Ensure HEDIS data integrity and process optimization * Partner with various lines of business, stakeholders and SMEs to determine impact and solutions * Re-mediate gaps in existing production ...
Ensure HEDIS data integrity and process optimization * Partner with various lines of business, stakeholders and SMEs to determine impact and solutions * Re-mediate gaps in existing production ...
Director of Product Management- Quality, HEDIS or Stars - Remote
Eden Prairie, MN · Remote
$134K - $230K/yr
... HEDIS at the core), CMS Stars, the CMS Quality Rating System (QRS), to drive accuracy, compliance, and measurable year round performance improvement. Along with driving VBC success across all lines ...
Director of Product Management- Quality, HEDIS or Stars - Remote
Eden Prairie, MN · Remote
$134K - $230K/yr
... HEDIS at the core), CMS Stars, the CMS Quality Rating System (QRS), to drive accuracy, compliance, and measurable year round performance improvement. Along with driving VBC success across all lines ...
Director Data Engineering - Remote
Eden Prairie, MN · On-site +1
Operations & Maintenance delivery lead for all UHC LOB HEDIS Retrospective data processing responsible for delivering Cloud based data engineering solutions along with driving AI implementations
Director Data Engineering - Remote
Eden Prairie, MN · On-site +1
Operations & Maintenance delivery lead for all UHC LOB HEDIS Retrospective data processing responsible for delivering Cloud based data engineering solutions along with driving AI implementations
Director Data Engineering - Remote
Eden Prairie, MN · On-site +1
Operations & Maintenance delivery lead for all UHC LOB HEDIS Retrospective data processing responsible for delivering Cloud based data engineering solutions along with driving AI implementations
Director Data Engineering - Remote
Eden Prairie, MN · On-site +1
Operations & Maintenance delivery lead for all UHC LOB HEDIS Retrospective data processing responsible for delivering Cloud based data engineering solutions along with driving AI implementations
Director of Product Management- Quality, HEDIS or Stars - Remote
Eden Prairie, MN · On-site +1
$134K - $230K/yr
... HEDIS ® at the core), CMS Stars, the CMS Quality Rating System (QRS), to drive accuracy, compliance, and measurable year round performance improvement. Along with driving VBC success across all ...
Director of Product Management- Quality, HEDIS or Stars - Remote
Eden Prairie, MN · On-site +1
$134K - $230K/yr
... HEDIS ® at the core), CMS Stars, the CMS Quality Rating System (QRS), to drive accuracy, compliance, and measurable year round performance improvement. Along with driving VBC success across all ...
Medical Record Retrieval Specialist
Minnetonka, MN · On-site +1
$41K - $70K/yr
Support HEDIS Hybrid Reviews, CMS Cost Audits, RADV, Data Validation, and other clinical or audit ... Remote role. To be eligible for consideration, candidates must have a primary home address ...
New
Quick apply
Medical Record Retrieval Specialist
Minnetonka, MN · On-site +1
$41K - $70K/yr
Support HEDIS Hybrid Reviews, CMS Cost Audits, RADV, Data Validation, and other clinical or audit ... Remote role. To be eligible for consideration, candidates must have a primary home address ...
New
Medical Record Retrieval Specialist
Minnetonka, MN · On-site +1
$41K - $70K/yr
Support HEDIS Hybrid Reviews, CMS Cost Audits, RADV, Data Validation, and other clinical or audit ... is a Remote role.To be eligible for consideration, candidates must have a primary home address ...
New
Medical Record Retrieval Specialist
Minnetonka, MN · On-site +1
$41K - $70K/yr
Support HEDIS Hybrid Reviews, CMS Cost Audits, RADV, Data Validation, and other clinical or audit ... is a Remote role.To be eligible for consideration, candidates must have a primary home address ...
New
HEDIS / Stars / NCQA reporting and gap closure * Quality performance analytics and operational workflows * Establish architecture patterns for ingesting and normalizing data from: * X12 transactions ...
HEDIS / Stars / NCQA reporting and gap closure * Quality performance analytics and operational workflows * Establish architecture patterns for ingesting and normalizing data from: * X12 transactions ...
Maintain documentation required to support use of supplemental data for HEDIS for auditors and internal requirements * Participate in audits as needed * Participate in all source validation efforts ...
Maintain documentation required to support use of supplemental data for HEDIS for auditors and internal requirements * Participate in audits as needed * Participate in all source validation efforts ...
HEDIS / Stars / NCQA reporting and gap closure * Quality performance analytics and operational workflows * Establish architecture patterns for ingesting and normalizing data from: * X12 transactions ...
HEDIS / Stars / NCQA reporting and gap closure * Quality performance analytics and operational workflows * Establish architecture patterns for ingesting and normalizing data from: * X12 transactions ...
Clinical Consultant - Remote
Eden Prairie, MN · On-site +1
... and HEDIS & NCQA measures where applicable * Communicate drug information to clients and respond to plan-specific clinical inquiries * Stay aware of and provide clinical market intelligence to ...
