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Hedis Jobs in Wisconsin (NOW HIRING)

HEDIS Record Reviewer

Milwaukee, WI · On-site

$29.75 - $39.50/hr

The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for HEDIS reporting to support client critical quality initiatives. Medical record review and ...

Partner with Quality Analytics and HEDIS teams to support collection, validation, and reporting of provider quality data. * Assist with management of supplemental data submissions and provider data ...

Partner with Quality Analytics and HEDIS teams to support collection, validation, and reporting of provider quality data. * Assist with management of supplemental data submissions and provider data ...

WI · On-site

$145 - $200/hr

End-to-end support across HEDIS, CAHPS, HOS, Part D, and SNP performance, tailored to each organization's strategic priorities and Stars maturity. Regulatory Readiness: Expert guidance, readiness ...

New

Telehealth Nurse Practitioner

Madison, WI · On-site +1

$600 - $720/day

Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II codes * Deliver clear care plans and follow-up guidance

Demonstrates knowledge of NCQA Accreditation Standards and HEDIS Standards and participates in initiatives to achieve and maintain accreditation and improve HEDIS compliance rates. * Assists in the ...

WI · On-site

$200 - $300/hr

Review and address quality metrics, including HEDIS and STAR measures, to optimize clinical performance and patient outcomes. * Accurately and on a timely basis document encounters and diagnoses in ...

Demonstrates knowledge of NCQA Accreditation Standards and HEDIS ® Standards and participates in initiatives to achieve and maintain accreditation and improve HEDIS compliance rates. * Assists in ...

WI · On-site

$90 - $125/hr

Analyze and interpret data across HEDIS, CAHPS, HOS, Part D, operational measures, and Special Needs Plans (SNPs). * Conduct performance assessments, measure trending, gap analyses, cut‑point ...

The Pharmacist collaborates with other NHP departments to optimize regulatory compliance and Quality Measures such as NCQA HEDIS. In addition, the Pharmacist assists in outreach efforts for provider ...

The Pharmacist collaborates with other NHP departments to optimize regulatory compliance and Quality Measures such as NCQA HEDIS. In addition, the Pharmacist assists in outreach efforts for provider ...

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Hedis information

See Wisconsin salary details

$20

$34

$48

How much do hedis jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for hedis in Wisconsin is $34.70, according to ZipRecruiter salary data. Most workers in this role earn between $29.38 and $38.80 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.

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

The most popular types of Hedis jobs in Wisconsin are:

What cities in Wisconsin are hiring for Hedis jobs?

Cities in Wisconsin with the most Hedis job openings:

Infographic showing various Hedis job openings in Wisconsin as of August 2026, with employment types broken down into 4% As Needed, 88% Full Time, 6% Part Time, and 2% Contract. Highlights an 74% Physical, 4% Hybrid, and 22% Remote job distribution, with an average salary of $72,169 per year, or $34.7 per hour.

HEDIS Record Reviewer

Integrated Resources INC

Milwaukee, WI • On-site

$29.75 - $39.50/hr

Full-time

Re-posted 10 days ago


Job description

Company Description

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for HEDIS reporting to support client critical quality initiatives. Medical record review and abstraction is performed in the client office and at various provider offices in the community, involves paper and electronic medical records, requires capturing and securing documentation, and involves using an electronic reporting system. 

Qualifications

State of Wisconsin licensed RN 

Previous experience with HEDIS Medical Record Review & Abstraction experience highly preferred

Previous experience with medical records/familiarity with medical records (both paper and electronic) 

Proficiency with PC-based systems and the ability to learn new information systems and software programs quickly.

Ability to interact effectively with healthcare providers.

A personal vehicle, valid State of Wisconsin motor vehicle operator's license and conformity with insurance coverage limits is also required.

Additional Information

Kind Regards,

Kavita Kumari

Clinical Recruiter

732 844 8726

Integrated Resources, Inc.



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