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Remote Hedis Reviewer Jobs (NOW HIRING)

TEEMA Group

Medical Director - Pediatrics

Phoenix, AZ · Remote

$140 - $145/hr

... delivery on a national scale, all from a flexible remote environment. Duties ... Lead robust peer review activities, clinical governance, quality reviews, and complex medical ...

Altegra Health

Remote Certified Coder

Atlantic City, NJ · Remote

$22.50 - $31/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Altegra Health

Remote Certified Coder

Atlantic City, NJ · On-site +1

$22.50 - $31/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Ascension

Population Health Specialist

$73K - $106K/yr

... LI-Remote How you'll make an impact in this role * Serve as a Quality Specialist in Hedis abstraction, quality measures, audits, population health, chart reviews and gap closure. * Extensive ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Altegra Health

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

WPS

Appeals Registered Nurse

Madison, WI · On-site +1

$30.50 - $40.25/hr

Please review Remote Worker FAQs for additional information. Benefits * Remote and hybrid work options available * Performance bonus and/or merit increase opportunities * 401(k) with a 100% match for ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Datafied

Senior Business Analyst - Healthcare

$94K - $122K/yr

Ensure all documentation and solutions comply with HIPAA, HEDIS, and other relevant healthcare ... Competitive salary with periodic reviews * Remote-first work culture with flexible hours

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Remote Hedis Reviewer information

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$29

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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.

Medical Director - Surgery, Orthopedics, or PM&R (Remote)

TEEMA Group

Dallas, TX • Remote

$140K - $145K/yr

Full-time

Medical

Posted 4 days ago

Be an early applicant

Job description

Medical Director – Surgery, Orthopedics, or PM&R (Remote)

We are seeking an experienced Medical Director specializing in Surgery, Orthopedics, or Physical Medicine & Rehabilitation (PM&R) to join a nationally recognized healthcare organization in a high-impact physician leadership role. This is a fully remote opportunity offering exceptional work-life balance while allowing you to continue practicing clinically.

This position is ideal for physicians who enjoy combining clinical expertise with medical leadership, utilization management, quality improvement, and healthcare operations.

Important Schedule Requirement

To be considered, candidates must maintain active clinical practice in their specialty.

The expected schedule is:

  • Approximately 75% of time dedicated to Medical Director responsibilities

  • Approximately 25% of time dedicated to active clinical practice (private practice, locums, hospital work, etc.)

Candidates must be willing and able to maintain active clinical engagement while serving in this role.

Responsibilities

  • Perform medical necessity reviews and coverage determinations

  • Provide physician leadership and clinical oversight

  • Support utilization management and quality improvement initiatives

  • Participate in peer review and clinical governance activities

  • Collaborate with interdisciplinary healthcare teams

  • Evaluate provider performance and clinical outcomes

  • Ensure compliance with evidence-based practice standards

  • Support organizational quality, regulatory, and accreditation initiatives

  • Contribute to policy development and clinical program enhancements

Required Qualifications

  • MD or DO

  • Board Certified in:

  • Surgery

  • Orthopedic Surgery

  • Physical Medicine & Rehabilitation (PM&R)

  • Active, unrestricted medical license

  • Minimum 10 years of clinical practice experience

  • Minimum 5 years of physician leadership experience

  • Current or previous experience as:

  • Medical Director

  • Associate Medical Director

  • Chief Medical Officer

  • Department Chair

  • Service Line Director

  • Similar physician executive leadership role

  • Ability to maintain active clinical practice while serving as Medical Director

Preferred Qualifications

  • Utilization Management (UM)

  • Medical Necessity Review

  • Quality Improvement

  • Peer Review

  • Clinical Governance

  • Provider Performance Management

  • Managed Care or Health Plan experience

  • NCQA, HEDIS, Joint Commission, or URAC experience

Ideal Background

Candidates from the following environments are strongly encouraged to apply:

  • Health Plans

  • Managed Care Organizations

  • Academic Medical Centers

  • Integrated Delivery Networks

  • Population Health Organizations

  • Large Healthcare Systems

  • Multi-Specialty Physician Groups

Why Apply?

  • Fully Remote

  • High-Visibility Physician Leadership Position

  • Competitive Compensation

  • Strong Organizational Support

  • Opportunity to Influence Clinical Quality and Patient Outcomes

  • Work with a Respected National Healthcare Organization

  • Fast Interview Process

This is an urgent, high-priority search. Qualified physician leaders with Surgery, Orthopedic Surgery, or PM&R backgrounds are encouraged to apply immediately.

Email your resume

mpalkin@teemagroup.com