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Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · On-site

$27 - $33/hr

HEDIS Abstractor Department: Quality - Quality Care Improvement Employment Type: Full Time Location ... Certified Professional Coder (CPC), RHIT, RHIA, LVN/LPN, RN, or other healthcare-related ...

Healthcare Support Staffing

Remote HEDIS Specialist

OR · Remote

Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico Licensed RN/LVN/LPN HEDIS knowledge Ability to read and understand medical records Independent and able ...

Integrated Resources INC

HEDIS Specialist

Chicago, IL · On-site

State Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified ... Basic knowledge of HEDIS and NCQA. Required Licensure/Certification : * Licensed LVN/LPN, ...

Integrated Resources INC

HEDIS Record Reviewer

Milwaukee, WI · On-site

$29.75 - $39.50/hr

Qualifications State of Wisconsin licensed RN Previous experience with HEDIS Medical Record Review & Abstraction experience highly preferred Previous experience with medical records/familiarity with ...

Healthcare Support Staffing

HEDIS Nurse

Mason, OH

$28.50 - $37.50/hr

Candidate will work with the HEDIS team to collect member records and conduct reviews of these ... active RN or LPN/LVN license in the state of OH Prior experience with medical record review ...

Integrated Resources INC

HEDIS Specialist I

Houston, TX · On-site

HEDIS SPECIALIST I. DURATION: 3+ MONTHS. SHIFT TIMES 8:00 AM TO 5:00 PM MONDAY TO FRIDAY, SOME OT ... State Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified ...

Pyramid Consulting

Registered Nurse

Jersey City, NJ

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

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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How much do hedis rn jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for hedis rn in the United States is $34.38, according to ZipRecruiter salary data. Most workers in this role earn between $29.09 and $38.46 per hour, depending on experience, location, and employer.

What are HEDIS RNs?

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.

How to make $300,000 a year as a nurse?

Hedis RNs can reach a high salary by gaining specialized certifications, such as case management or quality assurance, and working in high-demand settings like insurance companies or healthcare consulting. Increasing experience, taking on leadership roles, and working overtime or in management positions can also boost earnings toward $300,000 annually.

What does a HEDIS RN do?

A HEDIS RN reviews and analyzes healthcare data to ensure compliance with HEDIS (Healthcare Effectiveness Data and Information Set) measures, which assess the quality of care provided by health plans. They often collect, audit, and report data, requiring knowledge of clinical guidelines and data management tools to support quality improvement initiatives.

How to make $150,000 as a nurse?

Hedis RNs can reach a $150,000 salary by gaining specialized certifications, such as case management or informatics, working in high-demand settings like hospitals or insurance companies, and accumulating extensive experience. Advanced roles, overtime, and leadership positions also contribute to higher earnings in nursing.

How can I become a HEDIS nurse?

To become a HEDIS nurse, typically you need to be a registered nurse (RN) with a valid license and gain experience in case management, quality improvement, or healthcare analytics. Certification in HEDIS or healthcare quality measures can enhance your qualifications, and familiarity with electronic health records (EHR) systems is often required.

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.

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What cities are hiring for Hedis Rn jobs? Cities with the most Hedis Rn job openings:
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Hedis Rn jobs near you
Infographic showing various Hedis Rn job openings in the United States as of June 2026, with employment types broken down into 51% Full Time, 16% Part Time, and 33% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $71,500 per year, or $34.4 per hour.
Abstractor, National HEDIS /Quality Improvement (Remote)

Abstractor, National HEDIS /Quality Improvement (Remote)

Molina Healthcare

Long Beach, CA • Remote

Full-time

Posted 18 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

147th of 261 rated insurance

Job description

JOB DESCRIPTION Job Summary

Provides support for Molina enterprise quality improvement abstraction activities.  Responsible for data collection and abstraction of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) and HEDIS-like initiatives and compliance, and supplemental data collection activities.  Meets chart abstraction productivity standards and minimum overread standards.

Essential Job Duties

Facilitates HEDIS medical record review, including ongoing review of records submitted by providers and the annual HEDIS medical record review process.
Participates in meetings with the national overread team, national quality training team, the regional HEDIS team, vendors and HEDIS auditors for quality/HEDIS review activities to coordinate medical records and quality-related initiatives.
Participates in meetings with vendors to enable the medical records collection process.
As needed, may collect medical records and reports from provider offices, load data into the HEDIS application, and compare documentation in the medical record to specifications to determine if preventive and diagnostic services have been correctly performed.
 

Required Qualifications

At least 2 years of experience in the health care industry, preferably in a quality-related role, or equivalent combination of relevant education and experience.
Basic knowledge and understanding of HEDIS and NCQA.
Attention to detail and organizational skills.
Ability to work independently in a fast-paced, deadline-driven environment.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency, and ability to learn new information systems and software programs.
 

Preferred Qualifications

Medical record abstraction experience.
Experience with HEDIS audits (including but not limited to chart collection, project management, etc.).
Managed care experience.
Intermediate knowledge related to HEDIS and National Committee for Quality Assurance (NCQA).
Registered Nurse (RN).  If licensed, licensed must be active and unrestricted in state of practice.
 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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