HEDIS Nurse - 247876

Medix™; Missouri; Remote; USD 41,328 - 55,104; Part time

Benefits offered by this job

Flexible start/end times

High-impact role supporting quality improvement

Job summary

A staffing and recruiting firm is seeking a HEDIS Nurse (RN or LPN) for a remote position which allows for a flexible schedule. This high-impact role involves ensuring accurate HEDIS reporting and quality improvement initiatives. Candidates should possess at least 2 years of HEDIS experience and be proficient in Excel, with solid skills in medical records review. Join a motivated team dedicated to quality outcomes and performance improvement.

Qualifications

• 2+ years of HEDIS experience strongly preferred.
• Strong proficiency in Excel for large datasets.
• Excellent time management and attention to detail.

Responsibilities

• Review and abstract medical records for HEDIS measures.
• Perform data entry and data collection for assigned markets.
• Conduct inbound and outbound calls related to quality requirements.

Skills

HEDIS experience

Excel proficiency

Medical record review

Attention to detail

Time management

Technical savvy

Education

RN or LPN license

Tools

Microsoft Office (Word, Excel, PowerPoint, Adobe)

Job description

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