Remote HEDIS Specialist
OR · Remote
Remote worker with ability to read and write in Spanish and medical records. Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the ...
OR · Remote
Remote worker with ability to read and write in Spanish and medical records. Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the ...
OR · Remote
Remote worker with ability to read and write in Spanish and medical records. Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the ...
Portland, ME · Remote
$31 - $41/hr
The Nurse HEDIS Reviewer and Auditor collaborates with cross-functional teams, participates in quality improvement initiatives, and provides clinical insights to enhance healthcare outcomes and ...
Portland, ME · Remote
$31 - $41/hr
The Nurse HEDIS Reviewer and Auditor collaborates with cross-functional teams, participates in quality improvement initiatives, and provides clinical insights to enhance healthcare outcomes and ...
TX · Remote
$34 - $35/hr
HEDIS Quality Audit/HEDIS Quality Nurse Coordinator Location: 100% Remote (USA) Work Schedule: Monday - Friday, 8:00 AM - 5:00 PM (local time) Job Overview: We are seeking experienced Healthcare ...
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TX · Remote
$34 - $35/hr
HEDIS Quality Audit/HEDIS Quality Nurse Coordinator Location: 100% Remote (USA) Work Schedule: Monday - Friday, 8:00 AM - 5:00 PM (local time) Job Overview: We are seeking experienced Healthcare ...
MI · Remote
$44 - $45/hr
Remote - Must reside in Michigan (MI) Schedule: Monday - Friday, 8:00 AM - 5:00 PM Job Summary: HEDIS Reviewer III (Medical Record Review Abstractor) to support HEDIS quality reporting. This role ...
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MI · Remote
$44 - $45/hr
Remote - Must reside in Michigan (MI) Schedule: Monday - Friday, 8:00 AM - 5:00 PM Job Summary: HEDIS Reviewer III (Medical Record Review Abstractor) to support HEDIS quality reporting. This role ...
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 ...
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 ...
Long Beach, CA · On-site +1
$19.64 - $42.55/hr
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 ...
Long Beach, CA · On-site +1
$19.64 - $42.55/hr
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 ...
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Chicago, IL · Remote
$40 - $47.50/hr
Remote * Schedule: Monday-Friday, 40 hours/week * Start date : 8/6/2026 * Contract Duration: 5 months contract to hire role We are hiring for a HEDIS Supplemental Data role that focuses on improving ...
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Chicago, IL · Remote
$40 - $47.50/hr
Remote * Schedule: Monday-Friday, 40 hours/week * Start date : 8/6/2026 * Contract Duration: 5 months contract to hire role We are hiring for a HEDIS Supplemental Data role that focuses on improving ...
Austin, TX · Remote
$30 - $39.75/hr
Remote - Must reside in Texas Facility: Ascension Care Management Insurance Department: Quality ... Oversees complex HEDIS project lifecycles-including data analysis, medical record abstraction ...
Austin, TX · Remote
$30 - $39.75/hr
Remote - Must reside in Texas Facility: Ascension Care Management Insurance Department: Quality ... Oversees complex HEDIS project lifecycles-including data analysis, medical record abstraction ...
Woonsocket, RI · Remote
$52/hr
Project Manager II / Hedis Lead Location: Remote Duration: 06 Months Shift Timing: 08:00 AM - 05:00 PM (Monday - Friday) Pay Rate: $40.00 - $50.00/Hour on W2 Kindly help with the Pre Screen ...
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Woonsocket, RI · Remote
$52/hr
Project Manager II / Hedis Lead Location: Remote Duration: 06 Months Shift Timing: 08:00 AM - 05:00 PM (Monday - Friday) Pay Rate: $40.00 - $50.00/Hour on W2 Kindly help with the Pre Screen ...
Morrisville, NC · On-site +1
... HEDIS data collection, medical record review, and quality improvement activities as indicated. This position will allow the successful candidate to work a schedule that will be primarily remote.
Morrisville, NC · On-site +1
... HEDIS data collection, medical record review, and quality improvement activities as indicated. This position will allow the successful candidate to work a schedule that will be primarily remote.
Philadelphia, PA · On-site +1
Philadelphia ,PA - Hybrid - 3 Days a week in the office/ Remote Duration: Long-Term Contract Job Summary We are seeking a detail-oriented HEDIS Data Analyst with strong SQL skills to support Health ...
Philadelphia, PA · On-site +1
Philadelphia ,PA - Hybrid - 3 Days a week in the office/ Remote Duration: Long-Term Contract Job Summary We are seeking a detail-oriented HEDIS Data Analyst with strong SQL skills to support Health ...
Harrisburg, PA · On-site +1
$83K/yr
This role serves as the engine behind HEDIS strategy-owning the end-to-end analytical framework that identifies performance gaps, prioritizes opportunities, and quantifies the impact of interventions.
Harrisburg, PA · On-site +1
$83K/yr
This role serves as the engine behind HEDIS strategy-owning the end-to-end analytical framework that identifies performance gaps, prioritizes opportunities, and quantifies the impact of interventions.
This is a remote position. Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives ...
This is a remote position. Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives ...
Kansas City, MO · On-site +1
$118K - $219K/yr
Applicants for this job have the flexibility to work remote from home anywhere in the United States ... Support NCQA HEDIS audit readiness and compliance, ensuring accurate and timely submissions. The ...
