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Hedis Service Jobs (NOW HIRING)

Healthcare Support Staffing

HEDIS Specialist

Troy, MI

$35 - $40/hr

Identifies member service gaps based on data loaded in the MHI HEDIS application. * Collects medical records and reports from provider offices based on member needed services reports and gaps and ...

Healthcare Support Staffing

Remote HEDIS Specialist

OR · Remote

Identifies member service gaps based on data loaded in the MHI HEDIS application. Collects medical records and reports from provider offices based on member needed services reports and gaps and loads ...

Integrated Resources INC

HEDIS NURSE

New York, NY

$33 - $43.75/hr

Must have good communication skills to interface with United Health Services personnel and be very detailed oriented. This position is responsible for HEDIS data collection and reports to the Quality ...

MISIDE

Registered Nurse (HEDIS)

Detroit, MI

$28.25 - $37.25/hr

HEDIS Nurse - (CCBHC Program)Who We Are Welcome to MiSide, a Community Impact Network dedicated to ... One trusted full-service partner people of all ages and backgrounds can go to for help with ...

Integrated Resources INC

HEDIS Record Reviewer

Milwaukee, WI

$29.75 - $39.50/hr

IRI has built its reputation on excellent service and integrity since its inception in 1996. Our ... The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for ...

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How much do hedis service jobs pay per hour?

As of Jun 28, 2026, the average hourly pay for hedis service 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 some common challenges faced by professionals working in a HEDIS Service role?

Professionals in HEDIS Service roles often encounter challenges such as managing large volumes of patient medical records and ensuring data accuracy under tight deadlines, especially during the annual HEDIS reporting season. Staying updated with changing HEDIS measures and compliance requirements can also be demanding. Additionally, effective collaboration with healthcare providers and internal quality teams is essential to resolve data gaps and improve the completeness of records. Successful professionals are detail-oriented, organized, and comfortable navigating electronic health record systems.

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

To thrive as a HEDIS Service professional, you need a solid understanding of healthcare quality measures, data abstraction, and medical record review, often supported by experience in nursing, health information management, or related fields. Familiarity with HEDIS software platforms, electronic medical records (EMR), and sometimes certification in HEDIS or coding (such as CPC or RHIT) is valuable. Strong attention to detail, analytical thinking, and effective communication are important soft skills for ensuring accurate data collection and collaboration with healthcare teams. These skills and qualifications are crucial for supporting quality improvement initiatives and ensuring compliance with regulatory standards in healthcare organizations.

What is the difference between Hedis Service vs Hedis Coordinator?

AspectHedis ServiceHedis Coordinator
CredentialsTypically requires healthcare or case management certificationsRequires similar certifications, often with additional care coordination training
Work EnvironmentHealthcare facilities, insurance companies, or managed care organizationsHealthcare settings, community health programs, or insurance providers
Employer & Industry UsageUsed by Medicaid/Medicare plans and healthcare providers for quality reportingEmployed by healthcare organizations to coordinate and monitor HEDIS data collection

Hedis Service professionals focus on implementing and managing HEDIS measures, while Hedis Coordinators primarily oversee data collection and ensure compliance. Both roles require healthcare knowledge and certification, but their responsibilities differ in scope and focus within the healthcare industry.

What are HEDIS services?

HEDIS services refer to activities and processes related to the Healthcare Effectiveness Data and Information Set (HEDIS), a widely used set of performance measures in the healthcare industry. These services typically involve data collection, reporting, and analysis to help health plans measure and improve the quality of care they provide to members. HEDIS services may include medical record review, data abstraction, quality reporting, and support for compliance with regulatory requirements. The goal is to ensure health plans meet industry standards and improve patient outcomes.
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What job categories do people searching Hedis Service jobs look for? The top searched job categories for Hedis Service jobs are:
Hedis Service jobs near you
HEDIS Specialist

HEDIS Specialist

Integrated Resources INC

Chicago, IL

Full-time

Posted 12 days ago

Job description

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.

Essential Functions:

  • Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
  • Participates in meetings with vendors for the medical record collection process.
  • Assists Manager with medical record vendor oversight.
  • Assists Manager in training abstractor staff and participates in the medical record IRR.
  • Identifies member service gaps based on data loaded in the HEDIS application.
  • Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.
  • Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.
  • Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.
  • Assists the QI staff with physician and member interventions and incentive efforts as needed.
  • Provides data collection and report development support for Quality Improvement studies and performance improvement projects.
  • Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.

Knowledge/Skills/Abilities:

  • Proficient with PC-based systems and the ability to learn new information systems and software programs.
  • Ability to work with large files and data sets.
  • Basic understanding of Health Plan billing practices and information systems.
  • Strong communication and teaming/interpersonal skills; strong leadership capabilities.
  • Ability to initiate and maintain cross-team relationships.
  • Excellent verbal and written communication skills.
  • Ability to abide by policies.
  • Maintain regular attendance based on agreed-upon schedule.
  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
Qualifications
  • State Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified Medical Record Technician with training in coding procedures.

Required Experience:

  • 5+ years coding and medical record abstraction experience.
  • 5+ years managed care experience.
  • Basic knowledge of HEDIS and NCQA.

Required Licensure/Certification:

  • Licensed LVN/LPN, Registered Health Information Technician (RHIT), or Certified Medical Record Technicians.
Additional Information

Kind Regards,

Kavita Kumari

Clinical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

DIRECT # - 732-844-8726

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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