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Assistant Hedis Jobs (NOW HIRING)

Healthcare Support Staffing

HEDIS RN / LPN

Baton Rouge, LA · On-site

$29 - $38.50/hr

In this position, you will work with the HEDIS Operations staff to assist with the 2016 data collection cycle. The purposes of this role include, but are not limited to: 1. Medical record review and ...

Integrated Resources INC

HEDIS LPN RN

New York, NY · On-site

$33 - $43.75/hr

HEDIS 2015 Record Collection- Temps to assist with record collection and data abstractions and/or over-reads. Location: Candidate will mostly be working onsite on 77 Water Street in NYC. Weekly team ...

Integrated Resources INC

HEDIS RN LPN

New York, NY · On-site

$33 - $43.75/hr

HEDIS 2015 Record Collection- Temps to assist with record collection and data abstractions and/or over-reads. Location: Candidate will mostly be working onsite on 77 Water Street in NYC. Weekly team ...

Medica

HEDIS Program Consultant III

Minnetonka, MN · On-site

$78K - $134K/yr

Key Accountabilities * Assist in planning and managing multiple projects related to HEDIS/QRS measures to ensure accurate and valid data. Lead and participate in planning efforts to identify ...

Imedica

HEDIS Program Consultant III

Minnetonka, MN

$78K - $134K/yr

Key Accountabilities * Assist in planning and managing multiple projects related to HEDIS/QRS measures to ensure accurate and valid data. Lead and participate in planning efforts to identify ...

Medica

HEDIS Program Consultant III

Minnetonka, MN · On-site

$78K - $134K/yr

Key Accountabilities * Assist in planning and managing multiple projects related to HEDIS/QRS measures to ensure accurate and valid data. Lead and participate in planning efforts to identify ...

Medica

HEDIS Program Consultant III

Madison, WI · On-site

$78K - $134K/yr

Key Accountabilities * Assist in planning and managing multiple projects related to HEDIS/QRS measures to ensure accurate and valid data. Lead and participate in planning efforts to identify ...

Imedica

HEDIS Program Consultant III

Madison, WI

$78K - $134K/yr

Key Accountabilities * Assist in planning and managing multiple projects related to HEDIS/QRS measures to ensure accurate and valid data. Lead and participate in planning efforts to identify ...

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Assistant Hedis information

What are Assistant HEDIS roles and responsibilities?

An Assistant HEDIS supports the Healthcare Effectiveness Data and Information Set (HEDIS) process by assisting with data collection, record review, and reporting for healthcare organizations. Their responsibilities typically include gathering medical records, verifying data accuracy, coordinating with providers, and helping with documentation to ensure compliance with HEDIS measures. They play a key role in quality improvement initiatives and help organizations meet regulatory and accreditation requirements.

What are the key skills and qualifications needed to thrive as an Assistant HEDIS, and why are they important?

To thrive as an Assistant HEDIS, you need a solid understanding of healthcare quality measures, data collection, and medical terminology, often supported by a background in health information management or a related field. Familiarity with HEDIS software, electronic medical records (EMRs), and proficiency in Microsoft Excel are typically required, and certification as a Registered Health Information Technician (RHIT) is a plus. Strong attention to detail, organizational skills, and effective communication are essential soft skills for managing sensitive data and collaborating with clinical staff. These abilities ensure accurate data reporting, compliance with healthcare standards, and contribute to the overall quality improvement efforts of healthcare organizations.

How to get experience with HEDIS?

To gain experience with HEDIS as an Assistant HEDIS, individuals typically start by understanding healthcare quality measures and data collection processes. Gaining familiarity with electronic health records (EHR) systems and obtaining relevant certifications, such as HEDIS training or healthcare quality certifications, can enhance qualifications. On-the-job training and working with healthcare plans or quality improvement teams provide practical experience.

What is considered HEDIS experience?

HEDIS experience for an Assistant HEDIS role involves familiarity with Healthcare Effectiveness Data and Information Set measures, data collection, chart reviews, and understanding of quality improvement processes. Candidates often need knowledge of healthcare data systems and may hold certifications in healthcare quality or coding. Practical experience in chart abstraction and working with healthcare data is highly valued.

What is the difference between Assistant Hedis vs Hedis Coordinator?

