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Hedis Consultant Jobs (NOW HIRING)

Managed Staffing

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

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 ...

Healthcare Support Staffing

HEDIS Specialist

Troy, MI · On-site

$35 - $40/hr

Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Are you an experienced HEDIS Specialist looking for a ...

Healthcare Support Staffing

HEDIS Nurse

Latham, NY · On-site

$29.25 - $38.75/hr

Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Title: HEDIS RN/LPN Location: Latham, NY Start Date: 11 ...

Healthcare Support Staffing

HEDIS Nurse

Baton Rouge, LA

$29 - $38.50/hr

Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Title: HEDIS RN/LPN Location: Baton Rouge, LA Daily ...

Healthcare Support Staffing

Remote HEDIS Specialist

OR · On-site +1

Connect with one of our Professional Recruiting Consultants today to see how a conversation can ... Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by ...

Healthcare Support Staffing

HEDIS Nurse

Shelton, CT · On-site

$30.25 - $40/hr

Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Title: HEDIS RN/LPN Location: Shelton, CT Daily ...

Healthcare Support Staffing

HEDIS RN / LPN

Baton Rouge, LA · On-site

$29 - $38.50/hr

Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! HEDIS Operations combines talented individuals from many ...

Healthcare Support Staffing

HEDIS RN/LPN

Latham, NY

$29.25 - $38.75/hr

Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Title: HEDIS RN/LPN Location: Latham, NY Daily ...

Healthcare Support Staffing

HEDIS RN

Tampa, FL · On-site

Connect with one of our Professional Recruiting Consultants today to see how a conversation can ... Are you an experienced Registered Nurse with HEDIS experience looking for a new opportunity with a ...

Pacer Group

HEDIS Data Reviewer

HEDIS Data Reviewer The HEDIS Data Reviewer is responsible for performing high-volume, detail ... consultations, medication forms, treatment plans, health histories, interval histories, and past ...

Pacer Group

HEDIS Data Reviewer

$40 - $44.59/hr

HEDIS Data Reviewer Location: Remote (work in eastern time) Duration: 3 Months Schedule: 8:30 AM ... consultations, medication forms, treatment plans, health histories, interval histories, and past ...

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Hedis Consultant information

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$124.5K

How much do hedis consultant jobs pay per year?

As of Aug 25, 2026, the average yearly pay for hedis consultant in the United States is $74,960.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,000.00 and $93,500.00 per year, depending on experience, location, and employer.

What is a Hedis consultant?

A HEDIS Consultant is a healthcare professional who helps organizations improve their performance on HEDIS (Healthcare Effectiveness Data and Information Set) measures. They analyze clinical data, ensure compliance with HEDIS reporting requirements, and work with healthcare providers to enhance quality care. Their role often includes auditing records, identifying gaps in care, and implementing process improvements to boost healthcare outcomes and meet regulatory standards.

What are the typical responsibilities of a hedis consultant?

Hedis Consultants are primarily responsible for collecting and analyzing healthcare data to evaluate service effectiveness and ensure compliance with HEDIS measures. On a daily basis, they may review medical records, validate data submissions, and work with clinical teams to identify care gaps and quality improvement opportunities. Consultants also prepare reports for leadership, participate in audit processes, and provide training or support to staff on HEDIS-related standards and best practices. Their role often involves collaborating closely with data analysts, care coordinators, and quality improvement teams to drive positive outcomes for both patients and healthcare organizations.

What are the key skills and qualifications needed to thrive in the hedis consultant position, and why are they important?

To thrive as a Hedis Consultant, you need expertise in healthcare data analysis, quality measurement, and strong knowledge of HEDIS (Healthcare Effectiveness Data and Information Set) guidelines, often supported by a degree in healthcare, public health, or a related field. Familiarity with data extraction tools, claims databases, medical record review software, and certifications such as Certified Professional in Healthcare Quality (CPHQ) are highly valuable. Attention to detail, effective communication, and problem-solving skills distinguish successful consultants in this role. These competencies ensure accurate reporting and analysis, drive improvements in healthcare quality, and support compliance with industry standards.

How to get experience in Hedis Consultant?

To gain experience as a HEDIS Consultant, individuals typically start with a background in healthcare, nursing, or health information management, and develop knowledge of HEDIS measures and healthcare quality metrics. Gaining experience through entry-level roles, internships, or certifications such as NCQA HEDIS Certification can enhance qualifications. Familiarity with data analysis tools and healthcare software is also beneficial.
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Hedis Consultant jobs near you
Infographic showing various Hedis Consultant job openings in the United States as of August 2026, with employment types broken down into 75% Full Time, 10% Part Time, and 15% Contract. Highlights an 80% In-person, 5% Hybrid, and 15% Remote job distribution, with an average salary of $74,960 per year, or $36 per hour.

HEDIS Reviewer / HEDIS Quality

Managed Staffing

TX • Remote

$34 - $35/hr

Contractor

Re-posted 22 days ago

Job description

Position: HEDIS Quality Audit/HEDIS Quality Nurse Coordinator
Location: 100% Remote (USA)
Work Schedule: Monday – Friday, 8:00 AM – 5:00 PM (local time)
 

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 Bachelor’s degree (HEDIS experience may substitute for licensure).