Average salary: $75,513 /yearly
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$80.2k - $133.68k
...expertise required will vary based on the specific opening, but include the following: Medical expense and trends Quality including HEDIS reporting, interventions, and STAR ratings Clinical gaps and adherence Network Management contracting and pay-for-performance/...HEDISFull timeTemporary workRemote workShift workSentara Health
Virginia Beach, VA17 hours ago- ...remote Quality Improvement Specialist will manage patient and provider panels, deliver performance insights, and drive improvements in HEDIS and Medicare Stars measures through education and collaboration. Key responsibilities Engage with providers to educate on quality...HEDISRemote work
Virtual Vocations Inc
United States4 days ago - ...in the home and out of the hospital. Candidates must hold an ANCC/AANP certification, an active nursing license, and demonstrate expertise with CMS/HEDIS guidelines, EHRs, and secure communications. In-home visits and remote assessments are involved. #J-18808-Ljbffr...HEDISDaily paidRemote work
ComplexCare Solutions
Medford, OR9 hours 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
United States3 days ago- ...Candidates must be detail-oriented, possess strong computer skills, and have a valid nursing license from an accredited school of nursing. HEDIS experience is preferred. Working hours are Monday to Friday, 8 am to 4:30 pm EST, with necessary equipment provided. #J-18808-Ljbffr...HEDISWork from homeMonday to Friday
Maxim Staffing Solution
Cincinnati, OH4 days ago - ...develop care plans to support staying out of hospital The role requires an active NP license with board certification and the ability to work autonomously in a remote clinical environment while ensuring CMS/HEDIS compliance and high-quality patient care. #J-18808-LjbffrHEDISDaily paidRemote work
ComplexCare Solutions
United States3 days ago - ...insurance navigation. You will work under a licensed pharmacist to support transitions of care, document interventions in the EHR, and monitor quality metrics like Medicare Star Ratings and HEDIS, while collaborating with care teams to improve outcomes. #J-18808-LjbffrHEDISRemote work
JobRx, Inc.
Brooklyn, NY1 day ago - ...Surgical) or academic or researchExperience w/ annual comprehensive visits, management of patients with multiple chronic conditions is a plus. (not required)Familiarity with HCC coding, HEDIS measures is a plus (not required)Telehealth experience preferred (not required)...HEDISRemote work
Priority OnDemand
Phoenix, AZ4 days ago $26.5 - $47.59 per hour
A significant health organization is looking for a Quality Improvement Abstractor to lead quality data initiatives and ensure compliance with healthcare standards. The role is fully remote, requiring candidates to have 4+ years of relevant experience, including nursing ...HEDISHourly payRemote workMeridian
Lansing, MI1 day ago- ...improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals.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 work
Confident Staff Solutions
Dallas, TX8 hours 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
New York, NY4 days ago - ...medication-related services within a population health framework. Under pharmacist supervision, you will leverage EHRs and payer data to close care gaps, support transitions of care, and help achieve quality metrics such as Medicare Star Ratings and HEDIS. #J-18808-LjbffrHEDISRemote work
Baptist Health
United States3 days ago - ...regulatory requirements Conducts assessments and develops targeted activities to improve performance measures such as Star Ratings and HEDIS Required qualifications Bachelor's Degree in a related health field or equivalent experience; Master's Degree preferred Minimum...HEDISFull timeRemote work
Virtual Vocations Inc
United States1 day ago - ...and ensure compliance with NCQA standards in a remote capacity. Key responsibilities Oversees quality programs/projects, including HEDIS performance measurement and quality reporting Acts as a subject matter expert, advising senior leadership on quality strategies and...HEDISFull timeRemote work
Virtual Vocations Inc
United States1 day ago - ...experience or equivalent leadership experience Experience managing cross-functional teams on large-scale projects Proficiency in HEDIS, CAHPS, Star Ratings, and provider quality improvement initiatives Strong analytical skills for data interpretation and process improvement...HEDISFull timeRemote work
Virtual Vocations Inc
United States5 days ago - ...Registered Nurse /HEDIS Position: RN/LPN HEDIS Duration: 4-6 months Mid-January 2016 - mid-May 2016 Location: Newark, NJ Skills Required: Must have prior experience working on a HEDIS audit Must have an active RN or LPN license (any state). Position...HEDISContract workWork from home
Integrated Resources
Newark, NJ5 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, NJ1 day ago - ...and perform quality assurance reviews to identify discrepancies and improve operational processes Required qualifications 1+ year of HEDIS experience or similar healthcare regulatory reporting program experience 2+ years of Business or Clinical Analytics experience 2+...HEDISFull timeRemote work
Virtual Vocations Inc
United States4 days ago - ...HEDIS RN/LPN Position: HEDIS RN/LPN Duration: 4-6 months contract Location: Newark, NJ Direct client: Immediate interview NEED 30 HEDIS RN/LPN Required skills: Must have prior experience working on a HEDIS audit Must have an active RN or LPN...HEDISContract workImmediate startWork from home
Integrated Resources
Newark, NJ5 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, MA2 days ago - ...relevant working experience, including people management Strong knowledge of population health management and value-based care Experience with Quality programs such as MSSP or HEDIS strongly preferred Ability to thrive in a fast-paced and changing work environment...HEDISFull timeContract workWork experience placementRemote work
Virtual Vocations Inc
United States3 days ago - Centene Corporation seeks a Quality Improvement professional to oversee the QA program, leading state HEDIS audits and regulatory submissions. You will support staff, coordinate with departments, and ensure compliance with government requirements and NCQA standards. Ideal...HEDISRemote job
- ...story. The role requires closing complex, multi-stakeholder contracts and driving pipeline growth across payer markets. You will report to the CCO and collaborate with product and clinical teams to align care management workflows with STAR/HEDIS #J-18808-Ljbffr Socket.devHEDISRemote job
- ...Job Description Candidate will work with the HEDIS team to collect member records, conduct reviews by contacting providers, and place results into a specific database. Reviews occur on site at provider offices or hospital institutions. Travel is required and may necessitate...HEDISContract workRemote workNight shift
Aerotek Commercial Staffing
Eagan, MN1 day ago - ...HEDIS RN/LPNPosition: HEDIS RN/LPNDuration: 4-6 months contractLocation: Newark, NJDirect client: Immediate interviewNEED 30 HEDIS RN/LPNRequired skills:Must have prior experience working on a HEDIS auditMust have an active RN or LPN license (any state).Position is responsible...HEDISContract workImmediate startWork from home
Careers Integrated Resources Inc
Newark, NJ5 days ago - ...Additional Skills: Single Data Repository was established in 2017 is a key asset for Clinical Data persistence for several HEDIS and other UHC initiatives processing several domains of Clinical data. Enterprise Clinical Data Hub (SDR V2) - Modernization of the...HEDISRemote work
My3Tech Inc
United States3 days ago - Guidehealth, a remote-first health data company, is seeking a Clinical Pharmacist with a PharmD to lead HEDIS medication adherence initiatives. The role focuses on improving adherence rates to antihypertensive, lipid-lowering, and diabetes therapies, and ensuring alignment...HEDISRemote job
- ...and collaborating with hospital leaders to improve risk scores. The position emphasizes accuracy in ICD-10-CM coding, CMS rules, and HEDIS/Stars knowledge, with opportunities for professional certification and growth within Baptist Health. #J-18808-Ljbffr Baptist HealthHEDISRemote jobFull time
- ...comprehensive view of their needs and create appropriate care plans. Candidates must hold an active NP license in the US with ANCC or AANP certification and CPR. Familiarity with CMS/HEDIS guidelines and HIPAA compliance is required. #J-18808-Ljbffr ComplexCare SolutionsHEDISRemote jobDaily paidFlexible hours
- Centene Corporation is seeking a Quality Improvement professional focused on HEDIS measures within Hybrid Operations. The role leads complex QI initiatives, acts as primary owner for assigned HEDIS measures, and mentors teams in abstraction and measure interpretation. Applicants...HEDISRemote job