AspectAssistant HedisHedis Coordinator
CertificationsTypically requires a healthcare-related certification or experienceOften requires similar certifications, with additional case management or healthcare coordination credentials
Work EnvironmentAssists in clinical or administrative tasks within healthcare settingsManages HEDIS data collection and quality improvement initiatives in healthcare organizations
Employer & IndustryHealthcare providers, insurance companies, Medicaid/Medicaid managed careHealth plans, Medicaid agencies, healthcare quality organizations
Search & Comparison IntentPeople looking for entry-level or supportive roles in HEDISIndividuals seeking roles focused on HEDIS data management and quality assurance

The Assistant Hedis role primarily supports HEDIS-related tasks with a focus on assisting healthcare teams, while the Hedis Coordinator oversees data collection, analysis, and quality improvement efforts. Both roles require healthcare knowledge, but the Coordinator position typically involves more responsibility for data management and compliance.

What is the most chill healthcare job?

An Assistant HEDIS role typically involves reviewing healthcare data and ensuring compliance with quality measures, often in a quiet office environment. The job usually requires attention to detail and can have a predictable schedule, making it relatively low-stress compared to clinical roles. However, individual experiences may vary based on workload and organizational culture.

What are some typical daily responsibilities for an Assistant HEDIS in a healthcare organization?

As an Assistant HEDIS, your daily responsibilities typically include gathering and reviewing medical records, inputting data into specialized HEDIS software, and working closely with nurses and healthcare providers to ensure accurate reporting of quality measures. You may also assist in coordinating chart retrieval and supporting audit processes to meet project deadlines. Collaboration with quality improvement teams and clear communication with various departments are essential for success in this role.

What is HEDIS jobs remote?

HEDIS jobs, including roles like Assistant HEDIS, can often be performed remotely, especially as many healthcare quality measurement tasks involve data analysis and documentation. Remote work arrangements depend on the employer and job requirements, with some positions requiring access to specific health records systems or certifications. Flexibility varies, but remote options are increasingly common in healthcare quality and compliance roles.
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Assistant Hedis jobs near you
Infographic showing various Assistant Hedis job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution.
HEDIS Utilization Review Nurse

HEDIS Utilization Review Nurse

Central Florida Health Care, Inc.

Winter Haven, FL

$26.50 - $35/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Central Florida Health Care rating

