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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