HEDIS Nurse - 247876

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 #J-18808-Ljbffr Experience: 2 years required