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Hedis Review Jobs in Indiana (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Indianapolis, IN · On-site +1

$600 - $720/day

Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II codes * Deliver clear care plans and follow-up guidance

ChenMed

Front Desk Receptionist

Roselawn, IN

$20.42/hr

Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled patients ... Reviews patients' personal and appointment information for completeness and accuracy. * Transmits ...

New

She Recruits LLC

Primary Care Physician

New Albany, IN · On-site

$205K - $300K/yr

Regularly review patient data and medical records to monitor and improve health outcomes. * Work ... Familiarity with Medicare guidelines, HEDIS metrics, and coordinated care best practices. What We ...

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All JobsHedis Review JobsHedis Review Jobs in Indiana

Hedis Review information

See Indiana salary details

$19

$32

$45

How much do hedis review jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for hedis review in Indiana is $32.71, according to ZipRecruiter salary data. Most workers in this role earn between $27.69 and $36.59 per hour, depending on experience, location, and employer.

What is a HEDIS review?

A HEDIS Review is an evaluation process used by healthcare organizations to assess their performance on specific quality measures developed by the National Committee for Quality Assurance (NCQA). HEDIS, which stands for Healthcare Effectiveness Data and Information Set, involves reviewing patient records and data to ensure compliance with national standards of care. The review helps organizations identify areas for improvement, maintain accreditation, and provide high-quality care to their members. HEDIS Reviews are crucial for health plans to demonstrate their commitment to quality and to compare their performance with other plans.

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

To thrive as a HEDIS Reviewer, you need a solid understanding of healthcare quality measurement, medical record abstraction, and familiarity with HEDIS guidelines, typically supported by a clinical background such as RN, LPN, or coding certification. Proficiency with electronic medical records (EMR), HEDIS software tools, and data management systems is essential. Strong attention to detail, analytical thinking, and effective communication are crucial soft skills for accurately interpreting data and collaborating with healthcare teams. These skills ensure precise and reliable data collection and reporting, which are vital for healthcare quality improvement and regulatory compliance.

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

HEDIS Reviewers often encounter challenges such as incomplete medical records, tight reporting deadlines, and the need to accurately interpret complex clinical documentation. To address these, it's important to develop strong communication skills for collaborating with providers, maintain excellent attention to detail, and stay organized to manage multiple cases effectively. Additionally, ongoing training on HEDIS measures and proficiency with electronic health record systems can help reviewers improve accuracy and efficiency in their work.

What is the difference between Hedis Review vs Hedis Nurse?

AspectHedis ReviewHedis Nurse
CredentialsTypically requires knowledge of HEDIS measures, healthcare data analysisRN license, clinical experience, familiarity with HEDIS
Work EnvironmentOffice-based, data review, and analysisClinical settings, patient interactions, chart reviews
Employer & IndustryHealth plans, healthcare analytics companiesHospitals, clinics, health insurance companies
Primary FocusReviewing and analyzing healthcare data for complianceProviding direct patient care and clinical assessments

The main difference is that Hedis Review roles focus on analyzing healthcare data and ensuring compliance with HEDIS measures, often in an office setting. Hedis Nurses, on the other hand, are clinical professionals providing patient care and conducting chart reviews, with a focus on clinical assessments and documentation.

How to become a Hedis Review?

To become a Hedis reviewer, candidates typically need experience in healthcare or medical coding, strong attention to detail, and familiarity with HEDIS measures. Certification in medical coding or healthcare quality programs can enhance prospects, and understanding of data analysis tools is beneficial. The role often requires working in healthcare settings or remotely, with a focus on accuracy and compliance.

How to become a Hedis reviewer?

To become a Hedis reviewer, candidates typically need experience in healthcare or medical record review, strong attention to detail, and familiarity with HEDIS measures. Some positions may require certification or training in healthcare quality or coding. Reviewing job postings can provide specific qualification requirements for this role.

What does a Hedis Review do?

A HEDIS review involves evaluating healthcare data to ensure compliance with quality measures set by the Healthcare Effectiveness Data and Information Set (HEDIS). The review typically includes analyzing patient records, coding accuracy, and documentation to improve healthcare quality and meet regulatory standards. It often requires knowledge of medical coding, clinical guidelines, and data analysis tools.

What are popular job titles related to Hedis Review jobs in Indiana?

For Hedis Review jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Hedis Review jobs in Indiana look for?

The top searched job categories for Hedis Review jobs in Indiana are:

Hedis Review jobs near you
Infographic showing various Hedis Review job openings in Indiana as of August 2026, with employment types broken down into 78% Full Time, and 22% Part Time. Highlights an 84% In-person, and 16% Remote job distribution, with an average salary of $68,037 per year, or $32.7 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 10 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.