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Hedis Rn Jobs in Pennsylvania (NOW HIRING)

The CKHobbie Group

Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the ...

Pyramid Corporation

Registered Nurse

Philadelphia, PA · On-site

Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...

Pyramid Consulting

Registered Nurse

Philadelphia, PA · On-site

Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...

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Hedis Rn information

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$34

$47

How much do hedis rn jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for hedis rn in Pennsylvania is $34.46, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $38.56 per hour, depending on experience, location, and employer.

What is a HEDIS RN?

HEDIS RNs, or Healthcare Effectiveness Data and Information Set Registered Nurses, are specialized nurses who review medical records to ensure healthcare organizations are meeting quality measures set by HEDIS. They collect, analyze, and report data related to patient care and outcomes, helping healthcare providers improve performance and comply with industry standards. HEDIS RNs play a critical role in quality assurance, working with both clinical teams and data analysts to ensure accurate reporting and better patient care.

What are some common challenges HEDIS RNs face during the annual reporting cycle?

HEDIS RNs often encounter challenges such as tight deadlines, managing large volumes of medical records, and ensuring data accuracy during the annual reporting cycle. Coordinating with various healthcare providers to obtain complete documentation can be time-consuming and sometimes requires persistent follow-up. Additionally, adapting to frequent updates in HEDIS measures and reporting requirements demands ongoing learning and flexibility. Despite these challenges, HEDIS RNs play a crucial role in improving healthcare quality by ensuring accurate and timely reporting.

What are the key skills and qualifications needed to thrive as a HEDIS RN, and why are they important?

To thrive as a HEDIS RN, you need a solid background in nursing, strong clinical review skills, and familiarity with healthcare quality measures, typically supported by an RN license. Experience with HEDIS software, electronic health records (EHRs), and data abstraction tools is highly valuable. Attention to detail, analytical thinking, and effective communication enable you to accurately review patient records and collaborate with providers. These skills are crucial for ensuring accurate data collection, supporting quality improvement initiatives, and maintaining compliance with healthcare standards.

What is the difference between Hedis Rn vs Hedis Lpn?

AspectHedis RnHedis Lpn
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentHospitals, clinics, insurance companiesLong-term care facilities, clinics, home health
Industry UsageHealthcare, insurance, quality assurance

Hedis Rn and Hedis Lpn both work in healthcare quality and compliance, focusing on HEDIS measures. RNs typically have more advanced training and perform more complex assessments, while LPNs handle routine data collection and support tasks. Both roles are essential in ensuring accurate HEDIS reporting, but RNs often have broader responsibilities and higher credential requirements.

What are popular job titles related to Hedis Rn jobs in Pennsylvania? For Hedis Rn jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Hedis Rn jobs in Pennsylvania look for? The top searched job categories for Hedis Rn jobs in Pennsylvania are:
Hedis Rn jobs near you
Infographic showing various Hedis Rn job openings in Pennsylvania as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $71,672 per year, or $34.5 per hour.

Registered Nurse (RN) - HEDIS Abstraction Specialist (Remote - Pennsylvania)

The CKHobbie Group

On-site, Remote

Full-time

Re-posted 24 days ago

Job description


This is a remote position.
Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the home office is based in Harrisburg, this position is fully virtual and open to candidates located anywhere within the state. This role offers a unique opportunity for experienced RNs who are looking to step away from bedside care and apply their clinical expertise in a focused, data-driven environment that directly influences patient outcomes and healthcare performance.
In this role, you will be responsible for reviewing and abstracting clinical data from medical records in accordance with HEDIS (Healthcare Effectiveness Data and Information Set) measures. You will analyze documentation related to preventive care, chronic disease management, and behavioral health services, ensuring all information is accurately captured and compliant with NCQA guidelines and measure specifications. Your clinical judgment and attention to detail will be essential in interpreting complex medical records and ensuring the integrity of reported data.
You will utilize abstraction tools and electronic medical record systems to document findings while meeting strict productivity and quality benchmarks. This includes maintaining audit readiness, ensuring a high level of accuracy, and consistently meeting deadlines during peak reporting periods. The work you perform directly impacts healthcare quality scores, reimbursement, and public reporting, making your contribution vital to both patient care recognition and organizational success.
Collaboration is also a key component of this position. You will work closely with healthcare providers, health plans, and internal quality teams to resolve discrepancies and clarify documentation when needed. Simultaneously, the role offers a high level of independence, allowing you to manage your workflow in a structured remote environment while maintaining performance expectations.
This position is ideal for Registered Nurses seeking greater flexibility, a predictable schedule, and the opportunity to leverage their clinical knowledge in a non-patient-facing role. It provides exposure to healthcare quality improvement, compliance, and population health, helping you build specialized skills that are highly valued across the healthcare industry.
Qualified candidates must hold an active RN license and have a strong understanding of medical terminology, clinical documentation, and healthcare data. Experience with electronic medical records and familiarity with coding systems such as ICD-10 and CPT are highly preferred. The ideal candidate is detail-driven, organized, and comfortable working independently in a fully remote environment while maintaining high standards of accuracy and productivity.

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