6.1

Company rating: 6.1 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Title: HEDIS Utilization Review Nurse
Reports to: Director of Managed Care
FLSA Status: Exempt
Personnel Supervised: None
POSITION SUMMARY:
The HEDIS Utilization Review Specialist is responsible for performing comprehensive reviews of medical records to collect data required for HEDIS reporting. This role supports quality improvement initiatives by identifying gaps in care, validating clinical documentation, and ensuring compliance with NCQA (National Committee for Quality Assurance) standards.
KEY RESPONSIBILITIES:
  • Review medical records and clinical data for HEDIS-specific measures.
  • Abstract and input accurate clinical data from electronic health records (EHRs) into reporting tools.
  • Identify and report documentation deficiencies or care gaps.
  • Collaborate with providers, coders, and clinical teams to ensure proper documentation and follow-up.
  • Assist in the coordination and execution of the annual HEDIS data collection cycle.
  • Maintain knowledge of current HEDIS specifications and regulatory updates.
  • Support audits and internal quality improvement initiatives related to clinical outcomes.
  • Ensure HIPAA compliance and confidentiality of patient information.
SKILLS:
  • Strong knowledge of HEDIS measures and NCQA guidelines.
  • Proficient in EHR systems and chart review processes.
  • Detail-oriented with strong analytical and organizational skills.
  • Excellent communication and collaboration abilities.
MINIMAL QUALIFICATIONS:
  • Education: RN, LPN, LVN.
  • Experience:
    • 2+ years of clinical experience in a healthcare setting.
    • Prior experience with HEDIS abstraction or utilization review strongly preferred.
  • License: Florida unrestricted license
  • BLS certification
  • Computer literacy
KNOWLEDGE AND SKILLS:
  1. Knowledge of current professional nursing theory, practice, and techniques
  2. Knowledge of current nursing practices in an outpatient primary care setting
  3. Knowledge of assessment of patient needs and services
  4. Knowledge of current professional nursing and pharmaceutical products, Universal Precautions, and emergency situations
  5. Knowledge of basic pathophysiology of diseases commonly managed in Family Medicine
  6. Knowledge of the application of nursing techniques (example: Triage, blood pressure monitoring, glucose monitoring, etc.)
  7. Knowledge of patient teaching and education (example: self-blood pressure monitoring, nutrition instruction, diabetes self-care instruction)
  8. Knowledge of general patient care and treatment procedures, equipment, rules, regulations, and ethics
  9. Knowledge of Utilization Review Accreditation Commission (URAC) Policies and Procedures
  10. Knowledge of processing and obtaining prior authorizations
  11. Knowledge of making observations of general physical condition and needs of patients and when to confer with a physician about the emotional or physical condition of a patient
  12. Knowledge of the principles of aseptic and sterile techniques and infection control techniques
  13. Knowledge of the techniques of administration of common medications, including immunizations, inoculations, and allergy injections using sterile technique, and knowledge of the side effects of these medications
  14. Knowledge of state and federal drug control laws, rules, and regulations
  15. Knowledge of emergency techniques and procedures
  16. Knowledge of common medical supplies and equipment
  17. Excellent interpersonal, communication and leadership skills
  18. Ability to demonstrate priority-setting and ability to work in a complex environment
  19. Ability to function with a high degree of independence and collaboration with other health care providers
  20. Commitment to service, quality, and departmental core values
RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS include, but are not limited to, the following:
  1. Be familiar with CFHC’s program philosophies, goals and objectives. Be cognizant of and comply with all CFHC’s policies and procedures, as well as state and federal regulations.
  2. Be competent in performing the duties of a nurse.
  3. Understand the requirements of CFHC’s Exposure Control Plan. Personally, utilize universal precautions when practicing in a clinical setting.
  4. Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, or CEO. Represent CFHC in the community.
  5. Report as needed to DMC and any pertinent information or situations that impact on patient care or CFHC liability.
  6. Attend and participate in mandatory CFHC meetings (Center Specific meetings, Corporate meetings, and other meetings as designated by the DMC, ACMO, CMO, or CEO).
  7. Demonstrate ability to work cooperatively with other members of the clinical team. Be supportive of coworkers.
  8. Maintain a neat and professional appearance at all times.
  9. Carry out any other activities deemed appropriate by the DMC, CMO, or CEO.
Primary Duties include, but are not limited to, the following:
  1. Assess, identify problems, plan goals, monitor and evaluate patient plans, and develop strategies that meet the patients immediate and long-term goals.
  2. Work closely with PCP to manage patient “care items” which could include; medication refills per protocol, lab triage, document management, management of durable medical equipment (i.e. Glucometer, test strips, lancets), prior authorizations of needed medications or other services.
  3. Use patient data to track and schedule follow up appointments.
  4. Provide proactive utilization management for patients with high risk needs.
  5. Assist patients in obtaining appropriate medications and medical supplies and equipment, including coordination of pharmaceutical patient assistance programs.
  6. Participate in quality improvement, quality assurance and innovation activities to ensure optimal level of care delivery.
  7. This position will ensure all HEDIS measures have been met for those assigned patients and all care gaps have been identified.
  8. Assist in the coordination of warm hand-offs or “transfer of trust” between care team, pharmacy or other support services during the office visit.
  9. Carry out other duties as assigned by the DMC.
The job description is not intended to be all-inclusive, and employees will also perform other reasonable related business duties as assigned by supervisor.
*This organization reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract or employment. *
BENEFITS:
Competitive Salary
Federal Student Loan Forgiveness:
PSLF – 10-year commitment, 120 loan payments and at the end of the commitment, the remaining loan is forgiven
Excellent medical, dental, vision, and pharmacy benefits
Employer Paid Long-Term Disability Insurance
Employer Paid Life Insurance equivalent to 1x your annual salary
Voluntary Short-Term Disability, additional Life and Dependent Life Insurance are available
Malpractice Insurance
Paid Time Off (PTO) – 4.4 weeks per year pro-rated
Holidays (9.5 paid holidays per year)
Paid Birthday Holiday
CME Reimbursement
401k Retirement Plan after 1 year of service (w/matching contributions)
Staff productivity is recognized and rewarded
PHYSICAL REQUIREMENTS
  1. Requires 80% or more time spent sedentary.
  2. Independently mobile.
  3. Ability to lift weight equivalents that would be required with re positioning equipment and lifting supplies.
  4. Ability to adapt and function in varying environments of workload, patient acuity, work sites, and work shifts.
American with Disabilities Act (ADA) Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

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