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Hedis Service Jobs (NOW HIRING)

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 ...

Healthcare Support Staffing

HEDIS RN / LPN

Baton Rouge, LA

$29 - $38.50/hr

HEDIS Operations combines talented individuals from many areas of quality, including HEDIS, CAHPS ... services Integrates data collected from a variety of electronic and paper sources Identifies ...

Integrated Resources INC

HEDIS RN/LPN

Trenton, NJ

$30.25 - $40/hr

IRI has built its reputation on excellent service and integrity since its inception in 1996. Our ... Trenton, New Jersey LPN Auditors for HEDIS Audit Season or Certified Coders need for HEDIS 2016 ...

Integrated Resources INC

HEDIS LPN RN

New York, NY

$33 - $43.75/hr

IRI has built its reputation on excellent service and integrity since its inception in 1996. Our ... HEDIS 2015 Record Collection- Temps to assist with record collection and data abstractions and/or ...

Integrated Resources INC

RN HEDIS /LPN

Trenton, NJ

$30.25 - $40/hr

IRI has built its reputation on excellent service and integrity since its inception in 1996. Our ... Trenton NJ Immediate interview Experience in HEDIS chart audits or medical records reviews LPN or ...

Integrated Resources INC

HEDIS RN/LPN

Jacksonville, FL

$28 - $37/hr

IRI has built its reputation on excellent service and integrity since its inception in 1996. Our ... HEDIS Nurse Location: Jacksonville, FL Duration: 5+ Months This positon is responsible for the ...

Ascension

HEDIS Performance Improvement Specialist

Austin, TX · Remote

$30 - $39.75/hr

Oversees complex HEDIS project lifecycles-including data analysis, medical record abstraction ... in service, growth, care and connection. We empower our 97,000+ associates to bring their skills ...

Integrated Resources INC

HEDIS RN/LPN

Newark, NJ · On-site

$31.75 - $41.75/hr

IRI has built its reputation on excellent service and integrity since its inception in 1996. Our ... HEDIS RN/LPN Duration: 4-6 Months contract Location: Newark, NJ Direct client: Immediate interview ...

Aegis Medical Group

Be Seen First

HEDIS Coordinator

Clermont, FL · On-site

$16.50 - $20/hr

The HEDIS Coordinator plays a crucial role in ensuring quality healthcare delivery within a primary ... We provide high-quality primary care services and specialty care. We are committed to delivering ...

Aegis Medical Group

Be Seen First

HEDIS Coordinator

Holiday, FL · On-site

$16.50 - $20/hr

The HEDIS Coordinator plays a crucial role in ensuring quality healthcare delivery within a primary ... We provide high-quality primary care services and specialty care. We are committed to delivering ...

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Hedis Service information

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$20

$34

$47

How much do hedis service jobs pay per hour?

As of Jul 20, 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 is a HEDIS job?

A HEDIS job involves working on the Healthcare Effectiveness Data and Information Set (HEDIS) measures, which are used to evaluate the quality of healthcare services. Roles often include data analysis, quality improvement, and reporting to ensure healthcare providers meet industry standards, typically requiring knowledge of healthcare data and compliance regulations.

What jobs pay 4000 a week without a degree?

Jobs related to Hedis Service typically do not pay $4,000 a week without specialized skills or certifications. High-paying roles that can reach this level without a degree often include sales, real estate, or certain entrepreneurial ventures, but these usually require experience, licensing, or a strong network. Most healthcare or technical positions with such pay levels generally require relevant training or credentials.

What healthcare jobs pay over $100k per year?

In healthcare, roles such as healthcare administrators, nurse anesthetists, and certain specialized physicians typically earn over $100,000 annually. These positions often require advanced degrees, certifications, and experience, and may involve leadership responsibilities or specialized clinical skills.

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 HEDIS jobs remote?

HEDIS jobs related to healthcare quality measurement can often be performed remotely, especially roles involving data analysis, chart review, and reporting. Many employers offer remote or hybrid options for these positions, which typically require familiarity with healthcare data, HEDIS measures, and relevant software tools.

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.
More about Hedis Service jobs
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
Infographic showing various Hedis Service job openings in the United States as of July 2026, with employment types broken down into 25% Internship, 1% As Needed, 18% Full Time, 1% Part Time, 50% Nights, and 5% Summer. Highlights an 78% Physical, 2% Hybrid, and 20% Remote job distribution, with an average salary of $71,500 per year, or $34.4 per hour.
HEDIS Utilization Review Nurse

HEDIS Utilization Review Nurse

Central Florida Health Care, Inc.

Winter Haven, FL • On-site

$26.50 - $35/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Central Florida Health Care rating

6.1

Company rating: 6.1 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Title: HEDIS Utilization Review Nurse
Reports to: Director of Managed Care
FLSA Status: Exempt
Personnel Supervised: None
POSITION SUMMARY:
The HEDIS Utilization Review Specialist is responsible for performing comprehensive reviews of medical records to collect data required for HEDIS reporting. This role supports quality improvement initiatives by identifying gaps in care, validating clinical documentation, and ensuring compliance with NCQA (National Committee for Quality Assurance) standards.
KEY RESPONSIBILITIES:
  • Review medical records and clinical data for HEDIS-specific measures.
  • Abstract and input accurate clinical data from electronic health records (EHRs) into reporting tools.
  • Identify and report documentation deficiencies or care gaps.
  • Collaborate with providers, coders, and clinical teams to ensure proper documentation and follow-up.
  • Assist in the coordination and execution of the annual HEDIS data collection cycle.
  • Maintain knowledge of current HEDIS specifications and regulatory updates.
  • Support audits and internal quality improvement initiatives related to clinical outcomes.
  • Ensure HIPAA compliance and confidentiality of patient information.

