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Hedis Jobs in Rhode Island (NOW HIRING)

VIVA USA INC

HEDIS Outreach Coordinator

Woonsocket, RI · On-site +1

Remote HEDIS Outreach Coordinator Position Summary Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory/contractual requirements including ...

Astrana Health, Inc.

QCI Specialist I

Johnston, RI · Remote

$25 - $29/hr

Monitor provider performance against HEDIS, Medicare Stars, Medicaid, Commercial, and other quality measures; analyze results and recommend improvement opportunities. * Collaborate with providers and ...

Astrana Health

QCI Specialist I

Johnston, RI · Remote

$25 - $29/hr

Monitor provider performance against HEDIS, Medicare Stars, Medicaid, Commercial, and other quality measures; analyze results and recommend improvement opportunities. * Collaborate with providers and ...

Brown University Health

Quality Specialist

Providence, RI · On-site

$22.04 - $36.37/hr

HEDIS, Medicare 5 Star, Meaningful Use Ability to use technology with proficiency in Microsoft Office applications such as: Outlook, Excel, and Word Familiar with data entry tools, including ...

Amedisys, Inc.

RN Admit

Warwick, RI · On-site

$85K - $107K/yr

Overview $10,000 sign-on bonus Full-time days Make a difference every day as an Amedisys admissions registered nurse Join Amedisys-one of the largest and most trusted home health and hospice ...

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All JobsHedis JobsHedis Jobs in Rhode Island

Hedis information

See Rhode Island salary details

$19

$33

$46

How much do hedis jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for hedis in Rhode Island is $33.66, according to ZipRecruiter salary data. Most workers in this role earn between $28.46 and $37.64 per hour, depending on experience, location, and employer.

What are HEDIS jobs?

HEDIS jobs involve working with the Healthcare Effectiveness Data and Information Set (HEDIS), a widely used set of performance measures in the healthcare industry. Professionals in these roles typically collect, analyze, and report healthcare data to evaluate the quality of care provided by health plans. Common HEDIS job titles include HEDIS abstractor, HEDIS nurse, and HEDIS reviewer. These positions are crucial for ensuring health plans meet industry standards and regulatory requirements, and often require attention to detail and knowledge of medical records or coding.

What are HEDIS jobs?

Various jobs within the medical industry revolve around HEDIS. The most common career is to be a nurse with HEDIS certification. In this position, you use your knowledge of HEDIS to educate other staff members on the correct standards for healthcare procedures. Your responsibilities also include making proper documentation, coding for billing, and reporting on quality of care. There are also various levels of project and data analysts that handle the business side while still supporting the technical specifications for HEDIS. As an analyst, your duties are to oversee resources, methods, and reporting accuracy and look for areas for improvement within the department.

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

HEDIS professionals often encounter tight deadlines and the need to coordinate data collection from multiple sources within healthcare organizations during the annual reporting cycle. Ensuring data accuracy and completeness can be challenging, especially when working with electronic medical records and claims data that may have inconsistencies. Additionally, collaborating with clinical staff, IT teams, and quality improvement departments requires strong communication skills to resolve data gaps and implement process improvements. Staying current with evolving HEDIS measure specifications is also essential to ensure compliance and accurate reporting.

What is the difference between Hedis vs Medical Coder?

AspectHedisMedical Coder
Required CredentialsCertification in Hedis-specific guidelines, often a healthcare quality or coding certificationCertification in medical coding (e.g., CPC, CCS)
Work EnvironmentHealthcare facilities, insurance companies, or quality organizationsHospitals, clinics, or medical billing companies
Industry UsageUsed in healthcare quality measurement and complianceUsed in medical billing, coding, and documentation
Common Search/ComparisonHedis vs Medical Coder

Hedis professionals focus on healthcare quality measurement and compliance, utilizing specific guidelines and certifications. Medical coders primarily handle medical documentation coding for billing and records. While both roles are essential in healthcare, they serve different functions related to quality assurance versus billing processes.

How to become a Hedis abstractor?

To become a Hedis abstractor, candidates typically need a background in healthcare, medical coding, or health information management, along with strong attention to detail. Certification in medical coding or health data abstraction, such as the Certified Health Data Analyst (CHDA), can enhance job prospects. Familiarity with Hedis guidelines and data collection tools is also beneficial.

How to get into Hedis?

To pursue a career as a HEDIS specialist, candidates typically need a background in healthcare, nursing, or health information management, along with knowledge of quality measurement and data analysis. Relevant certifications, such as Certified HEDIS Professional (CHP), can enhance job prospects. Strong attention to detail and familiarity with electronic health records (EHR) systems are also beneficial.

What does a Hedis specialist do?

A Hedis specialist is responsible for reviewing and analyzing healthcare data related to the Healthcare Effectiveness Data and Information Set (HEDIS) measures to ensure compliance and improve quality scores. They often work with medical records, coding, and data management tools to accurately report patient care information and support healthcare quality improvement initiatives.
More about Hedis jobs

What are the most commonly searched types of Hedis jobs in Rhode Island?

The most popular types of Hedis jobs in Rhode Island are:

What are popular job titles related to Hedis jobs in Rhode Island?

For Hedis jobs in Rhode Island, the most frequently searched job titles are:

What job categories do people searching Hedis jobs in Rhode Island look for?

The top searched job categories for Hedis jobs in Rhode Island are:

Hedis jobs near you
Infographic showing various Hedis job openings in Rhode Island as of August 2026, with employment types broken down into 93% Full Time, 2% Part Time, and 5% Contract. Highlights an 76% In-person, 5% Hybrid, and 19% Remote job distribution, with an average salary of $70,021 per year, or $33.7 per hour.

HEDIS Outreach Coordinator

VIVA USA INC

Woonsocket, RI • On-site, Remote

Contractor

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Remote
HEDIS Outreach Coordinator
Position Summary
Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory/contractual requirements including outreach to members who are noncompliant in the designated outreach services.
Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.
Performs provider/location research, clean up, and data updates to ensure that medical record requests are submitted to the right location and PHI is properly handled
Conducts HEDIS provider chart request calls, faxes, and mailings.
Identifies potential resources and initiates collaboration with providers to improve member health outcomes and HEDIS measure rates
Facilitates provider and member outreach to ensure member receipt of important clinical services to improve member health outcomes and close gaps in care.
Identifies when to refer member to Social Worker or Case Manager.
Assists in the development and standardization of outreach documentation and manages the data flow process to complete HEDIS documentation.
Documents member participation in outreach activities in accordance with abstraction and audit standards.
Records and documents all member and provider outreach activity.
Performs other duties as required.
Required Qualifications
Minimum 1 year's, recent HEDIS project support-related experience
Strong communication skills and experience speaking with medical providers.
Ability to work independently.
Ability to use standard corporate software packages and corporate applications.
Computer skills: Microsoft Word, Excel, Outlook, Teams, Adobe Reader, RightFax
Preferred Qualifications
Recent and related experience working in health care marketing, member outreach and/or health education experience.
Experience working in call center environment
Education
Associate's degree or equivalent experience
Candidates must commit to duration of the project with the understanding that work hours can be varied. Due to proprietary information, candidates must inform employer if they are planning to accept employment with another MCO
Education
High School Diploma or equivalent
Notes
Fully remote (never coming onsite)
safety sensitive
Candidates must be able to work Monday - Friday. Must commit to Full-Time (40 hours a week) unless otherwise arranged.
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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