"Alerted.org

REMOTE POSITIONJob Title: HEDIS Coordinator

Job Type: Contract

Job Overview

We are seeking a detail-oriented HEDIS Coordinator to join our team. This role focuses on supporting the HEDIS project, which measures the performance and effectiveness of care provided by healthcare providers and groups. You will be responsible for abstracting data from medical records and entering this information into specialized programs. Comprehensive training will be provided.

Key Responsibilities

+ Ensure HEDIS data accuracy and reporting through investigations, audits, and identifying improvement opportunities.

+ Assist with quality improvement initiatives within service and clinical areas.

+ Coordinate, complete, and update management on clinical quality metrics and HEDIS processes/results.

+ Establish and maintain an action plan to improve HEDIS scores.

+ Implement processes to request and evaluate member compliance reports for each HEDIS measure and identify improvement opportunities.

+ Collaborate with providers and internal departments on rate investigation and validation activities, maintaining all evidence and documentation.

+ Manage the HEDIS project, including nurse assignments, adherence to timelines, and vendor oversight for timeliness and quality.

+ Conduct quality audits and maintain data and process controls to ensure compliance.

+ Perform additional duties as assigned.

Essential Qualifications

+ Bachelor’s degree in a related field or equivalent experience.

+ Minimum 3 years of quality improvement or healthcare-related experience.

+ Working knowledge of NCQA and HEDIS requirements.

Additional Skills

+ Proficiency in Microsoft Excel and Word.

+ Strong customer service and communication skills.

+ Familiarity with Electronic Medical Records (EMR) systems.

Work Environment

+ Remote position with flexible work hours (primarily Eastern Standard Time).

+ Standard schedule includes a lunch break from 12 PM to 1 PM EST.

+ Additional hours may be required during peak project volume.

+ Role involves working with multiple systems and technologies.

Pay and Benefits

The pay range for this position is $20.00 - $30.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Oct 31, 2025.

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.

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 due to a disability, please email [email protected] (%[email protected]) for other accommodation options.