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Remote Hedis Reviewer Jobs (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Los Angeles, CA · Remote

$600 - $720/day

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 ...

Humana, Inc.

Senior Quality Improvement Professional

Ensures compliance with HEDIS Technical Specifications and provides feedback to improve reviewer ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Urrly

Telehealth Nurse Practitioner

Harrisburg, PA · Remote

$600 - $720/day

... HEDIS care gaps during patient visits * Document visits using ICD-10 and CPT II codes * Review ... Fully remote - no commute, no travel * Consistent visit flow and structured workflows Schedule ...

Urrly

Telehealth Nurse Practitioner

Huntsville, AL · Remote

$600 - $720/day

Close HEDIS care gaps during visits * Review medical history, medications, preventive needs ... Fully remote work - no commute * Consistent visit flow and structured workflows * Clear ...

Urrly

Telehealth Nurse Practitioner

Atlanta, GA · Remote

$600 - $720/day

Close HEDIS care gaps during visits * Review medical history, medications, preventive needs ... Fully remote work - no commute * Consistent visit flow and structured workflows * Clear ...

Urrly

Telehealth Nurse Practitioner

Chicago, IL · Remote

$600 - $720/day

... HEDIS care gaps during patient visits * Document visits using ICD-10 and CPT II codes * Review ... Fully remote - no commute, no travel * Consistent visit flow and structured workflows Schedule ...

Urrly

Telehealth Nurse Practitioner

Baton Rouge, LA · Remote

$600 - $720/day

... HEDIS care gaps during patient visits * Document visits using ICD-10 and CPT II codes * Review ... Fully remote - no commute or travel * Consistent visit flow and structured workflows Schedule ...

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Remote Hedis Reviewer information

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How much do remote hedis reviewer jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for remote hedis reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What is a Remote HEDIS Reviewer?

A Remote HEDIS Reviewer is a healthcare professional who evaluates medical records and data from a remote location to ensure compliance with HEDIS (Healthcare Effectiveness Data and Information Set) measures. HEDIS is a set of standardized performance measures used to assess the quality of care and services in health plans. Remote HEDIS Reviewers typically review patient charts, extract relevant information, and record their findings in electronic systems. Their work helps health plans report accurate quality data, meet regulatory requirements, and improve patient care. This role often requires experience in nursing, coding, or healthcare data analysis, as well as familiarity with medical terminology and electronic health records.

What is the difference between Remote Hedis Reviewer vs Remote Medical Reviewer?

AspectRemote Hedis ReviewerRemote Medical Reviewer
Required CredentialsRN, LPN, or other healthcare certificationsMD, DO, or advanced healthcare certifications
Work EnvironmentHome-based, reviewing healthcare records for Medicaid/MedicareHome-based, reviewing medical records for insurance or legal cases
Employer & Industry UsageHealth plans, Medicaid/Medicare providersInsurance companies, legal firms, healthcare organizations
Common Search & ComparisonYesYes

The main difference is that Remote Hedis Reviewers typically hold nursing or healthcare certifications and focus on Medicaid/Medicare compliance reviews, while Remote Medical Reviewers often have medical degrees and handle broader medical record assessments for insurance or legal purposes. Both roles are home-based and require healthcare expertise, but they serve different industry needs.

What does a typical workday look like for a Remote HEDIS Reviewer, and how is collaboration managed in a remote setting?

A typical day for a Remote HEDIS Reviewer involves reviewing and abstracting medical records to ensure compliance with HEDIS quality measures, documenting findings in electronic systems, and meeting productivity and accuracy targets. Communication and collaboration are primarily managed via secure digital platforms—such as email, video meetings, and instant messaging—enabling regular check-ins with team leads and peers. While much of the work is independent, reviewers often participate in virtual team meetings to discuss updates, share best practices, and address any challenges. Time management and self-motivation are essential, as is the ability to adapt to evolving guidelines and tight deadlines during the HEDIS season.

What are the key skills and qualifications needed to thrive as a Remote HEDIS Reviewer, and why are they important?

