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Hedis Quality Jobs (NOW HIRING)

Managed Staffing

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

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 ...

Managed Staffing

HEDIS Reviewer

MI · Remote

$44 - $45/hr

HEDIS Reviewer III (Medical Record Review Abstractor) to support HEDIS quality reporting. This role involves reviewing and abstracting clinical information from medical records, annotating via Adobe ...

S & S Management

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HEDIS/Risk Adjustment Coordinator

Alhambra, CA · On-site

$22 - $24/hr

A HEDIS/Risk Adjustment Coordinator is a healthcare quality and data-management professional who helps health plans, medical groups, and provider organizations improve quality scores and ensure ...

S & S Management

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HEDIS/Risk Adjustment Coordinator

Alhambra, CA · On-site

$22 - $24/hr

A HEDIS/Risk Adjustment Coordinator is a healthcare quality and data-management professional who helps health plans, medical groups, and provider organizations improve quality scores and ensure ...

Lumeris, Inc.

Principal Quality Analytics Lead

Principal Quality Analytics Lead Position Summary: Responsible for designing, building, validating ... Design, build, and maintain CMS-aligned Stars/HEDIS analytic assets, including dashboards, data ...

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Hedis Quality information

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$41K

$89.4K

$131K

How much do hedis quality jobs pay per year?

As of Jun 22, 2026, the average yearly pay for hedis quality in the United States is $89,385.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,500.00 and $105,000.00 per year, depending on experience, location, and employer.

How to become a HEDIS reviewer?

To become a HEDIS reviewer, candidates typically need a background in healthcare, nursing, or medical coding, along with knowledge of HEDIS measures and quality improvement processes. Certification in medical coding or healthcare quality, such as CPC or CHC, can enhance prospects. Strong analytical skills and familiarity with electronic health records (EHR) systems are also beneficial.

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

To succeed in a HEDIS Quality role, candidates should have a solid background in healthcare data analysis, knowledge of HEDIS measures, and experience with medical records review—often supported by a degree in nursing, health information management, or a related field. Familiarity with data abstraction tools, EHR systems, and HEDIS software platforms is typically required, and certification such as RHIT or RN licensure may be preferred. Strong attention to detail, analytical thinking, and effective communication skills distinguish top performers in this position. These competencies are crucial for ensuring accurate data collection, compliance, and collaboration with clinical and quality teams to improve healthcare outcomes.

What is a HEDIS Quality job?

A HEDIS Quality job involves reviewing, collecting, and analyzing healthcare data to ensure compliance with HEDIS (Healthcare Effectiveness Data and Information Set) measures. Professionals in this role work with medical records, conduct audits, and collaborate with healthcare teams to improve quality scores. They help identify gaps in care and ensure accurate reporting for health plans and providers. Strong attention to detail, knowledge of healthcare regulations, and experience with data management are typically required.

What jobs pay $10,000 a month without a degree?

Hedis Quality roles typically require specialized knowledge of healthcare quality measures and may not reach $10,000 monthly without relevant experience or certifications. High-paying jobs that do not require a degree often include sales, real estate, or skilled trades like plumbing or electrical work, which depend on skills and experience rather than formal education. Achieving such income levels usually involves entrepreneurship, commission-based roles, or advanced certifications in specific fields.

What jobs pay 2000 a day?

Jobs related to HEDIS quality, such as senior healthcare consultants or specialized auditors, can sometimes pay around $2,000 per day, especially for highly experienced professionals with certifications like NCQA HEDIS or in consulting roles. These positions often require extensive expertise, strong analytical skills, and the ability to work independently or remotely. Compensation varies based on experience, location, and the complexity of the work performed.

What are some typical daily responsibilities of a HEDIS Quality professional?

As a HEDIS Quality professional, your daily tasks often include reviewing and abstracting medical records, ensuring the accuracy of data collection for HEDIS measures, and collaborating with healthcare providers to clarify documentation. You'll frequently use specialized software systems to enter and track quality metrics, communicate findings to various stakeholders, and help develop strategies to close gaps in care. This role typically involves both independent work and teamwork with clinical, quality improvement, and IT staff. Consistent attention to deadlines and regulatory requirements is required to help your organization achieve high performance in quality ratings.

What jobs will no longer exist in 2030?

Hedis Quality roles, which focus on healthcare quality measurement and compliance, are less likely to disappear entirely by 2030 but may evolve due to advancements in health data analytics and automation. Some manual or administrative healthcare jobs could decline as technology automates data collection and reporting tasks, requiring professionals to adapt by developing skills in health informatics and data analysis.
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Hedis Quality jobs near you
HEDIS Reviewer / HEDIS Quality

HEDIS Reviewer / HEDIS Quality

Managed Staffing

TX • Remote

$34 - $35/hr

Contractor

Posted 17 days ago

Be an early applicant

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).