HEDIS Reviewer / HEDIS Quality
TX ยท Remote
$34 - $35/hr
Preferred: * RN/LVN with Associate or Bachelor's degree (HEDIS experience may substitute for licensure)
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TX ยท Remote
$34 - $35/hr
Preferred: * RN/LVN with Associate or Bachelor's degree (HEDIS experience may substitute for licensure)
Quick apply
TX ยท Remote
$34 - $35/hr
Preferred: * RN/LVN with Associate or Bachelor's degree (HEDIS experience may substitute for licensure)
Monterey Park, CA ยท On-site
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 year of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท On-site
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 year of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 year of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 year of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 year of HEDIS abstraction or medical record review experience * Strong ...
Quick apply
Monterey Park, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 year of HEDIS abstraction or medical record review experience * Strong ...
San Francisco, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Quick apply
San Francisco, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท On-site
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท On-site
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Quick apply
Monterey Park, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท On-site
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท On-site
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Monterey Park, CA ยท Hybrid
$27 - $33/hr
High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field * Have at least 2 years of HEDIS abstraction or medical record review experience * Strong ...
Oversees complex HEDIS project lifecycles-including data analysis, medical record abstraction ... We empower our 97,000+ associates to bring their skills and expertise every day to reimagining ...
Oversees complex HEDIS project lifecycles-including data analysis, medical record abstraction ... We empower our 97,000+ associates to bring their skills and expertise every day to reimagining ...
We empower our 97,000+ associates to bring their skills and expertise every day to reimagining ... Oversees complex HEDIS project lifecycles--including data analysis, medical record abstraction ...
We empower our 97,000+ associates to bring their skills and expertise every day to reimagining ... Oversees complex HEDIS project lifecycles--including data analysis, medical record abstraction ...
Miami, FL ยท On-site
$22 - $26/hr
HEDIS/STARS Coordinator About us: Solis Health Plans is a new kind of Medicare Advantage company ... Associate's degree in Health Care. Required Languages: Bilingual English & Spanish and/or Creole.
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Miami, FL ยท On-site
$22 - $26/hr
HEDIS/STARS Coordinator About us: Solis Health Plans is a new kind of Medicare Advantage company ... Associate's degree in Health Care. Required Languages: Bilingual English & Spanish and/or Creole.
Woonsocket, RI ยท Remote
$52/hr
Project Manager II / Hedis Lead Location: Remote Duration: 06 Months Shift Timing: 08:00 AM - 05:00 ... Associate's degree or equivalent experience #CareerBuilder #Monster #Dice #Indeed #LinkedIn
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Woonsocket, RI ยท Remote
$52/hr
Project Manager II / Hedis Lead Location: Remote Duration: 06 Months Shift Timing: 08:00 AM - 05:00 ... Associate's degree or equivalent experience #CareerBuilder #Monster #Dice #Indeed #LinkedIn
Analyze HEDIS performance in Epic dashboards and payer reports, identifying trends and presenting ... Relevant Associates degree and/or equivalent health care experience preferred; Bachelors degree a ...
Analyze HEDIS performance in Epic dashboards and payer reports, identifying trends and presenting ... Relevant Associates degree and/or equivalent health care experience preferred; Bachelors degree a ...
Analyze HEDIS performance in Epic dashboards and payer reports, identifying trends and presenting ... Relevant Associates degree and/or equivalent health care experience preferred; Bachelors degree a ...
Analyze HEDIS performance in Epic dashboards and payer reports, identifying trends and presenting ... Relevant Associates degree and/or equivalent health care experience preferred; Bachelors degree a ...
Relevant Associates degree and/or equivalent health care experience preferred; Bachelors degree a ... Knowledge of HEDIS measures, Commercial, Medicare, Medicaid quality programs and quality measure ...
Relevant Associates degree and/or equivalent health care experience preferred; Bachelors degree a ... Knowledge of HEDIS measures, Commercial, Medicare, Medicaid quality programs and quality measure ...
$30 - $39.75/hr
Minimum RN associates degree, * LPN with strong HEDIS experience * Software skills are needed --word and comfortable with spreadsheets Additional Information All your information will be kept ...
