hedis rn remote

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...

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. ...

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...

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...

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,...

Actalent is hiring multiple RNs for a HEDIS-focused contract role starting in November. Candidates must hold an active RN license and have 3+ seasons of HEDIS experience, with nursing background aligned to medical quality measures. LPNs are not considered for this position. The role is remote, US-based, with a pay rate of $38–$42 per hour. Responsibilities...

SCAN, a nonprofit health organization serving older adults, seeks an HEDIS Nurse for remote data abstraction and outreach. You will review records, coordinate with members and providers, and support quality initiatives per NCQA guidelines. Ideal candidates are RN or LVN with 2–3 years of related experience, an associate or technical degree, and the ability...

Blue Cross NC is seeking a Clinical Quality Management Analyst to evaluate and monitor clinician and staff performance, offering feedback and implementing action plans for improvement. The role supports development of learning solutions based on quality findings and tracks performance trends across departments. You will interpret clinical guidance, ensure...

Centene Corporation is seeking a HEDIS Program Manager IV to provide strategic leadership for complex quality reporting programs in a fully remote, nationwide capacity. The role partners across Quality, Operations, QTS/IT, Health Plans and other teams to drive outcomes and improvements. Candidates should have a Bachelor’s degree (Master’s preferred)...

Centene Corporation seeks an HEDIS Quality & Audit Analyst to support enterprise HEDIS quality oversight, audit readiness, and CMS submission activities. You will collaborate with Health Plans and cross-functional partners to meet audit timelines and requirements. The role requires a Bachelor’s degree in healthcare or related field and 2+ years of HEDIS,...

Centene Corporation is seeking an experienced HEDIS Program Manager IV to provide strategic leadership for complex quality reporting programs. This fully remote role collaborates across Quality, Operations, and IT to drive outcomes and efficiency. You will manage scope, schedule, and budgets while guiding a team of project managers and analysts. The role...

SCAN Health Plan in Long Beach, CA is seeking a HEDIS Nurse for a temporary, remote role. You will review medical records for NCQA-guided quality initiatives and perform member outreach. The position requires RN or LVN license, an associate degree or equivalent, and 2–3 years of nursing experience with 0–1 year leadership. Base pay is $40 per hour, with...

This is a contract assignment that will start right away and end on April 30th 2024 Review Nurse SUMMARY DESCRIPTION : The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing...

This is a contract assignment that will start right away and end on April 30th 2024 Review Nurse SUMMARY DESCRIPTION : The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing...

HEDIS RN – Clinical Quality ReviewerManhattan, NY | 6 Openings | Hybrid | Full-TimeHumanEdge Healthcare Staffing is recruiting experienced HEDIS Registered Nurses for clinical quality review opportunities with a leading NYC health plan.This is an excellent opportunity for nurses with hands-on HEDIS medical record abstraction experience who enjoy clinical...

CenterWell is seeking a Stars Quality Improvement Professional to support clinicians and staff in improving CMS Star measures, patient safety, and patient experience across centers. You will review HEDIS gap reports, train teams, and help implement quality improvement workflows with clinical and operations partners. The role requires 2+ years working with...

A leading healthcare organization is seeking a Supervisor of Quality Operations to coordinate HEDIS and STARs data processes. This role requires a Registered Nurse with significant experience in data analysis and quality assurance. The position offers the flexibility to work remotely from anywhere in the U.S., supporting health equity through quality...

Blue Cross and Blue Shield of North Carolina is hiring a Clinical Quality Management Analyst to evaluate, analyze, and monitor staff or provider performance to achieve excellence in quality. You will deliver timely, objective feedback and develop learning solutions to close identified gaps, while ensuring compliance with regulatory requirements and internal...