Remote HEDIS Specialist
OR · Remote
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 ...
OR · Remote
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 ...
OR · Remote
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 ...
Seasonal / Part-time * This is a remote position available to candidates located within the United ... Licensed Nurse: LPN, LVN, RN with an active license * The applicant must possess a Windows-based ...
New
Seasonal / Part-time * This is a remote position available to candidates located within the United ... Licensed Nurse: LPN, LVN, RN with an active license * The applicant must possess a Windows-based ...
New
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 ...
Austin, TX · Remote
$42/hr
... Remote in TX Must Live in TX SUMMARY DESCRIPTION: RN or LPN with clinical experience and will work under the supervision of the HEDIS Coordinator. They are a member of the medical record review team.
New
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Austin, TX · Remote
$42/hr
... Remote in TX Must Live in TX SUMMARY DESCRIPTION: RN or LPN with clinical experience and will work under the supervision of the HEDIS Coordinator. They are a member of the medical record review team.
New
Dallas, TX · Remote
$42/hr
The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for ...
New
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Dallas, TX · Remote
$42/hr
The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for ...
New
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 ...
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 ...
About the job Registered Nurse - Remote Company Overview: Confident Staff Solutions is a leading ... Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS ...
About the job Registered Nurse - Remote Company Overview: Confident Staff Solutions is a leading ... Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS ...
About the job Registered Nurse - Remote Company Overview: Confident Staff Solutions is a leading ... Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS ...
About the job Registered Nurse - Remote Company Overview: Confident Staff Solutions is a leading ... Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS ...
Austin, TX · Remote
$30 - $39.75/hr
Remote - Must reside in Texas Facility: Ascension Care Management Insurance Department: Quality ... Registered Nurse preferred. Licensure required relevant to state in which work is performed ...
Austin, TX · Remote
$30 - $39.75/hr
Remote - Must reside in Texas Facility: Ascension Care Management Insurance Department: Quality ... Registered Nurse preferred. Licensure required relevant to state in which work is performed ...
Norfolk, VA · On-site +1
$29.25 - $38.75/hr
Overview The IT HEDIS Manager is responsible for leading the technology, data integration, platform ... For positions that are available as remote work, Sentara Health employs associates in the following ...
Norfolk, VA · On-site +1
$29.25 - $38.75/hr
Overview The IT HEDIS Manager is responsible for leading the technology, data integration, platform ... For positions that are available as remote work, Sentara Health employs associates in the following ...
Norfolk, VA · On-site +1
$10K/mo
Overview The IT HEDIS Manager is responsible for leading the technology, data integration, platform ... For positions that are available as remote work, Sentara Health employs associates in the following ...
Norfolk, VA · On-site +1
$10K/mo
Overview The IT HEDIS Manager is responsible for leading the technology, data integration, platform ... For positions that are available as remote work, Sentara Health employs associates in the following ...
OR · Remote
Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures * Background ... and remote monitoring * Collaborate with physicians, RNs, social workers, therapists, caregivers ...
Posted today
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OR · Remote
Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures * Background ... and remote monitoring * Collaborate with physicians, RNs, social workers, therapists, caregivers ...
Posted today
Indianapolis, IN · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Indiana Remote (No travel) * Pay: $600$720/day (1099 ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs
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Indianapolis, IN · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Indiana Remote (No travel) * Pay: $600$720/day (1099 ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs
Jefferson City, MO · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Missouri Remote (No travel) * Pay: $600$720/day ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs
Quick apply
Jefferson City, MO · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Missouri Remote (No travel) * Pay: $600$720/day ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs
Huntsville, AL · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Alabama Remote (No travel) * Pay: $600$720/day (1099 ... Close HEDIS care gaps during visits * Review medical history, medications, preventive needs
Quick apply
Huntsville, AL · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Alabama Remote (No travel) * Pay: $600$720/day (1099 ... Close HEDIS care gaps during visits * Review medical history, medications, preventive needs
Los Angeles, CA · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: California Remote (No travel) * Pay: $600$720/day ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs
Quick apply
Los Angeles, CA · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: California Remote (No travel) * Pay: $600$720/day ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs
Madison, WI · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Wisconsin Remote (No travel) * Pay: $600$720/day ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs
Quick apply
Madison, WI · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Wisconsin Remote (No travel) * Pay: $600$720/day ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs
Nashville, TN · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Tennessee Remote (No travel) * Pay: $600$720/day ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs
Quick apply
Nashville, TN · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Tennessee Remote (No travel) * Pay: $600$720/day ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs
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 ...
$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
A Remote HEDIS Nurse is a healthcare professional who reviews and evaluates medical records to ensure compliance with the Healthcare Effectiveness Data and Information Set (HEDIS) measures. They assess patient data, identify gaps in care, and work with healthcare providers to improve quality ratings. This role is typically seasonal and involves working from home using secure electronic health record (EHR) systems. Strong knowledge of HEDIS guidelines, medical coding, and data abstraction is essential. It helps healthcare organizations meet quality benchmarks and improve patient outcomes.
To thrive as a Remote Hedis Nurse, you need strong clinical assessment skills, a valid RN license, and experience with medical record review and quality initiatives. Familiarity with HEDIS reporting, electronic health records (EHR), and data abstraction tools is typically required. Exceptional attention to detail, independent work ethic, and effective written communication help nurses excel remotely. These abilities ensure accurate data collection and compliance with quality measures in a virtual healthcare environment.
Remote Hedis Nurses often face challenges such as ensuring data accuracy when reviewing diverse medical records and managing time effectively without direct in-person supervision. Staying organized, maintaining detailed records, and regularly communicating with team members or supervisors can help overcome these hurdles. It's important to be proactive in seeking clarification on documentation and to utilize available training resources for technical systems. By establishing a structured workflow and staying up-to-date on HEDIS guidelines, remote nurses can successfully meet performance expectations and contribute to high-quality healthcare reporting.

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.
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