Back to Jobs

HEDIS Nurse- REMOTE

Remote, USA Full-time Posted 2026-06-16

Job Description

Lead data collection and abstraction for company quality measures, including HEDIS, CMS, and CHIPRA Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom Review medical records and abstract data for HEDIS and other measure sets Track and report on issues and outcomes related to abstractions and over-reads Communicate outcomes of abstraction and over-sight activities with health plans and vendors Additional Skills & Qualifications Recent experience with HEDIS, NCQA, Quality Initiatives/Standards. Previous HEDIS abstraction/overread experience Advanced knowledge of MS Excel. Current RN or LPN license

Work Environment

This position will be fully remote. Candidate must have strong internet connection. Hours are Monday through Friday from 8:00am - 5:00pm, 7:00am - 4:00pm, or 9:00am - 6pm CST Dress code is business casual. All work equipment will be provided. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through: Hiring diverse talent Maintaining an inclusive environment through persistent self-reflection Building a culture of care, engagement, and recognition with clear outcomes Ensuring growth opportunities for our people The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] for other accommodation options. Apply to This Job Check More Jobs Apply Job! Apply to this Job

Similar Jobs

Sr Spc, Provider Engagement - HEDIS/Quality required Remote

Remote, USA Full-time

Business Systems Analyst II - Remote (Must reside in MS, AL, AR, TN, LA, TX or GA)

Remote, USA Full-time

Business Analyst - Contract

Remote, USA Full-time

Business Analyst/Project Manager- Government Programs (Direct or Contract)

Remote, USA Full-time

Data Analyst II (Remote)

Remote, USA Full-time

Yexgo, Data Analyst Remote - Application via WayUp

Remote, USA Full-time

Clinical Documentation Integrity (CDI) Specialist - Remote

Remote, USA Full-time

Senior Sales Development Manager

Remote, USA Full-time

Fully Remote Tax Manager/ Senior Tax Manager role 150k-200k (+ Equity)

Remote, USA Full-time

Content Operations Coordinator

Remote, USA Full-time

Senior Systems Administrator

Remote, USA Full-time

VP, Product

Remote, USA Full-time

US Defense Engineering Lead

Remote, USA Full-time

Senior, Operations Business Analyst

Remote, USA Full-time

Director of Product Management - Cloud Communication Platform as a Service (CPaaS) Solutions - Voice Innovation and Strategy

Remote, USA Full-time

Customer Service ( Remote work)

Remote, USA Full-time

Account Data Analyst – Remote Sales Operations & Customer Master Data Management (Data Entry & Administrative Support) – arenaflex

Remote, USA Full-time

Remote Part‑Time Live Chat Support Specialist – Customer Service Excellence at arenaflex

Remote, USA Full-time

Experienced Regional Marketing Manager for Leading Beverage Brand – Driving Brand Awareness and Trial through Innovative Promotions and Events in the Chicago, IL Area

Remote, USA Full-time

Wells Fargo Job Application Career $29/Hour

Remote, USA Full-time