Remote HEDIS Specialist
OR ยท 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 ยท 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 ยท 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 ...
TX ยท 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 ยท 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 ยท 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 ยท 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 ...
Eden Prairie, MN ยท On-site +1
$30.75 - $40.75/hr
Responsibilities typically include data analysis, HEDIS data validation, NCQA and state specific submissions, CMS Star Ratings measure support, user acceptance testing, and developing client-facing ...
Eden Prairie, MN ยท On-site +1
$30.75 - $40.75/hr
Responsibilities typically include data analysis, HEDIS data validation, NCQA and state specific submissions, CMS Star Ratings measure support, user acceptance testing, and developing client-facing ...
Remote - Must reside in Texas Facility: Ascension Care Management Insurance Department: Quality ... Oversees complex HEDIS project lifecycles-including data analysis, medical record abstraction ...
Remote - Must reside in Texas Facility: Ascension Care Management Insurance Department: Quality ... Oversees complex HEDIS project lifecycles-including data analysis, medical record abstraction ...
Harrisburg, PA ยท 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 ยท 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.
Woonsocket, RI ยท 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 ยท 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 ...
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 ...
Responsibilities typically include data analysis, HEDIS data validation, NCQA and state specific submissions, CMS Star Ratings measure support, user acceptance testing, and developing client-facing ...
Responsibilities typically include data analysis, HEDIS data validation, NCQA and state specific submissions, CMS Star Ratings measure support, user acceptance testing, and developing client-facing ...
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 ...
Jersey City, NJ ยท 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 ยท 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 ...
Work on HEDIS, Risk Adjustment, and In-Home Assessments * Build strong client and stakeholder ... Fully remote role supporting work-life balance, with flexibility when needed * High-ownership role ...
Work on HEDIS, Risk Adjustment, and In-Home Assessments * Build strong client and stakeholder ... Fully remote role supporting work-life balance, with flexibility when needed * High-ownership role ...
Los Angeles, CA ยท Remote
$600 - $720/hr
CA Remote (no travel) * $600$720/day (1099) * Minimum 24 hrs/week Flexible schedule * Own your ... Close HEDIS (quality measures) care gaps * Review history, meds, preventive needs * Code with ICD ...
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Los Angeles, CA ยท Remote
$600 - $720/hr
CA Remote (no travel) * $600$720/day (1099) * Minimum 24 hrs/week Flexible schedule * Own your ... Close HEDIS (quality measures) care gaps * Review history, meds, preventive needs * Code with ICD ...
Baton Rouge, LA ยท Remote
$600 - $720/hr
Close HEDIS care gaps during patient visits * Document visits using ICD-10 and CPT II codes ... Fully remote no commute or travel * Consistent visit flow and structured workflows Schedule & setup
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Baton Rouge, LA ยท Remote
$600 - $720/hr
Close HEDIS care gaps during patient visits * Document visits using ICD-10 and CPT II codes ... Fully remote no commute or travel * Consistent visit flow and structured workflows Schedule & setup
Atlanta, GA ยท Remote
$600 - $720/hr
Close HEDIS care gaps during visits * Review medical history, medications, preventive needs ... Fully remote work no commute * Consistent visit flow and structured workflows * Clear documentation ...
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Atlanta, GA ยท Remote
$600 - $720/hr
Close HEDIS care gaps during visits * Review medical history, medications, preventive needs ... Fully remote work no commute * Consistent visit flow and structured workflows * Clear documentation ...
Indianapolis, IN ยท On-site +1
$35 - $46.50/hr
Not open to remote, qualified candidates must reside in Indianapolis, IN The Clinical Quality Specialist supports the Clinical Quality Nurse in overseeing the HEDIS quality collection, submission ...
Indianapolis, IN ยท On-site +1
$35 - $46.50/hr
Not open to remote, qualified candidates must reside in Indianapolis, IN The Clinical Quality Specialist supports the Clinical Quality Nurse in overseeing the HEDIS quality collection, submission ...
Long Beach, CA ยท On-site +1
$54K - $107K/yr
At least 3 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant ...
Long Beach, CA ยท On-site +1
$54K - $107K/yr
At least 3 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant ...
At least 3 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant ...
At least 3 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant ...
At least 3 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant ...
At least 3 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant ...
At least 3 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant ...
At least 3 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant ...
$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.ย
Sourced by ZipRecruiter
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