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Hedis Nursing Jobs in Indiana (NOW HIRING)

Telehealth Nurse Practitioner * Location/Type: Indiana Remote (No travel) * Pay: $600-$720/day ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs

... HEDIS and STARs quality gap closure, and promotes membership growth Serves as a trusted advisor to members, loved ones and nursing home staff and colleagues Delivers effective and frequent ...

New

... HEDIS and STARs quality gap closure, and promotes membership growth Serves as a trusted advisor to members, loved ones and nursing home staff and colleagues Delivers effective and frequent ...

New

... HEDIS and preventative care. * Presents patient cases and provides clinical support for clinical ... Master's degree in Nursing or similar field. * 2+ years experience as a Family Nurse Practitioner ...

... HEDIS and preventative care. * Presents patient cases and provides clinical support for clinical ... Master's degree in Nursing or similar field. * 2+ years experience as a Family Nurse Practitioner ...

... HEDIS and preventative care. * Presents patient cases and provides clinical support for clinical ... Master's degree in Nursing or similar field. * 2+ years experience as a Family Nurse Practitioner ...

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Hedis Nursing information

What is a HEDIS nurse?

HEDIS nurses are registered nurses who specialize in the collection, review, and reporting of healthcare data required for the Healthcare Effectiveness Data and Information Set (HEDIS). They work with healthcare organizations to ensure accurate documentation and compliance with quality measures related to patient care. Their responsibilities often include chart reviews, data abstraction, and collaborating with clinical staff to improve care quality. HEDIS nurses play a crucial role in helping organizations meet regulatory standards and improve patient outcomes.

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

To thrive as a HEDIS Nurse, you need a strong background in clinical nursing, data abstraction, and medical record review, usually supported by an RN license and experience in quality improvement or managed care. Familiarity with HEDIS measurement criteria, healthcare data systems, and electronic health records (EHRs) is essential, and certifications like Certified Professional in Healthcare Quality (CPHQ) are beneficial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately capturing data and collaborating with providers. These competencies ensure accurate reporting, regulatory compliance, and improved patient outcomes in healthcare organizations.

What are some common challenges HEDIS nurses face during the data collection and reporting process?

HEDIS nurses often encounter challenges such as gathering complete and accurate medical records from multiple providers, navigating different electronic health record (EHR) systems, and ensuring compliance with strict reporting deadlines. Balancing high volumes of data review with quality assurance can also be demanding, especially during peak reporting periods. Effective communication and collaboration with providers, coders, and quality improvement teams are essential for overcoming these obstacles and ensuring successful HEDIS submissions.

What is the difference between Hedis Nursing vs Case Management Nursing?

AspectHedis NursingCase Management Nursing
CertificationsRN license, HEDIS trainingRN license, case management certification
Work EnvironmentInsurance companies, healthcare plansHospitals, clinics, community health
Industry UsageQuality improvement, HEDIS auditsCare coordination, patient advocacy

Hedis Nursing focuses on quality measure assessments and HEDIS audits within insurance and healthcare plans, while Case Management Nursing emphasizes coordinating patient care across settings. Both roles require RN licensure, but Hedis Nursing centers on data and compliance, whereas Case Management involves direct patient interaction and care planning.

How do I become a Hedis nurse?

To become a HEDIS nurse, you typically need a registered nurse (RN) license, which requires completing an accredited nursing program and passing the NCLEX-RN exam. Experience in case management, quality assurance, or healthcare analytics is often preferred, along with knowledge of HEDIS measures and healthcare data systems.

What cities in Indiana are hiring for Hedis Nursing jobs?

Cities in Indiana with the most Hedis Nursing job openings:

Infographic showing various Hedis Nursing job openings in Indiana as of August 2026, with employment types broken down into 2% As Needed, 61% Full Time, 15% Part Time, and 22% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Business Information Analyst II - HEDIS Quality Analytics

Elevance Health

Indianapolis, IN • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago


Elevance Health rating

7.6

Company rating: 7.6 out of 10

Based on 352 frontline employees who took The Breakroom Quiz

212th of 311 rated insurance


Job description

Anticipated End Date:

2026-08-31

Position Title:

Business Information Analyst II - HEDIS Quality Analytics

Job Description:

Business Information Analyst II - HEDIS Quality Analytics

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

PLEASE NOTE: This position is not eligible for current or future visa sponsorship.

Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center-connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together.
Among us are specialty-care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated and caring health professionals. While our roles may differ, our purpose is shared: to make a positive impact on whole health.

The Business Information Analyst II will be responsible for analyzing, reporting and developing recommendations on data related to multiple, varied business metrics.

How You Will Make an Impact:

  • Creates and maintains databases to track business performance.
  • Analyzes data and summarizes performance using summary statistical procedures.
  • Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
  • Creates and publishes periodic reports, makes necessary recommendations, and develops ad hoc reports as needed.
  • May require taking business issues and devising the best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.

Minimum Requirements:

  • Requires a BS/BA degree in a related field and a minimum of 2 years related operational and/or data analysis experience, experience in database structures, and standard query and reporting tools; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, & Experiences:

  • Understanding multiple data sources and formats and utilizing multiple data systems to analyze HEDIS results is preferred.
  • Experience with relational databases and knowledge of query tools and statistical software is strongly preferred including SQL.
  • Strong MS Office command. Power BI skills experience a plus.
  • Experience with Jira, ServiceNow, or other ticketing systems preferred.
  • Alteryx and Python experience a plus.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

RDA > Business/Health Info

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.


Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.


How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.


We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.


Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.


The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.


Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.


Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.


NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.


What Elevance Health employees say

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Benefits

Hours and flexibility

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Get the full story on Breakroom


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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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