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Remote Hedis Jobs in O Fallon, IL (NOW HIRING)

TEKsystems

Risk Adjustment Coding Auditor

Saint Louis, MO · Remote

$32 - $37/hr

HEDIS/STARS experience * Provider education experience * Prior RADV experience * CPMA or other ... remote position. Application Deadline This position is anticipated to close on Aug 11, 2026. About ...

All JobsHedis JobsRemote Hedis JobsRemote Hedis Jobs in O'Fallon, IL

Remote Hedis information

See O Fallon, IL salary details

$18

$32

$44

How much do remote hedis jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote hedis in O'Fallon, IL is $32.07, according to ZipRecruiter salary data. Most workers in this role earn between $27.12 and $35.87 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

What are the most commonly searched types of Hedis jobs in O'Fallon, IL?

The most popular types of Hedis jobs in O'Fallon, IL are:

What cities near O'Fallon, IL are hiring for Remote Hedis jobs?

Cities near O'Fallon, IL with the most Remote Hedis job openings:

Remote Hedis jobs near you
Infographic showing various Remote Hedis job openings in O'Fallon, IL as of August 2026, with employment types broken down into 7% As Needed, 89% Full Time, 2% Part Time, and 2% Contract. Highlights an 73% Physical, 4% Hybrid, and 23% Remote job distribution, with an average salary of $66,696 per year, or $32.1 per hour.

Technical Analyst - Population Health

Nityo Infotech

Saint Louis, MO • Remote

Contractor

Re-posted 14 hours ago

Job description

Role – Technical Analyst - Population Health

Location – St Louis, MO(Remote)

Job Details:

Must demonstrate strong domain expertise, particularly in the Payor-Provider ecosystem, with a solid understanding of Medicare, Medicaid, and other relevant healthcare programs

  • Works with stakeholders to discover, clarify, and document current and future data needs
  • Performs mapping of Population Health and Care Management data to a normalized data model.
  • Serves as a subject matter expert on the Population health data domains such as Care Management, Utilization Management, Quality Scores, HEDIS, Care gaps
  • Builds data concepts to support Population Health use cases
  • Serves as a key resource for an assigned customer area to understand and explain business and technical issues and to provide viable technology solutions.