HEDIS Clinical Quality Auditor | Remote | Contract

Walker Healthforce, Inc.; New Jersey; Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

Competitive compensation package

Weekly pay via Direct Deposit

Medical, Dental & Vision available

401k options

Job summary

Walker Healthforce is seeking a HEDIS Clinical Quality Auditor for a remote contract role. The ideal candidate has 3-5 years of healthcare auditing experience and active LPN or NJ RN license, with strong analytical and communication skills.

Responsibilities include conducting office reviews, auditing medical records, and supporting quality improvement initiatives, with weekly pay and benefits offered. Start ASAP; remote within New Jersey.

Qualifications

• 3-5 years of related business experience, preferably within the healthcare industry.
• Licensed Practical Nurse license or active New Jersey Registered Nurse license
• Valid driver's license and access to an automobile
• Knowledge of managed care principles and medical terminology
• Strong analytical, organizational, communication, and presentation skills
• Strong problem-solving, decision-making, and PC skills

Responsibilities

• Conduct on-site provider office reviews to assess medical records, documentation standards, and quality requirements.
• Prepare documentation summarizing audit findings and educational opportunities.
• Analyze audit findings, trends, and patterns to support quality improvement activities.
• Assist with special projects, focused clinical studies, and state audits.
• Provide training to staff, providers, and vendors regarding programs and audit standards.
• Prepare quality-related reports as requested.
• Coordinate Corrective Action Plans for assigned audit types.
• Conduct re-audits to confirm identified deficiencies have been addressed.

Skills

Analytical skills

Organizational skills

Communication skills

Presentation skills

Education

Licensed Practical Nurse license

New Jersey Registered Nurse license

Job description

Back HEDIS Clinical Quality Auditor | Remote | Contract

Business & Care Management Contract Sep 30, 2026

HEDIS Clinical Quality Auditor | Remote| Contract

Walker Healthforce is seeking a HEDIS Clinical Quality Auditor with 3-5 years of related experience to conduct healthcare quality audits, analyze findings, support corrective action activities, and assist with quality improvement initiatives. This is a Contract opportunity.

Start Date: ASAP

Location: Remote -Candidates must be local to New Jersey

Hours/Schedule: Monday-Friday, 40 hours

Worker Type: W2

Core Requirements:

• 3-5 years of related business experience, preferably within the healthcare industry
• Licensed Practical Nurse license or active New Jersey Registered Nurse license
• Valid driver's license and access to an automobile
• Knowledge of managed care principles and medical terminology
• Strong analytical, organizational, communication, and presentation skills
• Strong problem-solving, decision-making, and PC skills

We Consider It A Bonus If You Also Have:

• Knowledge of URAC accreditation standards and HEDIS principles
• Knowledge of health management or patient education

Job Responsibilities:

• Conduct on-site provider office reviews to assess medical records, documentation standards, and quality requirements.
• Prepare documentation summarizing audit findings and educational opportunities.
• Analyze audit findings, trends, and patterns to support quality improvement activities.
• Assist with special projects, focused clinical studies, and state audits.
• Provide training to staff, providers, and vendors regarding programs and audit standards.
• Prepare quality-related reports as requested.
• Coordinate Corrective Action Plans for assigned audit types.
• Conduct re-audits to confirm identified deficiencies have been addressed.

What We Offer:

• Competitive compensation package
• Weekly pay via Direct Deposit
• Medical, Dental & Vision available
• 401k options

Why Work With Walker?

• Access to our top ranked team of recruiting and placement specialists
• Continuous, one-on-one support from a dedicated engagement manager
• Professional resume development and interview preparation

About Us:

Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment.