LPN HEDIS Nurse - REMOTE

This range is provided by Medix™. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range
$30.00/hr - $40.00/hr

Now Hiring: HEDIS Nurse (RN or LPN)

Remote | ⏱ Flexible Schedule (Must be available 9 AM - 3 PM CST)

We are seeking a highly skilled HEDIS Nurse to join our Quality Operations team. This role is ideal for someone who thrives in a high‑production environment, is technically strong, and has a passion for improving quality outcomes. Both RNs and LPNs are encouraged to apply.

What You’ll Do
You will play a key role in ensuring accurate HEDIS reporting, quality improvement, and clinical data validation. Responsibilities include:

Core Functions

Review and abstract medical records for HEDIS and HEDIS‑like measures

Perform data entry, data collection, and data mining for assigned markets

Highlight Stars/HEDIS opportunities for clinical staff

Support quality initiatives by requesting and obtaining medical records

Identify trends, gaps in care, and barriers impacting quality results

Navigate multiple systems, screens, and software platforms efficiently

Provide administrative and clerical support for reporting and special projects

Maintain current knowledge of HEDIS/Stars program requirements

Conduct inbound and outbound calls related to quality requirements

Operational Responsibilities

Review records to verify clinical data elements for reporting

Communicate additional record pursuits to team members

Uphold HIPAA standards and confidentiality

Attend meetings and calls related to clinical review and compliance

Successfully complete all HEDIS technical and software training

Perform additional duties as assigned

What We’re Looking For
Required Qualifications

RN or LPN

2+ years of HEDIS experience (strongly preferred)

Strong proficiency in Excel (sorting/filtering large datasets of 100k+ members)

Solid understanding of managed care and clinical quality requirements

Strong medical record review and abstraction skills

Excellent time management, prioritization, and attention to detail

Highly proficient with Microsoft Office (Word, Excel, PowerPoint, Adobe)

Critical thinker, self‑starter, and able to work independently without distraction

Must be technically savvy and comfortable navigating multiple screens and software systems

Why This Role?

Flexible start/end times

High‑impact role supporting quality improvement

Join a team focused on accuracy, performance, and outstanding outcomes

Seniority level
Associate

Employment type
Contract

Job function
Other

Industries
Staffing and Recruiting

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