SKILLS:
  • Strong knowledge of HEDIS measures and NCQA guidelines.
  • Proficient in EHR systems and chart review processes.
  • Detail-oriented with strong analytical and organizational skills.
  • Excellent communication and collaboration abilities.

MINIMAL QUALIFICATIONS:
  • Education: RN, LPN, LVN, CMA.
  • Experience:
    • 2+ years of clinical experience in a healthcare setting.
    • Prior experience with HEDIS abstraction or utilization review strongly preferred.
  • License: Florida unrestricted license
  • BLS certification
  • Computer literacy

KNOWLEDGE AND SKILLS:
  1. Knowledge of current professional nursing theory, practice, and techniques
  2. Knowledge of current nursing practices in an outpatient primary care setting
  3. Knowledge of assessment of patient needs and services
  4. Knowledge of current professional nursing and pharmaceutical products, Universal Precautions, and emergency situations
  5. Knowledge of basic pathophysiology of diseases commonly managed in Family Medicine
  6. Knowledge of the application of nursing techniques (example: Triage, blood pressure monitoring, glucose monitoring, etc.)
  7. Knowledge of patient teaching and education (example: self-blood pressure monitoring, nutrition instruction, diabetes self-care instruction)
  8. Knowledge of general patient care and treatment procedures, equipment, rules, regulations, and ethics
  9. Knowledge of Utilization Review Accreditation Commission (URAC) Policies and Procedures
  10. Knowledge of processing and obtaining prior authorizations
  11. Knowledge of making observations of general physical condition and needs of patients and when to confer with a physician about the emotional or physical condition of a patient
  12. Knowledge of the principles of aseptic and sterile techniques and infection control techniques
  13. Knowledge of the techniques of administration of common medications, including immunizations, inoculations, and allergy injections using sterile technique, and knowledge of the side effects of these medications
  14. Knowledge of state and federal drug control laws, rules, and regulations
  15. Knowledge of emergency techniques and procedures
  16. Knowledge of common medical supplies and equipment
  17. Excellent interpersonal, communication and leadership skills
  18. Ability to demonstrate priority-setting and ability to work in a complex environment
  19. Ability to function with a high degree of independence and collaboration with other health care providers
  20. Commitment to service, quality, and departmental core values

RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS include, but are not limited to, the following:
  1. Be familiar with CFHC's program philosophies, goals and objectives. Be cognizant of and comply with all CFHC's policies and procedures, as well as state and federal regulations.
  2. Be competent in performing the duties of a nurse.
  3. Understand the requirements of CFHC's Exposure Control Plan. Personally, utilize universal precautions when practicing in a clinical setting.
  4. Participate in staff outreach and off-site health care programs as requested by the DMC, ACMO, CMO, or CEO. Represent CFHC in the community.
  5. Report as needed to DMC and any pertinent information or situations that impact on patient care or CFHC liability.
  6. Attend and participate in mandatory CFHC meetings (Center Specific meetings, Corporate meetings, and other meetings as designated by the DMC, ACMO, CMO, or CEO).
  7. Demonstrate ability to work cooperatively with other members of the clinical team. Be supportive of coworkers.
  8. Maintain a neat and professional appearance at all times.
  9. Carry out any other activities deemed appropriate by the DMC, CMO, or CEO.

Primary Duties include, but are not limited to, the following:
  1. Assess, identify problems, plan goals, monitor and evaluate patient plans, and develop strategies that meet the patients immediate and long-term goals.
  2. Work closely with PCP to manage patient "care items" which could include; medication refills per protocol, lab triage, document management, management of durable medical equipment (i.e. Glucometer, test strips, lancets), prior authorizations of needed medications or other services.
  3. Use patient data to track and schedule follow up appointments.
  4. Provide proactive utilization management for patients with high risk needs.
  5. Assist patients in obtaining appropriate medications and medical supplies and equipment, including coordination of pharmaceutical patient assistance programs.
  6. Participate in quality improvement, quality assurance and innovation activities to ensure optimal level of care delivery.
  7. This position will ensure all HEDIS measures have been met for those assigned patients and all care gaps have been identified.
  8. Assist in the coordination of warm hand-offs or "transfer of trust" between care team, pharmacy or other support services during the office visit.
  9. Carry out other duties as assigned by the DMC.

The job description is not intended to be all-inclusive, and employees will also perform other reasonable related business duties as assigned by supervisor.
*This organization reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract or employment. *
BENEFITS:
Competitive Salary
Federal Student Loan Forgiveness:
PSLF - 10-year commitment, 120 loan payments and at the end of the commitment, the remaining loan is forgiven
Excellent medical, dental, vision, and pharmacy benefits
Employer Paid Long-Term Disability Insurance
Employer Paid Life Insurance equivalent to 1x your annual salary
Voluntary Short-Term Disability, additional Life and Dependent Life Insurance are available
Malpractice Insurance
Paid Time Off (PTO) - 4.4 weeks per year pro-rated
Holidays (9.5 paid holidays per year)
Paid Birthday Holiday
CME Reimbursement
401k Retirement Plan after 1 year of service (w/matching contributions)
Staff productivity is recognized and rewarded
PHYSICAL REQUIREMENTS
  1. Requires 80% or more time spent sedentary.
  2. Independently mobile.
  3. Ability to lift weight equivalents that would be required with re positioning equipment and lifting supplies.
  4. Ability to adapt and function in varying environments of workload, patient acuity, work sites, and work shifts.

American with Disabilities Act (ADA) Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

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