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Hedis Outreach Jobs (NOW HIRING)

Actalent

Hedis Specialist

Victorville, CA

$27.66 - $29.07/hr

HEDIS LVN Case Manager / HEDIS Specialist The HEDIS LVN Case Manager / HEDIS Specialist supports ... outreach, and detailed documentation review. * Perform accurate and thorough medical record ...

Integrated Resources

HEDIS RN/LPN

Jacksonville, FL · On-site

$28 - $37/hr

This position is also responsible for assisting Manager, Outreach & Interventions operationalize all initiatives to improve our HEDIS performance by working with internal and external stakeholders.

MISIDE

Registered Nurse (HEDIS)

Detroit, MI · On-site

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 ...

Integrated Resources INC

HEDIS RN/LPN

Jacksonville, FL

$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.

Actalent

HEDIS LVN Case Manager

Victorville, CA

$27.66 - $29.07/hr

HEDIS LVN Case Manager / HEDIS Specialist The HEDIS LVN Case Manager / HEDIS Specialist supports ... outreach, and detailed documentation review. * Perform accurate and thorough medical record ...

Pacer Group

HEDIS Data Reviewer

HEDIS Data Reviewer The HEDIS Data Reviewer is responsible for performing high-volume, detail ... outreach, phone calls, fax or letter follow-up, and chart retrieval requests as assigned. * Manage ...

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 ... outreach, phone calls, fax or letter follow-up, and chart retrieval requests as assigned. * Manage ...

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$30K

$85.7K

$126.5K

How much do hedis outreach jobs pay per year?

As of Aug 25, 2026, the average yearly pay for hedis outreach in the United States is $85,696.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $126,000.00 per year, depending on experience, location, and employer.

What is a HEDIS Outreach?

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.

What does a HEDIS Outreach do?

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.

What are the key skills and qualifications needed to thrive in the HEDIS Outreach position?

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.

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Hedis Outreach jobs near you
Infographic showing various Hedis Outreach job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, 13% Part Time, and 1% Contract. Highlights an 82% Physical, 2% Hybrid, and 16% Remote job distribution, with an average salary of $85,696 per year, or $41.2 per hour.

Quality & HEDIS Outreach Specialist - Remote to Indiana

Professional Management Enterprises

Indianapolis, IN • On-site

$20 - $24/hr

Full-time

Medical, Dental, Vision, PTO

Posted 14 days ago

Job description

Description:Quality & HEDIS Outreach Specialist
Position Summary

BKG Enterprises is seeking a Quality & HEDIS Outreach Specialist to support Medicaid quality improvement and member health outcome initiatives. This position will focus on reviewing and validating member data, identifying gaps in care, supporting HEDIS and other quality campaigns, conducting targeted member outreach, and tracking outcomes.

The ideal candidate is detail-oriented, comfortable working with healthcare data and reports, and able to turn information into actionable outreach that supports improved member health outcomes.


Hours: Monday - Friday 8-5

Pay: $20-24/hr

Benefits: Health, Dental, Vision

80 hours of PTO

10 paid holidays


Key Responsibilities
  • Review and validate member lists, gaps-in-care reports, and other healthcare data used for outreach campaigns.
  • Identify members with open preventive, chronic care, or other quality-related needs.
  • Support HEDIS, Core Set, immunization, pharmacy adherence, health needs screening, and other quality improvement initiatives.
  • Identify trends, inconsistencies, and opportunities within member and outreach data.
  • Prepare and organize targeted outreach lists based on program and health plan priorities.
  • Identify members who have been difficult to engage and support targeted strategies to reach them.
  • Conduct member outreach when needed to assist with closing identified gaps in care.
  • Assist members with scheduling preventive, wellness, follow-up, and other needed healthcare appointments.
  • Support gap closure activities including immunizations, A1c testing, lead testing, blood pressure screenings, telehealth appointments, and other identified health needs.
  • Track outreach attempts, successful contacts, interventions, appointments, and outcomes.
  • Maintain accurate and timely documentation within designated systems.
  • Assist with weekly, monthly, and quarterly reporting of outreach activity, campaign performance, and health outcomes.
  • Collaborate with BKG leadership and health plan partners to adjust priorities based on changing quality initiatives.
  • Maintain compliance with HIPAA, Medicaid requirements, approved processes, and company policies.

Key Measures of Success
  • Accuracy of member and gaps-in-care data.
  • Completion of assigned campaigns.
  • Successful member engagement.
  • Care gaps closed through outreach.
  • Appointment scheduling and completion.
  • Accurate and timely documentation.
  • Contribution toward HEDIS and other quality improvement goals.
  • Timely and accurate reporting.
Requirements:Qualifications
  • Previous experience in healthcare quality, HEDIS, population health, managed care, Medicaid, healthcare operations, or healthcare data preferred.
  • Experience working with gaps-in-care reports, member data, healthcare reports, or quality measures preferred.
  • Strong Excel and data management skills.
  • Strong attention to detail and ability to identify trends and inconsistencies.
  • Ability to interpret data and translate findings into actionable next steps.
  • Strong organizational and analytical skills.
  • Strong written and verbal communication skills.
  • Ability to manage multiple priorities and outreach campaigns.
  • Experience with electronic health plan, care management, CRM, or similar systems preferred.
  • Knowledge of HIPAA and handling confidential healthcare information.