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Remote Hedis Jobs in Michigan (NOW HIRING)

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Remote Hedis information

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$17

$29

$41

How much do remote hedis jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for remote hedis in Michigan is $29.96, according to ZipRecruiter salary data. Most workers in this role earn between $25.34 and $33.51 per hour, depending on experience, location, and employer.

What are remote HEDIS jobs?

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.

What are remote HEDIS jobs?

Remote HEDIS jobs involve working with the Healthcare Effectiveness Data and Information Set (HEDIS) from a remote location, typically in roles such as abstractors, reviewers, or coordinators. Professionals in these positions collect, review, and analyze health care data to ensure compliance with quality measures used by health plans and providers. These jobs often require familiarity with medical records, coding, and healthcare regulations. Remote HEDIS roles offer flexibility and are in demand during the annual HEDIS reporting season, usually requiring strong attention to detail and computer proficiency.

What are some common challenges faced by remote HEDIS professionals, and how can they be managed?

Remote HEDIS professionals often encounter challenges such as managing large volumes of medical records, ensuring data accuracy, and navigating various electronic health record (EHR) systems. Working remotely can also require strong time management and self-motivation, as well as clear communication with team members and providers. To address these challenges, it's helpful to establish a structured daily routine, utilize secure and reliable technology, and participate in regular virtual meetings to stay aligned with team goals and updates.

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

To thrive as a Remote HEDIS Abstractor, you need a strong background in healthcare data abstraction, knowledge of HEDIS measures, and experience with medical records, often supported by an RN, LPN, or similar clinical credential. Familiarity with HEDIS-specific software, electronic health records (EHRs), and data management systems is typically required. Attention to detail, strong organizational skills, and effective communication are vital soft skills for ensuring accuracy and collaborating with remote teams. These skills ensure reliable data collection and reporting, which are essential for healthcare quality improvement and regulatory compliance.

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

AspectRemote HedisRemote Medical Reviewer
Required CredentialsRN, LPN, or Medical DegreeMD, DO, or Nurse Practitioner
Work EnvironmentHome-based, healthcare settingHome-based, healthcare setting
Industry UsageUtilized in Medicaid/Medicaid Managed CareUsed in insurance, utilization review
Common Search IntentCompare roles in Medicaid reviewCompare 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.

More about Remote Hedis jobs

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The most popular types of Hedis jobs in Michigan are:

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For Remote Hedis jobs in Michigan, the most frequently searched job titles are:

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The top searched job categories for Remote Hedis jobs in Michigan are:

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Cities in Michigan with the most Remote Hedis job openings:

Remote Hedis jobs near you
Infographic showing various Remote Hedis job openings in Michigan as of August 2026, with employment types broken down into 7% As Needed, 82% Full Time, 6% Part Time, 2% Temporary, and 3% Contract. Highlights an 73% Physical, 4% Hybrid, and 23% Remote job distribution, with an average salary of $62,319 per year, or $30 per hour.

Practice Performance Advisor

Amerihealth Caritas

Southfield, MI • On-site, Remote

Full-time

Re-posted 19 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

131st of 313 rated insurance

Job description

Role Overview: The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and quality outcomes. This role analyzes provider performance data, identifies improvement opportunities, and partners with providers and internal teams to drive improvements in quality, cost, and overall care delivery.

Work Arrangements:

  • Remote - The associate can be located anywhere in Michigan (MI).
  • 50% travel is required to the provider's location and attend office meetings at our Southfield, MI location.

Responsibilities:

  • Produce all quality and performance-related reporting, establishing opportunities and strategies regularly in preparation for the Joint Operating Committee (JOC).
  • Present information to the provider, colleagues, and the executive team in a clear, concise manager
  • Analyze claims data, utilization trends, and patient outcomes to support performance optimization
  • Support provider engagement related to Healthcare Effectiveness Data and Information Set (HEDIS), Total Cost of Care (TCOC), and other performance-based programs
  • Partner with Quality, Provider Network, and Account Executive teams to align strategies and improve provider performance
  • Participate in provider meetings to review gaps in care and develop action plans in collaboration with Provider Network Management (PNM) and Chief Medical Officer (CMO) teams
  • Lead and support performance improvement initiatives and projects aligned with corporate strategy and best practices
  • Identify opportunities using data and collaborate with internal teams to develop and implement targeted intervention strategies
  • Track, monitor, and report on provider action plans and outcomes to measure the effectiveness of initiatives
  • Support network and quality strategy execution across markets
  • Maintain strong cross-functional collaboration with Provider Network Operations (PNO), PNM, and Quality teams to achieve performance goals
  • May assist with member outreach efforts and coordination of care-related activities

Education & Experience:

  • Associate's degree or 5 or more years of experience.
  • Bachelor's degree in healthcare administration or related field preferred.
  • 3 years of Account Executive experience or provider engagement experience, demonstrating knowledge of TCOC and Medical Loss Ratio (MLR) analysis, is required.
  • Experience in a variety of provider reimbursement methodologies, including value-based or risk-based contracting
  • Understand quality and provider performance reporting, including HEDIS and other quality measures.

Licensure:

  • Valid driver's license, transportation, and insurance required:

Skills & Abilities:

  • Strong understanding of healthcare regulations, reimbursement models, and quality metrics, specifically in HEDIS and STARS
  • Ability to analyze and interpret complex healthcare data and translate insights into actionable strategies
  • Knowledge of provider operations, including claims coding, payment integrity, credentialing, appeals, and disputes
  • Experience working with value-based care programs and performance measures
  • Excellent communication and collaboration skills with the ability to engage providers and cross-functional teams
  • Strong analytical, problem-solving, and reporting capabilities
  • Ability to manage multiple priorities and drive performance improvement initiatives
Employment Type: FULL_TIME

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