ZipRecruiter

Log In

2

Hedis Coordinator Remote Jobs (NOW HIRING)

PONOS MGMT INC

New Jersey-RN Case Manager

NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Warren, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Newark, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Somerset, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Trenton, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Union, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

STI

Data Architect [Must have Population Health Exp]

$65.25 - $84/hr

Remote Duration: 7+ months Additional details: Follows project travel schedule. ( usually once a ... Patient Care, HEDIS, Engagement, Care Coordination, Value based care, risk sharing models. 3. ...

PONOS MGMT INC

New Jersey-RN Case Manager

Salem, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Camden, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Jersey City, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

previous page

Showing results 41-60

All Jobsremote JobsHealthcare JobsHospital JobsMedical Reviewer JobsHedis Coordinator Remote Jobs

Hedis Coordinator Remote information

See salary details

$29K

$50.8K

$74K

How much do hedis coordinator remote jobs pay per year?

As of Aug 23, 2026, the average yearly pay for hedis coordinator remote in the United States is $50,773.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $59,000.00 per year, depending on experience, location, and employer.

What is a HEDIS Coordinator?

A HEDIS Coordinator is a healthcare professional responsible for collecting, analyzing, and reporting data for the Healthcare Effectiveness Data and Information Set (HEDIS) measures. In a remote position, they work from home to review medical records, ensure data accuracy, coordinate with providers, and support quality improvement initiatives for health plans. Their work helps organizations meet compliance requirements and improve patient outcomes by monitoring healthcare performance metrics.

What are the key skills and qualifications needed to thrive as a HEDIS Coordinator?

To thrive as a HEDIS Coordinator (Remote), you need a solid understanding of healthcare quality measures, data collection, and analysis, often supported by a degree in health information management or a related field. Familiarity with HEDIS software, medical record abstraction tools, and knowledge of HIPAA compliance are typically required. Strong attention to detail, organizational skills, and effective communication are crucial soft skills for collaborating with providers and health plan teams. These competencies ensure accurate reporting, regulatory compliance, and the successful execution of quality improvement initiatives.

What are some common challenges faced by remote HEDIS Coordinators, and how can they be addressed?

Remote HEDIS Coordinators often face challenges such as effectively managing multiple data sources, ensuring accurate documentation, and maintaining consistent communication with providers and team members. To address these, it's important to have strong organizational skills, be comfortable with electronic health record (EHR) systems, and use secure collaboration tools to stay connected with your team. Proactively scheduling regular check-ins and setting clear expectations can also help ensure everyone stays on track and any issues are resolved quickly.

What is the difference between Hedis Coordinator Remote vs Hedis Data Analyst?

AspectHedis Coordinator RemoteHedis Data Analyst
Required CredentialsHealthcare-related certifications, knowledge of HEDIS measuresData analysis certifications, proficiency in data tools
Work EnvironmentRemote, healthcare administration settingRemote, data analysis and reporting environment
Employer & Industry UsageHealth plans, healthcare providersHealth plans, healthcare analytics firms

The Hedis Coordinator Remote primarily focuses on managing HEDIS data collection and compliance, requiring healthcare knowledge. In contrast, the Hedis Data Analyst emphasizes analyzing HEDIS data to improve performance, requiring strong data skills. Both roles are remote and serve the healthcare industry, but their core responsibilities differ in focus and skill set.

More about Hedis Coordinator Remote jobs

What cities are hiring for Hedis Coordinator Remote jobs?

Cities with the most Hedis Coordinator Remote job openings:

What states have the most Hedis Coordinator Remote jobs?

States with the most job openings for Hedis Coordinator Remote jobs include:

What job categories do people searching Hedis Coordinator Remote jobs look for?

The top searched job categories for Hedis Coordinator Remote jobs are:

Hedis Coordinator Remote jobs near you
Infographic showing various Hedis Coordinator Remote job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $50,773 per year, or $24.4 per hour.

Practice Performance Advisor

Amerihealth Caritas

Southfield, MI • On-site, Remote

Full-time

Re-posted 15 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

129th of 311 rated insurance

Job description

Role Overview: The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and quality outcomes. This role analyzes provider performance data, identifies improvement opportunities, and partners with providers and internal teams to drive improvements in quality, cost, and overall care delivery.

Work Arrangements:

  • Remote - The associate can be located anywhere in Michigan (MI).
  • 50% travel is required to the provider's location and attend office meetings at our Southfield, MI location.

Responsibilities:

  • Produce all quality and performance-related reporting, establishing opportunities and strategies regularly in preparation for the Joint Operating Committee (JOC).
  • Present information to the provider, colleagues, and the executive team in a clear, concise manager
  • Analyze claims data, utilization trends, and patient outcomes to support performance optimization
  • Support provider engagement related to Healthcare Effectiveness Data and Information Set (HEDIS), Total Cost of Care (TCOC), and other performance-based programs
  • Partner with Quality, Provider Network, and Account Executive teams to align strategies and improve provider performance
  • Participate in provider meetings to review gaps in care and develop action plans in collaboration with Provider Network Management (PNM) and Chief Medical Officer (CMO) teams
  • Lead and support performance improvement initiatives and projects aligned with corporate strategy and best practices
  • Identify opportunities using data and collaborate with internal teams to develop and implement targeted intervention strategies
  • Track, monitor, and report on provider action plans and outcomes to measure the effectiveness of initiatives
  • Support network and quality strategy execution across markets
  • Maintain strong cross-functional collaboration with Provider Network Operations (PNO), PNM, and Quality teams to achieve performance goals
  • May assist with member outreach efforts and coordination of care-related activities

Education & Experience:

  • Bachelor's degree in healthcare administration or related field required
  • 3 years of Account Executive experience or provider engagement experience, demonstrating knowledge of TCOC and Medical Loss Ratio (MLR) analysis, is required.
  • Experience in a variety of provider reimbursement methodologies, including value-based or risk-based contracting
  • Understand quality and provider performance reporting, including HEDIS and other quality measures.

Licensure:

  • Valid driver's license, transportation, and insurance required:

Skills & Abilities:

  • Strong understanding of healthcare regulations, reimbursement models, and quality metrics, specifically in HEDIS and STARS
  • Ability to analyze and interpret complex healthcare data and translate insights into actionable strategies
  • Knowledge of provider operations, including claims coding, payment integrity, credentialing, appeals, and disputes
  • Experience working with value-based care programs and performance measures
  • Excellent communication and collaboration skills with the ability to engage providers and cross-functional teams
  • Strong analytical, problem-solving, and reporting capabilities
  • Ability to manage multiple priorities and drive performance improvement initiatives
Employment Type: FULL_TIME

What AmeriHealth Caritas employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply