Average salary: $84,180 /yearly
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$40 - $42 per hour
...patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals.Overview:We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed, we will connect you with hiring...HEDISRemote workConfident Staff Solutions
United States3 days ago- ...Improvement Specialist will manage patient and provider panels, deliver actionable performance insights, and drive improvements in HEDIS and Medicare Stars measures through targeted education and collaboration. Key responsibilities Engage with providers to educate on...HEDISRemote work
Virtual Vocations Inc
United States2 days ago - ...cases. Support clinical data validation and quality measurement initiatives. Assist with quality measurement programs, including HEDIS, eCQMs, and digital quality measurement (dQM). Support Data Aggregator Validation (DAV) and Primary Source Validation (PSV)...HEDISContract workRemote work
Ventures Unlimited Inc
Raleigh, NC5 hours ago - ...this fully remote position requires expertise in coding and verifying inpatient encounters using ICD-10 CM, PCS, CPT, HCPCS, HCC, and HEDIS CAT II codes, while also providing guidance to coding staff to ensure compliance with established guidelines and accuracy in billing...HEDISRemote work
Virtual Vocations Inc
United States1 day ago - ...supporting quality initiatives, and delivering centralized support to clinical teams. Key responsibilities Serve as Quality SME for HEDIS/Stars specifications and lead quality meetings with payor partners Act as liaison for external vendors, overseeing performance and...HEDISFull timeRemote work
Virtual Vocations Inc
United States5 days ago - ...equipment and orientation one day General Information This position is responsible for conducting quality audits for state audits, HEDIS and quality referral and complaints issues. This position is also responsible for preparing weekly, monthly, quarterly and year-end...HEDISRemote work
Winston Staffing
Newark, NJ2 days ago - ...Management & Care Coordination • Transition of Care (TOC) Secondary (Good to Have): • Medicare Advantage / D-SNP Knowledge • HEDIS / Medicare STAR Measures POSITION OVERVIEW The RN Case Manager will provide telephonic care management and coordination for...HEDISContract workRemote work
Pacer Group
Charlotte, NC5 hours ago - ...Call center or telephonic clinical experience Medication Therapy Management (MTM) experience Experience with Medicare STARs and HEDIS measures Bilingual candidates encouraged to apply If you’re a Texas-based, actively licensed Pharmacist looking for an...HEDISRemote workMonday to Friday
Medasource
United States5 days ago - A national consulting firm seeks a HEDIS Reviewer III to work remotely, primarily in the Michigan area. The ideal candidate will possess a high school diploma and must have at least four seasons of experience in auditing and abstracting medical records. Responsibilities...HEDISRemote work
SGS Consulting
United States1 day ago $115k - $150k
Type: Direct-HireCategory: Information TechnologyReference ID: 10080249Job record: a1qPL0000087uNRYAYValid through: 2027-08-20Title: Data Engineer / Senior Data Engineer - Healthcare DataLocation: 100% Remote - United States (CST/EST Hours)Salary Range: $115-150K + bonusBenefits...HEDISRemote workAddison Group
Chicago, IL7 days ago- ...Quality Improvement Specialist Are you a detail-oriented healthcare professional looking for a work-from-home role supporting HEDIS operations? We are seeking a dedicated Quality Improvement Specialist to join our Pends team for the upcoming MY26 HEDIS season! In this...HEDISRemote workMonday to Friday
Randstad
United States4 days ago - ...HEDIS Registered Nurses (RNs) – NYC | Hybrid | 6-Month Contract A well-established managed care company is looking to hire an experienced HEDIS Registered Nurses for a 6-month temporary opportunity in New York City. This is a great opportunity for an RN with...HEDISPermanent employmentFull timeContract workTemporary workWork at officeRemote workMonday to Friday
Green Key Resources
Manhattan, KS5 hours ago $135k
...Support quality initiatives through accurate clinical documentation including HCC coding, risk adjustment, and closure of STAR and HEDIS quality gaps Help develop and refine care pathways, workflows, and best practices as the Delaware program expands Build strong...HEDISFull timeRemote workSerKy Consulting LLC
United States2 days ago$42 - $46 per hour
A healthcare solutions provider is seeking a HEDIS Medical Record Analyst to work remotely from WA, OR, ID, or UT for a temporary assignment starting May 2026. The analyst will retrieve and abstract medical records necessary for HEDIS reporting, requiring strong experience...HEDISHourly payTemporary workRemote workCambia Health Solutions
