SQL Data Analyst - Healthcare Claims Remote | Contract (Multi-Year or Permanent Option ... Familiarity with HEDIS, CMS Core Set, and Symmetry EBM Connect. * Teradata DBMS experience.
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SQL Data Analyst - Healthcare Claims Remote | Contract (Multi-Year or Permanent Option ... Familiarity with HEDIS, CMS Core Set, and Symmetry EBM Connect. * Teradata DBMS experience.
Remote Hedis information
See Springfield, IL salary details
$20.01 - $22.50
2% of jobs
$22.50 - $24.99
3% of jobs
$24.99 - $27.49
3% of jobs
$28.89 is the 25th percentile. Wages below this are outliers.
$27.49 - $29.98
29% of jobs
$29.98 - $32.47
6% of jobs
The median wage is $33.52 / hr.
$32.47 - $34.96
14% of jobs
$34.96 - $37.45
13% of jobs
$37.97 is the 75th percentile. Wages above this are outliers.
$37.45 - $39.94
19% of jobs
$39.94 - $42.43
5% of jobs
$42.43 - $44.92
3% of jobs
$44.92 - $47.41
1% of jobs
$20
$34
$47
How much do remote hedis jobs pay per hour?
As of May 29, 2026, the average hourly pay for remote hedis in Springfield, IL is $34.07, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $38.12 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 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 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 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.
More about Remote Hedis jobs
What are popular job titles related to Remote Hedis jobs in Springfield, IL? For Remote Hedis jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Remote Hedis jobs in Springfield, IL look for? The top searched job categories for Remote Hedis jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Remote Hedis jobs? Cities near Springfield, IL with the most Remote Hedis job openings:
Full-time
Posted 10 days ago
Job description
SQL Data Analyst - Healthcare Claims
Remote | Contract (Multi-Year or Permanent Option) | Competitive Pay + Benefits
Why This Role Is Different
This opportunity gives you real impact on Medicaid data solutions that improve healthcare delivery for millions. You’ll work with cutting-edge tools, collaborate with smart teams, and enjoy flexibility without sacrificing stability.
What You’ll Do
- Develop complex SQL for data warehouse reporting and analytics.
- Analyze business processes and document requirements for new systems.
- Partner with internal teams and clients to deliver clear documentation and updates.
- Support user acceptance testing, defect tracking, and scenario development.
- Dive into Medicaid enrollment, provider, and claims data to uncover insights.
- Identify and resolve data anomalies across cross-functional teams.
- Create professional presentations and contribute to operational guides.
What We’re Looking For
- Must-Have Skills:
- Advanced ANSI SQL coding experience.
- Healthcare business analysis and claims/encounter experience.
- 2+ years of Unix/Linux Shell scripting (Bash/Korn).
- Strong communication and organizational skills.
- Ability to thrive with minimal guidance and tight deadlines.
- Education: Bachelor’s degree in a related field.
Preferred Extras
- Experience with CMS Federal Reporting (CMS-416, CMS-64), PERM, T-MSIS.
- Familiarity with HEDIS, CMS Core Set, and Symmetry EBM Connect.
- Teradata DBMS experience.
- Knowledge of data integration, agile methodologies, and tools like Azure DevOps, SharePoint, MS Project, Visio.
Why You’ll Love It
- Flexibility: Remote work with occasional travel.
- Stability: Multi-year contract or potential permanent hire.
- Benefits: Competitive pay plus comprehensive benefits.
- Impact: Your work will directly improve Medicaid program performance.