HEDIS Nurse Abstractor
$29 - $38.50/hr
Reviews require data analysis and research within client data systems. Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers ...
$29 - $38.50/hr
Reviews require data analysis and research within client data systems. Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers ...
$29 - $38.50/hr
Reviews require data analysis and research within client data systems. Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers ...
Ensure HEDIS data integrity and process optimization * Partner with various lines of business ... Utilize and analyze claims and investigate data to ensure HEDIS data and processes are ...
Ensure HEDIS data integrity and process optimization * Partner with various lines of business ... Utilize and analyze claims and investigate data to ensure HEDIS data and processes are ...
... on HEDIS, Stars and other quality management programs Must have qualifications/experience: 3+ years of Business Analysis and requirement gathering experience for software/technology products ...
... on HEDIS, Stars and other quality management programs Must have qualifications/experience: 3+ years of Business Analysis and requirement gathering experience for software/technology products ...
By combining clinical expertise with advanced analytics and operational excellence, Advantmed ... Work on HEDIS, Risk Adjustment, and In-Home Assessments * Build strong client and stakeholder ...
By combining clinical expertise with advanced analytics and operational excellence, Advantmed ... Work on HEDIS, Risk Adjustment, and In-Home Assessments * Build strong client and stakeholder ...
Long Beach, CA · On-site +1
$72K - $156K/yr
Experience using Python for data analysis or automation Preferred Skills / Experience * Strong background in HEDIS reporting is preferred * Experience creating AI Agents and natural language ...
Long Beach, CA · On-site +1
$72K - $156K/yr
Experience using Python for data analysis or automation Preferred Skills / Experience * Strong background in HEDIS reporting is preferred * Experience creating AI Agents and natural language ...
This role is accountable for ensuring full compliance with NCQA HEDIS technical specifications ... Assists with conducting root cause analysis Creates policies, procedures, job aids, and training ...
This role is accountable for ensuring full compliance with NCQA HEDIS technical specifications ... Assists with conducting root cause analysis Creates policies, procedures, job aids, and training ...
Long Beach, CA · On-site
$119K - $155K/yr
Experience using Python for data analysis or automation Preferred Skills / Experience * Strong background in HEDIS reporting is preferred * Experience creating AI Agents and natural language ...
Long Beach, CA · On-site
$119K - $155K/yr
Experience using Python for data analysis or automation Preferred Skills / Experience * Strong background in HEDIS reporting is preferred * Experience creating AI Agents and natural language ...
Analyze HEDIS performance in Epic dashboards and payer reports, identifying trends and presenting findings to leadership.Ensure data accuracy and completeness through regular audits and ...
Analyze HEDIS performance in Epic dashboards and payer reports, identifying trends and presenting findings to leadership.Ensure data accuracy and completeness through regular audits and ...
Job Summary The Lead Analyst, Quality Analytics and Performance Improvement role will support ... Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying ...
Job Summary The Lead Analyst, Quality Analytics and Performance Improvement role will support ... Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying ...
This role is accountable for ensuring full compliance with NCQA HEDIS technical specifications ... Assists with conducting root cause analysis • Creates policies, procedures, job aids, and ...
This role is accountable for ensuring full compliance with NCQA HEDIS technical specifications ... Assists with conducting root cause analysis • Creates policies, procedures, job aids, and ...
Long Beach, CA · On-site +1
$72K - $156K/yr
Job Summary The Lead Analyst, Quality Analytics and Performance Improvement role will support ... Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying ...
Long Beach, CA · On-site +1
$72K - $156K/yr
Job Summary The Lead Analyst, Quality Analytics and Performance Improvement role will support ... Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying ...
Analyze HEDIS performance in Epic dashboards and payer reports, identifying trends and presenting findings to leadership.Ensure data accuracy and completeness through regular audits and ...
Analyze HEDIS performance in Epic dashboards and payer reports, identifying trends and presenting findings to leadership.Ensure data accuracy and completeness through regular audits and ...
Analyze HEDIS performance in Epic dashboards and payer reports, identifying trends and presenting findings to leadership.Ensure data accuracy and completeness through regular audits and ...
Analyze HEDIS performance in Epic dashboards and payer reports, identifying trends and presenting findings to leadership.Ensure data accuracy and completeness through regular audits and ...
Analyze HEDIS and clinical related data trends, including membership growth/attrition, claims lag, encounter volumes, and vendor data patterns, and provide actionable insights to support informed ...
Analyze HEDIS and clinical related data trends, including membership growth/attrition, claims lag, encounter volumes, and vendor data patterns, and provide actionable insights to support informed ...
Analyze HEDIS and clinical related data trends, including membership growth/attrition, claims lag, encounter volumes, and vendor data patterns, and provide actionable insights to support informed ...