Clinical Consultant - Remote
Eden Prairie, MN · On-site +1
... and HEDIS & NCQA measures where applicable * Communicate drug information to clients and respond to plan-specific clinical inquiries * Stay aware of and provide clinical market intelligence to ...
Clinical Consultant - Remote
Eden Prairie, MN · On-site +1
... and HEDIS & NCQA measures where applicable * Communicate drug information to clients and respond to plan-specific clinical inquiries * Stay aware of and provide clinical market intelligence to ...
Clinical Consultant - Remote
Eden Prairie, MN · On-site +1
... and HEDIS & NCQA measures where applicable * Communicate drug information to clients and respond to plan-specific clinical inquiries * Stay aware of and provide clinical market intelligence to ...
Senior Business Analyst - Remote
Eden Prairie, MN · On-site +1
$91K - $163K/yr
Experience with clinical quality measures including Stars, HEDIS, and/or CAHPS * Familiar with ICD-10 codes and hierarchical condition categories, Medicare Advantage coding practices and risk ...
New
Senior Business Analyst - Remote
Eden Prairie, MN · On-site +1
$91K - $163K/yr
Experience with clinical quality measures including Stars, HEDIS, and/or CAHPS * Familiar with ICD-10 codes and hierarchical condition categories, Medicare Advantage coding practices and risk ...
New
Senior Business Analyst - Remote
Eden Prairie, MN · Remote
$91K - $163K/yr
Experience with clinical quality measures including Stars, HEDIS, and/or CAHPS * Familiar with ICD-10 codes and hierarchical condition categories, Medicare Advantage coding practices and risk ...
New
Senior Business Analyst - Remote
Eden Prairie, MN · Remote
$91K - $163K/yr
Experience with clinical quality measures including Stars, HEDIS, and/or CAHPS * Familiar with ICD-10 codes and hierarchical condition categories, Medicare Advantage coding practices and risk ...
New
Remote Hedis information
See Minnesota salary details
$19.78 - $22.24
2% of jobs
$22.24 - $24.70
3% of jobs
$24.70 - $27.16
3% of jobs
$28.55 is the 25th percentile. Wages below this are outliers.
$27.16 - $29.62
29% of jobs
$29.62 - $32.08
6% of jobs
The median wage is $33.12 / hr.
$32.08 - $34.54
14% of jobs
$34.54 - $37.01
13% of jobs
$37.52 is the 75th percentile. Wages above this are outliers.
$37.01 - $39.47
19% of jobs
$39.47 - $41.93
5% of jobs
$41.93 - $44.39
3% of jobs
$44.39 - $46.85
1% of jobs
$19
$33
$46
How much do remote hedis jobs pay per hour?
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?
What are some common challenges faced by remote HEDIS professionals, and how can they be managed?
What are the key skills and qualifications needed to thrive as a remote HEDIS abstractor, and why are they important?
What is the difference between Remote Hedis vs Remote Medical Reviewer?
| 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.
What are the most commonly searched types of Hedis jobs in Minnesota?
The most popular types of Hedis jobs in Minnesota are:
What are popular job titles related to Remote Hedis jobs in Minnesota?
For Remote Hedis jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Remote Hedis jobs in Minnesota look for?
The top searched job categories for Remote Hedis jobs in Minnesota are:
What cities in Minnesota are hiring for Remote Hedis jobs?
Cities in Minnesota with the most Remote Hedis job openings:

Full-time
Medical, Dental, Vision
Re-posted 16 days ago
Job description
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!
Daily Responsibilities:
- Support cross-functional work streams and teams to build and manage programs and projects that directly support HEDIS data quality improvement and reporting
- Conduct claims data and systems analysis and claims-related business analysis
- Ensure HEDIS data integrity and process optimization
- Partner with various lines of business, stakeholders and SMEs to determine impact and solutions
- Re-mediate gaps in existing production processes that can impact regulatory requirements
- Conduct research, complete data mining, and other necessary tasks to identify and validate business and HEDIS reporting requirements
- Perform testing and piloting of new HEDIS reporting processes, solutions and technology
- Perform root cause analysis of HEDIS data and provide recommendations and/or solutions
- Document and communicate detailed process documentation to describe processes & reason for changes (to include but not limited to: process mapping, P&Ps, SOPs, and BRDs).
- Utilize and analyze claims and investigate data to ensure HEDIS data and processes are appropriately followed, managed and reported
Hours:
- Monday-Friday daytime hours
Advantages of this Opportunity:
- Competitive salary, negotiable based on relevant experience
- Benefits offered, Medical, Dental, and Vision
- Fun and positive work environment
Requirements:
- BA/BS Degree
- 4+ years of health plan experience in claims, contracting, or reimbursement
- 2+ years of experience with coding and reimbursement methodologies and policies
- 1+ year or data analysis
Are you an experienced Business Analyst looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!
Want More Information?
Interested in hearing more about this great opportunity? Reach out to Amanda Hammer at 407-636-7030x201 or apply to obtain additional details.
About Healthcare Support
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.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003