HEDIS Specialist
Springfield, IL · On-site
HEDIS experience, facilitation experience, provider outreach experience, ability to multi-task, owning and accountable for provider sites. A minimum of 2-4 years of Managed Care experience within the ...
Springfield, IL · On-site
HEDIS experience, facilitation experience, provider outreach experience, ability to multi-task, owning and accountable for provider sites. A minimum of 2-4 years of Managed Care experience within the ...
Springfield, IL · On-site
HEDIS experience, facilitation experience, provider outreach experience, ability to multi-task, owning and accountable for provider sites. A minimum of 2-4 years of Managed Care experience within the ...
Springfield, IL · On-site
HEDIS experience, facilitation experience, provider outreach experience, ability to multi-task, owning and accountable for provider sites. Qualifications Required Experience: * A minimum of 2-4 years ...
Springfield, IL · On-site
HEDIS experience, facilitation experience, provider outreach experience, ability to multi-task, owning and accountable for provider sites. Qualifications Required Experience: * A minimum of 2-4 years ...
New York, NY · On-site
$39K - $70K/yr
Support efficient medical record retrieval for HEDIS medical record review and HEDIS supplemental ... Perform daily telephonic outreach to secure appointments with pharmacists and/or vendors to close ...
New York, NY · On-site
$39K - $70K/yr
Support efficient medical record retrieval for HEDIS medical record review and HEDIS supplemental ... Perform daily telephonic outreach to secure appointments with pharmacists and/or vendors to close ...
New York, NY · On-site
Support efficient medical record retrieval for HEDIS medical record review and HEDIS supplemental ... Perform daily telephonic outreach to secure appointments with pharmacists and/or vendors to close ...
New York, NY · On-site
Support efficient medical record retrieval for HEDIS medical record review and HEDIS supplemental ... Perform daily telephonic outreach to secure appointments with pharmacists and/or vendors to close ...
Detroit, MI · On-site
$28.25 - $37.25/hr
HEDIS Nurse - (CCBHC Program)Who We Are Welcome to MiSide, a Community Impact Network dedicated to ... Support outreach efforts to improve client engagement and compliance * Monitor quality dashboards ...
Detroit, MI · On-site
$28.25 - $37.25/hr
HEDIS Nurse - (CCBHC Program)Who We Are Welcome to MiSide, a Community Impact Network dedicated to ... Support outreach efforts to improve client engagement and compliance * Monitor quality dashboards ...
Manhattan, NY · On-site
Support efficient medical record retrieval for HEDIS medical record review and HEDIS supplemental ... Perform daily telephonic outreach to secure appointments with pharmacists and/or vendors to close ...
Manhattan, NY · On-site
Support efficient medical record retrieval for HEDIS medical record review and HEDIS supplemental ... Perform daily telephonic outreach to secure appointments with pharmacists and/or vendors to close ...
Lead the development of predictive models to identify members at risk of care gaps and prioritize outreach opportunities. * Perform advanced statistical analyses to uncover drivers of HEDIS ...
Lead the development of predictive models to identify members at risk of care gaps and prioritize outreach opportunities. * Perform advanced statistical analyses to uncover drivers of HEDIS ...
Harrisburg, PA · On-site +1
$83K/yr
Lead the development of predictive models to identify members at risk of care gaps and prioritize outreach opportunities. * Perform advanced statistical analyses to uncover drivers of HEDIS ...
Harrisburg, PA · On-site +1
$83K/yr
Lead the development of predictive models to identify members at risk of care gaps and prioritize outreach opportunities. * Perform advanced statistical analyses to uncover drivers of HEDIS ...
Harrisburg, PA · On-site
$83K - $157K/yr
Lead the development of predictive models to identify members at risk of care gaps and prioritize outreach opportunities. * Perform advanced statistical analyses to uncover drivers of HEDIS ...
Harrisburg, PA · On-site
$83K - $157K/yr
Lead the development of predictive models to identify members at risk of care gaps and prioritize outreach opportunities. * Perform advanced statistical analyses to uncover drivers of HEDIS ...
Jacksonville, FL · On-site
$28 - $37/hr
This positon is also responsible for assisting Manager, Outreach & Interventions operationalize all initiatives to improve our HEDIS performance by working with internal and external stakeholders.
Jacksonville, FL · On-site
$28 - $37/hr
This positon is also responsible for assisting Manager, Outreach & Interventions operationalize all initiatives to improve our HEDIS performance by working with internal and external stakeholders.
Winter Haven, FL · On-site
$26.50 - $35/hr
Title: HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt ... Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, ...
Winter Haven, FL · On-site
$26.50 - $35/hr
Title: HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt ... Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, ...
Winter Haven, FL · On-site
$26.50 - $35/hr
Title: HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt ... Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, ...
Winter Haven, FL · On-site
$26.50 - $35/hr
Title: HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt ... Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, ...
Winter Haven, FL · On-site
$26.50 - $35/hr
Title: HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt ... Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, ...
Winter Haven, FL · On-site
$26.50 - $35/hr
Title: HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt ... Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, ...
$26.50 - $35/hr
Title: HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt ... Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, ...
$26.50 - $35/hr
Title: HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt ... Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, ...
