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)
The associate will function as a subject matter expert (SME) and partner crossโfunctionally with ... As a HEDIS Measure Owner, you will: Monitor performance regularly, including current rates and ...
The associate will function as a subject matter expert (SME) and partner crossโfunctionally with ... As a HEDIS Measure Owner, you will: Monitor performance regularly, including current rates and ...
We empower our 99,000+ 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 99,000+ associates to bring their skills and expertise every day to reimagining ... Oversees complex HEDIS project lifecycles--including data analysis, medical record abstraction ...
Austin, TX ยท Remote
$30 - $39.75/hr
Oversees complex HEDIS project lifecycles-including data analysis, medical record abstraction ... We empower our 99,000+ associates to bring their skills and expertise every day to reimagining ...
Austin, TX ยท Remote
$30 - $39.75/hr
Oversees complex HEDIS project lifecycles-including data analysis, medical record abstraction ... We empower our 99,000+ associates to bring their skills and expertise every day to reimagining ...
$27.50 - $36.50/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
$27.50 - $36.50/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
$26.25 - $34.75/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
$26.25 - $34.75/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
$28 - $37/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
$28 - $37/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
$28.25 - $37.25/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
$28.25 - $37.25/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
Philadelphia, PA ยท Hybrid
The HEDIS Data Reviewer ensures the integrity and accuracy of clinical data by performing ... Education: Associate's Degree, RN, LPN, or equivalent relevant work experience. * Software:
Philadelphia, PA ยท Hybrid
The HEDIS Data Reviewer ensures the integrity and accuracy of clinical data by performing ... Education: Associate's Degree, RN, LPN, or equivalent relevant work experience. * Software:
$29 - $38.25/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
$29 - $38.25/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
$27.75 - $36.50/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
$27.75 - $36.50/hr
POSITION SUMMARY This position is responsible for the coordination of HEDIS and Stars program ... Preferred Qualifications * 2+ years of college, in pursuance of a Bachelor's or Associate's degree ...
The HEDIS Data Reviewer ensures the integrity and accuracy of clinical data by performing ... Education: Associate's Degree, RN, LPN, or equivalent relevant work experience. * Software:
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The HEDIS Data Reviewer ensures the integrity and accuracy of clinical data by performing ... Education: Associate's Degree, RN, LPN, or equivalent relevant work experience. * Software:
Miami, FL ยท On-site
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
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.
Linthicum, MD ยท On-site +1
$62K - $67K/yr
This position reports to the HEDIS Outreach Manager and functions as a senior individual ... Associate or bachelor's degree in public health, health administration, or a related field ...
Linthicum, MD ยท On-site +1
$62K - $67K/yr
This position reports to the HEDIS Outreach Manager and functions as a senior individual ... Associate or bachelor's degree in public health, health administration, or a related field ...
This position reports to the HEDIS Outreach Manager and functions as a senior individual ... Associate or bachelor's degree in public health, health administration, or a related field ...
This position reports to the HEDIS Outreach Manager and functions as a senior individual ... Associate or bachelor's degree in public health, health administration, or a related field ...
This position reports to the HEDIS Outreach Manager and functions as a senior individual ... Associate or bachelor's degree in public health, health administration, or a related field ...
This position reports to the HEDIS Outreach Manager and functions as a senior individual ... Associate or bachelor's degree in public health, health administration, or a related field ...
Boise, ID ยท Remote
$42 - $46/hr
A healthcare solutions provider is seeking a HEDIS Medical Record Analyst to work remotely from WA ... Applicants should have an associate degree in Nursing or equivalent and possess key skills in ...
Boise, ID ยท Remote
$42 - $46/hr
A healthcare solutions provider is seeking a HEDIS Medical Record Analyst to work remotely from WA ... Applicants should have an associate degree in Nursing or equivalent and possess key skills in ...
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 ...
$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