Kansas City, MO · On-site +1
$118K - $219K/yr
Applicants for this job have the flexibility to work remote from home anywhere in the United States ... Support NCQA HEDIS audit readiness and compliance, ensuring accurate and timely submissions. The ...
Jefferson City, MO · On-site +1
$118K - $219K/yr
Applicants for this job have the flexibility to work remote from home anywhere in the United States ... Support NCQA HEDIS audit readiness and compliance, ensuring accurate and timely submissions. The ...
Jefferson City, MO · On-site +1
$118K - $219K/yr
Applicants for this job have the flexibility to work remote from home anywhere in the United States ... Support NCQA HEDIS audit readiness and compliance, ensuring accurate and timely submissions. The ...
Are you an experienced Chart Reviewer / QI Clerk / HEDIS Abstractor looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a ...
Are you an experienced Chart Reviewer / QI Clerk / HEDIS Abstractor looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a ...
Columbia, MO · On-site +1
$118K - $219K/yr
Applicants for this job have the flexibility to work remote from home anywhere in the United States ... Support NCQA HEDIS audit readiness and compliance, ensuring accurate and timely submissions. The ...
Columbia, MO · On-site +1
$118K - $219K/yr
Applicants for this job have the flexibility to work remote from home anywhere in the United States ... Support NCQA HEDIS audit readiness and compliance, ensuring accurate and timely submissions. The ...
Jersey City, NJ · Remote
$33/hr
HEDIS Reviewer II Location: 100% Remote (Should be local to New Jersey or Nearby) Duration: 07 Months Shift Timing : 08:00 AM - 05:00 PM (Monday - Friday) Pay Rate: $30.00 - $33.00/- on W2 Pre ...
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Jersey City, NJ · Remote
$33/hr
HEDIS Reviewer II Location: 100% Remote (Should be local to New Jersey or Nearby) Duration: 07 Months Shift Timing : 08:00 AM - 05:00 PM (Monday - Friday) Pay Rate: $30.00 - $33.00/- on W2 Pre ...
$17.50 - $23.25/hr
About the job Remote Data Entry Company Overview: Confident Staff Solutions is a leading staffing ... Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS ...
$17.50 - $23.25/hr
About the job Remote Data Entry Company Overview: Confident Staff Solutions is a leading staffing ... Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS ...
Saint Louis, MO · On-site +1
$118K - $219K/yr
Applicants for this job have the flexibility to work remote from home anywhere in the United States ... Support NCQA HEDIS audit readiness and compliance, ensuring accurate and timely submissions. The ...
Saint Louis, MO · On-site +1
$118K - $219K/yr
Applicants for this job have the flexibility to work remote from home anywhere in the United States ... Support NCQA HEDIS audit readiness and compliance, ensuring accurate and timely submissions. The ...
$20.19 - $22.71
2% of jobs
$22.71 - $25.22
3% of jobs
$25.22 - $27.73
3% of jobs
$29.15 is the 25th percentile. Wages below this are outliers.
$27.73 - $30.24
29% of jobs
$30.24 - $32.76
6% of jobs
The median wage is $33.82 / hr.
$32.76 - $35.27
14% of jobs
$35.27 - $37.78
13% of jobs
$38.31 is the 75th percentile. Wages above this are outliers.
$37.78 - $40.30
19% of jobs
$40.30 - $42.81
5% of jobs
$42.81 - $45.32
3% of jobs
$45.32 - $47.84
1% of jobs
$20
$34
$47
Remote HEDIS jobs allow you to work from home to review and process medical records for the Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS is an industry measurement plan that evaluates factors like access to care, the effectiveness of care, and experience of care to help healthcare facilities improve their daily operations. Remote HEDIS positions may involve gathering offsite data to enter into the system or auditing existing data to verify its accuracy. HEDIS data submissions are made annually, but data collection and verification is done throughout the year so companies can ensure the information is ready to submit on-time. In a virtual HEDIS job, you may work for a single medical office or provide support for multiple healthcare facilities.
| Aspect | Remote Hedis | Remote Medical Reviewer |
|---|---|---|
| Required Credentials | RN, LPN, or Medical Degree | MD, DO, or Nurse Practitioner |
| Work Environment | Home-based, healthcare setting | Home-based, healthcare setting |
| Industry Usage | Utilized in Medicaid/Medicaid Managed Care | Used in insurance, utilization review |
| Common Search Intent | Compare roles in Medicaid review | Compare medical review roles in insurance |
Remote Hedis specialists typically hold nursing or medical degrees and focus on HEDIS data collection and quality measures for Medicaid plans. Remote Medical Reviewers often have advanced medical degrees and perform comprehensive case reviews for insurance companies. While both roles are remote healthcare positions, they differ mainly in credentials and specific job functions.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Company Job Description/Day to Day Duties:
Remote worker with ability to read and write in Spanish and medical records. 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.
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 MHI 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.
Minimum Education/Qualifications/Licensures:
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 to work on their own
Interested in hearing more about this great opportunity? Please call and e-mail your resume to Brianne Salazar (Office number: 321-710-4799) for immediate consideration.Â
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HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003