Winter Haven, FL · On-site
$26.50 - $35/hr
Title: HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt ... Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, ...
Winter Haven, FL · On-site
$26.50 - $35/hr
Title: HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt ... Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, ...
Oklahoma City, OK · On-site
$48K - $65K/yr
Telephonic outreach to close HEDIS gaps for Medicaid pediatric population * Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access ...
Oklahoma City, OK · On-site
$48K - $65K/yr
Telephonic outreach to close HEDIS gaps for Medicaid pediatric population * Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access ...
Oklahoma City, OK · On-site +1
$48K - $65K/yr
Telephonic outreach to close HEDIS gaps for Medicaid pediatric population * Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access ...
Oklahoma City, OK · On-site +1
$48K - $65K/yr
Telephonic outreach to close HEDIS gaps for Medicaid pediatric population * Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access ...
Oklahoma City, OK · On-site +1
$48K - $65K/yr
Telephonic outreach to close HEDIS gaps for Medicaid pediatric population * Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access ...
Oklahoma City, OK · On-site +1
$48K - $65K/yr
Telephonic outreach to close HEDIS gaps for Medicaid pediatric population * Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access ...
Oklahoma City, OK · On-site +1
$48K - $65K/yr
Telephonic outreach to close HEDIS gaps for Medicaid pediatric population * Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access ...
Oklahoma City, OK · On-site +1
$48K - $65K/yr
Telephonic outreach to close HEDIS gaps for Medicaid pediatric population * Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access ...
Orlando, FL · On-site
Provides communication such as newsletter articles, member education, outreach interventions and ... Can be RN/LPN / Medical Coder / Medical Records Specialist * 3+ years experience with HEDIS ...
Orlando, FL · On-site
Provides communication such as newsletter articles, member education, outreach interventions and ... Can be RN/LPN / Medical Coder / Medical Records Specialist * 3+ years experience with HEDIS ...
$30K - $38.8K
3% of jobs
$38.8K - $47.5K
8% of jobs
$56.1K is the 25th percentile. Wages below this are outliers.
$47.5K - $56.3K
14% of jobs
$56.3K - $65.1K
12% of jobs
The median wage is $73.5K / yr.
$65.1K - $73.9K
14% of jobs
$73.9K - $82.6K
9% of jobs
$82.6K - $91.4K
6% of jobs
$91.4K - $100.2K
4% of jobs
$100.2K - $109K
2% of jobs
$115.5K is the 75th percentile. Wages above this are outliers.
$109K - $117.7K
3% of jobs
$117.7K - $126.5K
24% of jobs
$30K
$85.7K
$126.5K
A HEDIS Outreach job involves contacting patients, providers, or healthcare organizations to collect and verify data for the Healthcare Effectiveness Data and Information Set (HEDIS). This role helps ensure accurate reporting of quality care measures used by health plans to assess performance. Responsibilities may include scheduling appointments, retrieving medical records, and educating members about preventive care. Strong communication skills and attention to detail are essential for success in this role.
A typical day for a HEDIS Outreach professional involves contacting patients by phone, mail, or digital platforms to encourage completion of screenings and preventive care services, as well as collaborating with healthcare providers to gather necessary medical documentation. You’ll review patient records, track progress toward quality metrics, and document outreach efforts in compliance with data privacy regulations. The role often requires balancing independent work with teamwork among clinical and administrative staff. Accurate record-keeping, proactive communication, and cultural competence help ensure success in meeting outreach goals and supporting overall healthcare quality improvement.
To thrive as a HEDIS Outreach professional, you need an understanding of healthcare quality measures, population health, and medical record review, often supported by a background in healthcare administration or nursing. Familiarity with HEDIS software platforms, electronic health records (EHRs), and HIPAA compliance is commonly required. Strong communication, organizational skills, and cultural sensitivity are crucial for effectively engaging patients and collaborating with care teams. These competencies are essential for ensuring accurate data collection, successful member outreach, and meeting quality improvement goals.

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.
Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.
Duration: 3+ months contract, This is a Temp-to-Perm position
Shift: Any 8 hours between 8 am - 6 pm - Monday through Friday only, no OT.
Requirements/Certifications:
Strong written and verbal communication skills, Microsoft Office Products (Word- copy and paste, print, table formatting, and saving.
Excel - inputting data, cell formatting, borders, format number and cell styles, be able to sort and filter lists, and saving; Outlook--emails and calendar).
HEDIS experience, facilitation experience, provider outreach experience, ability to multi-task, owning and accountable for provider sites.
A minimum of 2-4 years of Managed Care experience within the Healthcare industry.
2 years of HEDIS medical record collection and abstraction.
License Required: LPN or RN for state of IL .
Duties:
Sending out fax requests for medical records.
Receiving medical records via fax or mail, filing, scanning, and uploading medical records.
Basic medical retrieval calling into offices or driving to provider offices to pick up records.
Description:
Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification,
collection and abstraction of medical records and other data in collaboration with other HEDIS staff.
Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing,
review of records submitted by providers and the annual HEDIS medical record review.
LPN or RN for state of IL
All your information will be kept confidential according to EEO guidelines.
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996