Analyze HEDIS and clinical related data trends, including membership growth/attrition, claims lag, encounter volumes, and vendor data patterns, and provide actionable insights to support informed ...
Analyze HEDIS and clinical related data trends, including membership growth/attrition, claims lag, encounter volumes, and vendor data patterns, and provide actionable insights to support informed ...
Analyze HEDIS and clinical related data trends, including membership growth/attrition, claims lag, encounter volumes, and vendor data patterns, and provide actionable insights to support informed ...
Analyze HEDIS and clinical related data trends, including membership growth/attrition, claims lag, encounter volumes, and vendor data patterns, and provide actionable insights to support informed ...
Analyze HEDIS and clinical related data trends, including membership growth/attrition, claims lag, encounter volumes, and vendor data patterns, and provide actionable insights to support informed ...
Provide analysis of HEDIS-QARR projects, pharmacy adherence initiatives, and other performance improvement initiatives related to Medicare Stars and Medicaid QIA. Develop meaningful insights and ...
Provide analysis of HEDIS-QARR projects, pharmacy adherence initiatives, and other performance improvement initiatives related to Medicare Stars and Medicaid QIA. Develop meaningful insights and ...
Provide analysis of HEDIS-QARR projects, pharmacy adherence initiatives, and other performance improvement initiatives related to Medicare Stars and Medicaid QIA. Develop meaningful insights and ...
Provide analysis of HEDIS-QARR projects, pharmacy adherence initiatives, and other performance improvement initiatives related to Medicare Stars and Medicaid QIA. Develop meaningful insights and ...
Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the ...
Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the ...
$31K - $40K
11% of jobs
$40K - $49K
9% of jobs
$52.1K is the 25th percentile. Wages below this are outliers.
$49K - $58K
15% of jobs
$58K - $67K
15% of jobs
The median wage is $67.3K / yr.
$67K - $76K
18% of jobs
$82.5K is the 75th percentile. Wages above this are outliers.
$76K - $85K
11% of jobs
$85K - $94K
7% of jobs
$94K - $103K
5% of jobs
$103K - $112K
4% of jobs
$112K - $121K
2% of jobs
$121K - $130K
3% of jobs
$31K
$73.3K
$130K
To thrive as a Hedis Analyst, you need strong analytical skills, attention to detail, and a background in healthcare data management or related fields, often supported by a relevant bachelor’s degree. Proficiency with data analysis tools such as SQL, Excel, SAS, or Tableau, as well as familiarity with HEDIS measures and medical coding systems like ICD-10 and CPT, is typically required. Effective communication, problem-solving abilities, and a collaborative mindset are valuable soft skills in this role. These competencies are crucial for ensuring accurate data collection, reporting, and the successful interpretation of quality metrics that drive healthcare compliance and improvement.
A HEDIS Analyst is a healthcare professional responsible for analyzing and reporting Healthcare Effectiveness Data and Information Set (HEDIS) measures. They collect, validate, and interpret healthcare data to ensure compliance with quality standards and improve patient outcomes. HEDIS Analysts work closely with healthcare providers, insurance companies, and regulatory agencies to assess performance metrics, identify gaps in care, and implement quality improvement initiatives. Their role is crucial in supporting healthcare organizations in meeting accreditation and regulatory requirements.
A typical day for a Hedis Analyst involves gathering, analyzing, and validating healthcare data to ensure compliance with HEDIS quality measures. You may collaborate with clinical and IT teams to improve data accuracy, generate performance reports, and identify gaps in care or documentation. The role also frequently requires auditing clinical records, supporting annual HEDIS reporting cycles, and recommending process improvements. This dynamic environment allows you to hone your data skills while playing a key role in healthcare quality initiatives.

$29 - $38.50/hr
Full-time
Medical, Dental, Vision
Posted 5 days ago
Company is working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With more than 73 million people served by its affiliated companies including nearly 40 million enrolled in its family of health plans, Anthem is one of the nation's leading health benefits companies.
One in nine Americans receives coverage for their medical care through Anthem's affiliated plans.
We offer a broad range of medical and specialty products.
Ideal candidate must be flexible and willing to develop/share strategies to accomplish goals. Will work under the supervision of Anthem internal staff and designated lead in order to achieve goals and keep the project moving. Reviews require data analysis and research within client data systems.
Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. If necessary, the medical record review is conducted on site in provider office or hospital institution. Local travel may be required. This candidate will be required to handle a high volume of telephonic interaction with provider offices. Candidates must follow up on requested medical records with providers. Must keep excellent documentation of research and contact information. Candidate must pass a medical record abstraction test prior to starting actual record reviews.
Essential Functions:
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003