$30 - $39.75/hr
Minimum RN associates degree, * LPN with strong HEDIS experience * Software skills are needed --word and comfortable with spreadsheets Additional Information All your information will be kept ...
$24 - $26.50/hr
Supporting medical record abstraction, retrieval, and data entry for HEDIS medical record review ... Associate's degree or an equivalent combination of education and relevant experience is required.
$24 - $26.50/hr
Supporting medical record abstraction, retrieval, and data entry for HEDIS medical record review ... Associate's degree or an equivalent combination of education and relevant experience is required.
Understands the principles of CMS, HEDIS, NCQA, Health Plan Quality Standards, CAHPS, HOS, and ... High school diploma/GED required, associate degree in related field or equivalent experience ...
Understands the principles of CMS, HEDIS, NCQA, Health Plan Quality Standards, CAHPS, HOS, and ... High school diploma/GED required, associate degree in related field or equivalent experience ...
$19.5K - $30.4K
23% of jobs
$31.1K is the 25th percentile. Wages below this are outliers.
$30.4K - $41.3K
24% of jobs
$41.3K - $52.2K
0% of jobs
$52.2K - $63.1K
0% of jobs
$63.1K - $74K
1% of jobs
The median wage is $85K / yr.
$74K - $85K
1% of jobs
$85K - $95.9K
2% of jobs
$95.9K - $106.8K
0% of jobs
$106.8K - $117.7K
0% of jobs
$117.7K - $128.6K
0% of jobs
$133.8K is the 75th percentile. Wages above this are outliers.
$128.6K - $139.5K
48% of jobs
$19.5K
$92K
$139.5K
| Aspect | Hedis Associate | Hedis Analyst |
|---|---|---|
| Required Credentials | Typically requires a healthcare-related certification or associate degree | Often requires a bachelor's degree in healthcare, health information, or related field |
| Work Environment | Healthcare organizations, insurance companies, or consulting firms | Healthcare providers, insurance companies, or health analytics firms |
| Employer & Industry Usage | Commonly employed in healthcare quality improvement and compliance | Focuses on data analysis, reporting, and process improvement in healthcare |
The main difference between a Hedis Associate and a Hedis Analyst lies in their focus and responsibilities. Hedis Associates typically handle data collection and compliance tasks, while Hedis Analysts focus more on analyzing data and generating reports to improve healthcare quality. Both roles require healthcare knowledge but differ in their level of analytical responsibility.

Position:ย HEDIS Quality Audit/HEDIS Quality Nurse Coordinator
Location: 100% Remote (USA)
Work Schedule: Monday โ Friday, 8:00 AM โ 5:00 PM (local time)
ย
Job Overview:
We are seeking experienced Healthcare Consultants to participate in HEDIS (Healthcare Effectiveness Data and Information Set) quality audits. The ideal candidates will review medical records, interpret clinical data, and ensure accurate documentation to support compliance with HEDIS and CMS performance measures. This is a fully remote opportunity, and training will be provided prior to assignment start.
Key Responsibilities:
Audit and overread medical record collection and review processes for HEDIS quality reporting.
Review and interpret clinical criteria in medical records; annotate via Adobe PDF.
Audit data in collection tools to ensure compliance with HEDIS/CMS standards.
Maintain accurate and complete documentation to meet risk management, regulatory, and accreditation requirements.
Participate in required training and project calls.
Safeguard all confidential and protected health information (PHI) in accordance with HIPAA rules.
Qualifications:
Required:
5+ seasons of HEDIS experience reviewing medical records.
Prior experience performing chart audits.
Strong knowledge of medical terminology and ability to read/interpret medical records.
Proficiency in Microsoft Office Suite, Adobe PDF, and database systems.
Excellent attention to detail, organizational, and time management skills.
Professional communication skills and a strong work ethic.
Preferred:
RN/LVN with Associate or Bachelorโs degree (HEDIS experience may substitute for licensure).
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Recruiting and staffing services
501 - 1,000 Employees
Addison, TX, US
2007