Remote HEDIS Specialist
OR ยท Remote
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 ...
OR ยท Remote
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 ...
OR ยท Remote
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 ...
This position is open to anyone in the US who would work remote. Preference will be for candidates ... In-depth experience with health care providers / networks, CMS Star ratings, HEDIS measures and ...
New
This position is open to anyone in the US who would work remote. Preference will be for candidates ... In-depth experience with health care providers / networks, CMS Star ratings, HEDIS measures and ...
New
Salem, OR ยท Remote
$21.82 - $42.55/hr
Specialist, Quality Interventions/QI Compliance (Remote) Application Deadline: Open Until Filled ... Only candidates with previous experience in health care quality/HEDIS, report writing and ...
Salem, OR ยท Remote
$21.82 - $42.55/hr
Specialist, Quality Interventions/QI Compliance (Remote) Application Deadline: Open Until Filled ... Only candidates with previous experience in health care quality/HEDIS, report writing and ...
$122K - $200K/yr
... protocols, HEDIS and transition of care needs and regularly schedule follow up appointments as ... remote, telephonic, video patient-facing, andto support patient care needs in the market. Oversee ...
$122K - $200K/yr
... protocols, HEDIS and transition of care needs and regularly schedule follow up appointments as ... remote, telephonic, video patient-facing, andto support patient care needs in the market. Oversee ...
$90K - $120K/yr
Experience working with healthcare payer data, including experience working with 834, 837, HEDIS ... Work Environment Remote Travel may be required up to 15% locally or nationally Pay Transparency $90 ...
$90K - $120K/yr
Experience working with healthcare payer data, including experience working with 834, 837, HEDIS ... Work Environment Remote Travel may be required up to 15% locally or nationally Pay Transparency $90 ...
* This is a remote position in which we are able to employ in the following states: Alabama, Alaska ... Ability to analyze dashboards including HEDIS / STARs measures, Risk Adjustment (RAF/HCC ...
* This is a remote position in which we are able to employ in the following states: Alabama, Alaska ... Ability to analyze dashboards including HEDIS / STARs measures, Risk Adjustment (RAF/HCC ...
* This is a remote position in which we are able to employ in the following states: Alabama, Alaska ... Ability to analyze dashboards including HEDIS / STARs measures, Risk Adjustment (RAF/HCC ...
* This is a remote position in which we are able to employ in the following states: Alabama, Alaska ... Ability to analyze dashboards including HEDIS / STARs measures, Risk Adjustment (RAF/HCC ...
* This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... HEDIS, Stars, or Risk Adjustment programs or initiatives. * Medicaid or Medicare Advantage ...
* This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... HEDIS, Stars, or Risk Adjustment programs or initiatives. * Medicaid or Medicare Advantage ...
* This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... HEDIS, Stars, or Risk Adjustment programs or initiatives. * Medicaid or Medicare Advantage ...
* This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... HEDIS, Stars, or Risk Adjustment programs or initiatives. * Medicaid or Medicare Advantage ...
OR ยท Remote
$75K - $90K/yr
... remote-first, high-growth environment. * Review medical records and clinical documentation to ... Strong understanding of HEDIS measures and E/M coding, with the ability to evaluate documentation ...
OR ยท Remote
$75K - $90K/yr
... remote-first, high-growth environment. * Review medical records and clinical documentation to ... Strong understanding of HEDIS measures and E/M coding, with the ability to evaluate documentation ...
Roseburg, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Roseburg, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Roseburg, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Roseburg, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Eugene, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Eugene, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Roseburg, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Roseburg, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Klamath Falls, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Klamath Falls, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Klamath Falls, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Klamath Falls, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Roseburg, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Roseburg, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Klamath Falls, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Klamath Falls, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Klamath Falls, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Klamath Falls, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Roseburg, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
Roseburg, OR ยท Remote
$2.4K - $10K/mo
Knowledge of CMS Regulations and NCQA HEDIS Guidelines * Knowledge of Evidence-based Clinical ... Ability to practice autonomously in a remote clinical environment, including independently ...
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.
| 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.

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.ย
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