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Hedis Review Jobs in Indiana (NOW HIRING)

Conduct comprehensive medication reviews and assessments. * Provide medication therapy management ... Support quality metric improvement initiatives, including HEDIS, STAR, and value-based care ...

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Hedis Review information

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$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:

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.

Ambulatory Care Pharmacist

Bloomington, IN

Mc Cordsville, IN โ€ข On-site

Other

Retirement

Posted 2 days ago

New


Job description

Ambulatory Care Pharmacist

We are looking for team members who are passionate about challenging and significant work for the good of every patient. We are searching for individuals who are compassionate, serve with a purpose, are dedicated to supporting their team, and who seek excellence every day.

As Indiana's largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer:

  • 401(K) retirement savings with employer match
  • Tuition reimbursement
  • Student loan forgiveness - Government program that may allow qualifying participants to have the remainder of their student loan balance forgiven (after a set amount of time and specific qualifications have been met).
  • Employee Assistance Program โ€“ Counseling at no cost to you
  • Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck! The more you participate, the more you earn!

The Ambulatory Care Pharmacist is an integral member of the primary care team, providing comprehensive medication management services to optimize patient outcomes. Working collaboratively with physicians, advanced practice providers, nurses, and other healthcare professionals, this role focuses on chronic disease state management, medication optimization, patient education, and population health initiatives. The pharmacist will provide direct patient care in both the McCordsville and Fishers Primary Care clinics under collaborative practice agreements and organizational protocols.

Direct Patient Care:

  • Conduct comprehensive medication reviews and assessments.
  • Provide medication therapy management for patients with chronic conditions including, but not limited to: Diabetes, Hypertension, Hyperlipidemia, Heart failure, Chronic kidney disease, Anticoagulation management, Obesity and weight management.
  • Initiate, adjust, and monitor medication therapy in accordance with collaborative practice agreements and evidence-based guidelines.
  • Order and interpret laboratory tests as authorized.
  • Educate patients and caregivers regarding medications, disease states, treatment goals, and self-management strategies.
  • Monitor therapeutic outcomes and medication adherence.

Collaborative Care:

  • Partner closely with primary care providers to develop and implement individualized treatment plans.
  • Participate in interdisciplinary team meetings and care coordination activities.
  • Provide drug information and medication-related recommendations to healthcare team members.
  • Support transitions of care and medication reconciliation efforts.

Population Health & Quality Improvement:

  • Identify and manage high-risk patient populations.
  • Support quality metric improvement initiatives, including HEDIS, STAR, and value-based care measures.
  • Utilize electronic health record and population health tools to identify care gaps and recommend interventions.
  • Contribute to clinic and system-wide quality improvement projects.

Documentation & Compliance:

  • Document patient encounters accurately and timely within the electronic medical record.
  • Maintain compliance with state and federal regulations, organizational policies, and collaborative practice agreements.
  • Support departmental reporting and outcomes tracking.

Required:

  • Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy.
  • Active pharmacist license in the State of Indiana, or eligibility for licensure.
  • Completion of a PGY1 Pharmacy Residency or equivalent ambulatory care experience.
  • Strong clinical knowledge in chronic disease state management.
  • Excellent communication, patient counseling, and interdisciplinary collaboration skills.

Preferred:

  • PGY2 Ambulatory Care Residency.
  • Board Certified Ambulatory Care Pharmacist (BCACP) or other applicable board certification.
  • Experience practicing in a primary care or ambulatory care setting.
  • Experience operating under collaborative practice agreements.

2 days per week: McCordsville Primary Care

3 days per week: Fishers Primary Care, Fishers Hospital Medical Office Building

Schedule may be adjusted based on patient care needs, clinic volume, and organizational priorities.

Clinical expertise, Patient-centered care, Team collaboration, Critical thinking and decision-making, Quality improvement mindset, Effective communication, Organizational and time management skills

We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.