Supervisors/Managers
  • Coders
  • Collections
  • Customer Service
  • Data Entry
  • Financial Counselors
  • ICD-10 Coders
  • Medical Records
  • Patient Access Rep
  • Project Managers
  • Refunds and Credits Reps
  • Remote Coders
  • Directors
  • Nurse Auditors


Let’s Talk About Payer Services and HEDIS

To learn more about our HEDIS and Payer services please contact us here.

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