hedis

HEDIS Reviewers / AbstractorsJob Types: SeasonalThis is a remote position available to candidates located within the United States. Applicants must be eligible to work in the United States.Candidates must have their own Windows 10/11 laptop (preferably Windows Professional Edition), along with high-speed internet access and video-call capabilities.Pay...

RESPONSIBILITIES: Kforce's client in Fairfield, CA is looking for a HEDIS Analyst. The HEDIS team needs additional support for year-round auditing and program management. Responsibilities: * Prepare, analyze, report, and manage data used for both plan-wide and regional decision making for evaluating performance in key quality measures and the effective...

Centene is seeking a healthcare quality professional to educate and support provider practices on HEDIS measures, documentation, and coding. The role focuses on data collection, performance trends, and coaching for provider improvement. Success requires strong HEDIS/risk adjustment experience, collaboration with provider relations, and the ability to travel...

Working remotely on a full-time temporary basis, the HEDIS Reviewer will audit medical records, interpret clinical criteria based on HEDIS Technical Specifications, and ensure compliance with quality reporting standards. Key responsibilities: Audit information entered into the software system for abstraction and data entry based on HEDIS Technical...

Verda Healthcare, Inc. in Huntington Beach, CA is seeking a seasonal HEDIS Chart Abstractor/Measure Validator to review and validate clinical data for NCQA measures. The role requires chart abstraction and data entry within HEDIS software, with HIPAA-compliant handling of PHI and inter-rater reliability testing. The position is full-time onsite with standard...

Description Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization committed to the idea that healthcare should be easily and equitably accessed by all, currently available in Texas and Arizona. Our mission is to ensure that underserved communities have access to health and wellness services, and receive the support...

Akkodis is working with a health plan in Central Valley, CA in need of HEDIS Abstractors for a temporary contract through June 2027. Candidates must be based in California. The Terms: • Temporary contract from January 2027 – June 2027 • Remote • Mon-Fri, 40-hours per week • $36/hr W2 Qualifications (Education/Licenses): · HS Diploma...

HEDIS Reporting LeadImplementing Healthcare Effectiveness Data and Information Set (HEDIS) project plan and meets all requirements of National Committee for Quality Assurance (NCQA) and regulatory, which includes project monitoring, data collection, quality control, and reporting. Applying both business knowledge and technical expertise to supports HEDIS...

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies,...

Seeking a detail-oriented Senior HEDIS Specialist, the full-time remote position will manage the review and abstraction of clinical information from medical records for HEDIS quality reporting, ensuring compliance with technical specifications and conducting quality audits. Key Responsibilities Review and abstract clinical information from medical records...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health...

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 hands-on HEDIS review experience who enjoys clinical data analysis, quality improvement, and...

Job Summary Our client is seeking a HEDIS Reviewer to perform Healthcare Effectiveness Data and Information Set (HEDIS) medical record review, supplemental data validation, data abstraction, and clinical data quality activities. This role utilizes internal and external clinical data sources to support accurate, timely, and compliant collection of clinical...

HEDIS Registered Nurses (RNs) – NYC | Hybrid | 6-Month Contract If you are considering sending an application, make sure to hit the apply button below after reading through the entire description. 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. ...

Job DescriptionDescription:Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization committed to the idea that healthcare should be easily and equitably accessed by all, currently available in Texas and Arizona. Our mission is to ensure that underserved communities have access to health and wellness services, and receive the...

HEDIS Record Reviewer 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 on delivering only the best quality talent, the first time and every time. We...

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 hands-on HEDIS review experience who enjoys clinical data analysis, quality improvement, and...

Job SummaryOur client is seeking a HEDIS Reviewer to perform Healthcare Effectiveness Data and Information Set (HEDIS) medical record review, supplemental data validation, data abstraction, and clinical data quality activities. This role utilizes internal and external clinical data sources to support accurate, timely, and compliant collection of clinical...

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for...

Please note this is the target date and is subject to change. Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on...