Boise, ID5 hours ago- ...One of our Blue Cross Blue Shield clients is looking for Medical Record Retrievers/Clinical Record Reviewers to support a need for HEDIS retrospective. The hired employees will be responsible for medical record retrieval, abstraction, and over-reads through fax, email,...HEDISCurrently hiringRemote work
GeBBS Consulting
Columbia, MD2 days ago - ...example) Epic Reporting Analyst with Epic Cogito (Clarity/Caboodle), advanced SQL, My Panel Metrics (MPMs), Healthy Planet, HEDIS, care gap reporting, SlicerDicer, Radar Dashboards, and provider-facing population health reporting experience. In addition...HEDISRemote work
3B Staffing LLC
Boston, MA5 days ago $42.26 - $45.78 per hour
...outward-facing, dedicated clinical resource responsible for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expectations, and developing and managing initiatives to achieve 5 stars. The position has oversight responsibilities...HEDISHourly payRemote workPionear LLC
United States2 days ago- ...management and health education programs including, but not limited to NCQA accreditation, Healthcare Effectiveness Data Information Set (HEDIS), and disease management programs.Required Qualifications• At least 8 years of experience as a pharmacist, including 5 years of...HEDISLive inWork at officeRemote work
Molina Healthcare
Des Moines, IA8 days ago - ...HEDIS Auditor RN/LPN Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers...HEDISContract workRemote workWork from home
Integrated Resources
Newark, NJ4 days ago - ...This position is responsible for but not limited to collecting, analyzing, validating reports for HEDIS. Working in a team environment this position will assist the team with updating QMRM with location corrections, working assignments for the team and pulling reports....HEDISRemote work
w3r Consulting
United States3 days ago - ...understand needs, develop care plans, and keep individuals safely in their homes and out of the hospital. Responsibilities include CMS/HEDIS familiarity, thorough documentation, coordination with PCPs, and ensuring timely follow-up. #J-18808-Ljbffr ComplexCare SolutionsHEDISDaily paidWork from home
- ...program pilot research and development. You will oversee integration of operations to ensure compliance with state contracts, RFPs, HEDIS, and other national standards. The position offers remote work within the continental United States, with collaboration across the CMO...HEDISRemote job
- ...to include but not limited to Meaningful Use, Uniform Data System, Accountable Care Organization, Patient Centered Medical Home, and Hedis Measures. Assist with departmental QI Initiatives to include metric identification, interventions, evaluation, and outcomes. Ability...HEDISHourly payFull timeWork at officeRemote work
- ...The Quality Improvement Manager is responsible for leading and advancing organizational quality performance with a primary focus on HEDIS measures, payer incentive programs, and population health initiatives. This role oversees the identification of quality improvement...HEDISWork at officeRemote work
Praxis Health
Portland, OR11 days ago - ...Facilitates and administers Health Plan clinical operations functions-prior authorization, Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and promotes membership growth Serves as a trusted advisor to members, loved ones and nursing home...HEDISWork from home
Longevity Health Plan
Greenville, SC5 days ago - ...you're asking for ~ Authorized to work in the US A strong plus Working knowledge of quality measures and gap closure (HEDIS or similar) — specs, eligibility, evidence, measurement periods Familiarity with clinical coding and billing: ICD-10, CPT/HCPCS,...HEDISFull timeRemote work
Caret Health
United States2 days ago - ...remote, but hybrid) Duration: 6+ Months Contract PURPOSE: We are seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a payer, health insurance, or HEDIS vendor environment. The ideal candidate will understand NCQA...HEDISContract workWork at officeRemote work
Charter Global
Columbia, MD3 days ago - ...Working remotely on a contract basis, the Remote Administrative Clerk will support the HEDIS Effectiveness Data and Information Set project by obtaining, reviewing, and processing medical records in accordance with NCQA guidelines. Key responsibilities Obtain and distribute...HEDISContract workRemote work
Virtual Vocations Inc
United States3 days ago - ...Working remotely on a contract basis, the Remote Medical Records Clerk will support the HEDIS Effectiveness Data and Information Set project by obtaining and reviewing medical records in accordance with NCQA guidelines. Key responsibilities Obtain and distribute medical...HEDISContract workRemote work
Virtual Vocations Inc
United States5 days ago - UnitedHealth Group seeks a Director of Product on the Quality Optimization team within OptumInsight to drive strategy and execution for NCQA, CMS Stars, MSSP, and related quality programs. Remote work is possible nationwide with in-office requirements in Minneapolis or ...HEDISWork at officeRemote work