To thrive as a Remote HEDIS Reviewer, you need a background in healthcare, strong knowledge of HEDIS measures, and experience with medical record review, often supported by an RN or LPN license. Familiarity with HEDIS abstraction software, electronic medical records (EMRs), and secure data management systems is typically required. Exceptional attention to detail, time management, and strong written communication are critical soft skills for excelling in this remote role. These skills ensure accurate data abstraction, compliance with regulatory standards, and effective contribution to quality improvement initiatives.
More about Remote Hedis Reviewer jobs
What cities are hiring for Remote Hedis Reviewer jobs? Cities with the most Remote Hedis Reviewer job openings:
What are the most commonly searched types of Hedis Reviewer jobs? The most popular types of Hedis Reviewer jobs are:
What states have the most Remote Hedis Reviewer jobs? States with the most job openings for Remote Hedis Reviewer jobs include:
What job categories do people searching Remote Hedis Reviewer jobs look for? The top searched job categories for Remote Hedis Reviewer jobs are:
Remote Hedis Reviewer jobs near you
Infographic showing various Remote Hedis Reviewer job openings in the United States as of June 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 100% Remote job distribution, with an average salary of $62,159 per year, or $29.9 per hour.
Advisor Data Analyst-Remote

Advisor Data Analyst-Remote

NAVA Software Solutions

Sacramento, CA • On-site, Remote

Full-time

Posted 13 days ago

Job description

NAVA Software solutions is looking for an Advisor Data Analyst
Details:
Role: Advisor Data Analyst - 8 Positions.
Location: Sacramento, CA - Remote
Duration: 12 months
Summary: This is a key role within the Population Health Management (PHM) project. The role will develop and maintain ad-hoc reports and dashboards, and design, develop, and validate analytics and delivery documentation to support the PHM Service. The ideal candidate has experience with population health management and in Healthcare Effectiveness Data and Information Set, Health Quality, and other relevant areas.
Your role in our mission
• Designs, implements and maintains complex databases, access methods, access time, validation checks, organization, protection and security, documentation, and statistical methods to ensure that client requirements are satisfied.
• Reviews and edits data requirements and documents according to required standards by utilizing prescribed tools and methods to ensure that design and implementation are according to company guidelines and client specifications.
• Provides overall monitoring of standards and procedures and suggests revisions when necessary to ensure updated guidelines to meet changing market demands and consistency across databases.
• Applies data analysis or data modeling techniques to establish, modify or maintain complex data structures and their associated components to increase efficiency of structures and components.
• Investigates and resolves technical matters of significance within databases by analyzing and determining possible causes to ensure client satisfaction.
• Provides work direction and guidance to less experienced personnel using the data structures and associated components to ensure that business specifications are met.
• Provides training in data modeling techniques and incorporating data modeling into information systems to ensure consistency in development and maintenance of database structures across the company.
• Research business objectives and data requirements of client to ensure that developed databases meet client needs.
• Communicates with clients about data-related discrepancies and other matters of significance to ascertain information and correct errors.
What we're looking for
• Bachelor's degree or equivalent combination of education and experience.
• Bachelor's degree in information systems, computer science or related field preferred
• Six or more years of experience in programming or data analysis.
• Experience working with data administration, repository management, database creation techniques, and data warehousing standards, strategies, and tools.
• Experience in HEDIS, Health Quality, PHM, and other relevant areas
• Collect, analyze, and report on HEDIS data from various sources, including claims, medical records, and electronic health records.
• Stay up to date on changes to HEDIS specifications and ensure compliance with reporting requirements.
• Experience working with company used database and statistical software and product configurations.
• Experience working with security software packages, domain structures, user authentication and digital signatures.
• Experience working with relevant programming languages and relational databases for database management and general software development.
• Proficiency in data analysis tools such as SQL, Python, R, or similar languages. Experience with data visualization tools (e.g., Tableau, Power BI).
• Experience with configuring and installing various operating systems and application software.
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About NAVA Software Solutions

Sourced by ZipRecruiter

NAVA is a strategic partner for companies seeking to develop or customize software and products. Our team of experts leverages cutting-edge technology and deep industry knowledge to provide customized solutions that drive business success. Whether you're looking to improve your operations, increase efficiency, or bring a new product to market, NAVA has the expertise and resources to help you achieve your goals. Trust us to be your partner in software and product development.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Rocky Hill, CT, US

Social media

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