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Remote Hedis Jobs in Woonsocket, RI (NOW HIRING)

Medical Director

Boston, MA · On-site +1

$173K - $250K/yr

Our Investment in You: • Full-time remote work • Competitive salaries • Excellent benefits ... HEDIS, and other quality measures. • Knowledge of Medicare and state Medicaid regulations ...

Remote Hedis information

See Woonsocket, RI salary details

$19

$32

$45

How much do remote hedis jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote hedis in Woonsocket, RI is $32.94, according to ZipRecruiter salary data. Most workers in this role earn between $27.88 and $36.88 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.

What are the most commonly searched types of Hedis jobs in Woonsocket, RI?

The most popular types of Hedis jobs in Woonsocket, RI are:

What job categories do people searching Remote Hedis jobs in Woonsocket, RI look for?

The top searched job categories for Remote Hedis jobs in Woonsocket, RI are:

What cities near Woonsocket, RI are hiring for Remote Hedis jobs?

Cities near Woonsocket, RI with the most Remote Hedis job openings:

Infographic showing various Remote Hedis job openings in Woonsocket, RI as of August 2026, with employment types broken down into 100% Contract. Highlights an 100% Remote job distribution, with an average salary of $68,513 per year, or $32.9 per hour.

Project Manager II / Hedis Lead as 100% Remote

Amicis Global

Woonsocket, RI • Remote

$52/hr

Contractor

Re-posted 23 days ago


Job description

Title: Project Manager II / Hedis Lead
Location: Remote
Duration: 06 Months
Shift Timing: 08:00 AM - 05:00 PM (Monday - Friday)
Pay Rate: $40.00 - $50.00/Hour on W2

Kindly help with the Pre Screen Questionnaire:

• Is the name listed on your resumes your legal name and spelt correctly, if not please provide that name?
• What is your current address (including the Apartment unit # and info if applicable)?
• Do you have an alternate phone number to what is already on your resume?
• Are you able to work Monday thru Friday, 8 am to 5 pm your local time (January thru May) without interruption?
• Do you have anything that requires time off or would prevent you from working the above required schedule (January thru May)?
• Please list 3 different Microsoft Office Suite Programs you have experience with and how many years you've worked in each one.
• Are you able to connect the Aetna provided laptop to your home internet modem via an ethernet cable connection? (Not thru a WiFi connections)

Kindly share your internet speed Test connected with Ethernet Cable 

Kindly share your most updated resume.

Roles & Responsibilities:  

• Directs, administers, and controls the day-to-day operations and activities of seasonal HEDIS colleagues.
• Provides leadership, support, and guidance to HEDIS management.
• Collaborates with HEDIS leadership including managers, directors, and executive leadership, when necessary.
• Supports the hiring, training, and coaching of seasonal colleagues ensuring compliance with established company and regulatory guidelines and procedures to provide high quality service.
• Ensures timely progress, tracking, accuracy, and completion of tasks assigned to HEDIS seasonal colleagues.
• Supports the implementation of divisional and company initiatives and strategies.
• Provides ongoing feedback throughout the HEDIS Hybrid Project.
• Orchestrates a strong, robust communications process between leadership, managers and colleagues ensuring the appropriate and timely dissemination of information to seasonal HEDIS colleagues.
• Ensures seasonal colleagues receive the appropriate training and education, including ongoing compliance training.
• Oversees schedule and time tracking of seasonal HEDIS colleagues.

Experience  
• 5+ years of management or leadership experience within the managed health care and/or quality management areas.
• Must have solid knowledge of HEDIS, NCQA (National Committee for Quality Assurance) Audits and STAR Measures Programs.
• Previous experience reflects a proven record of accomplishment or proficiency in the competencies noted.
• Proven management experience in a metrics driven and deadline driven environment.
• Able to coach and mentor team members.
• Demonstrated ability to plan, organize, and execute multiple functional business objectives.
• Good business acumen, professional communication skills both written and verbal

Education  
Associate's degree or equivalent experience

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