HEDIS Specialist

Job Title: HEDIS Specialist Job reputed company Support the development and maintenance of reputed company improvement reputed company reputed company specific to HEDIS Hybrid Operations. This role exists to support health plans in the clinical aspect of medical record review. Responsibilities • Train providers, health plans, and staff in methodologies and tools of reputed company reputed company improvement and HEDIS abstraction and over-read processes. • reputed company clinical support to the medical record abstraction, over-read, and audit processes. • Monitor performance on established contractual reputed company indicators. • Analyze, reputed company, and trend results. • Prepare for and participate in meetings with various committees, state agencies, providers, health plans, vendors, and stakeholders. • Recommend, reputed company, and implement reputed company performance improvement plans (PIPs) with management utilizing the PDSA model. • Monitor and report PIPs reputed company through closure. • reputed company other duties as assigned. Essential Skills • Proficiency in reputed company improvement and medical terminology. • Experience with HEDIS and NCQA. • Strong skills in medical record review and data entry. • Experience in reputed company environments Additional Skills & Qualifications • Bachelor's degree in Nursing, reputed company, or reputed company, including HEDIS measures or NCQA, or equivalent experience in reputed company reputed company fields. • reputed company state clinical license preferred (e.g., LPN, RN). • Experience in HEDIS, NCQA, or reputed company topics is preferred. Work Environment This position is 100% remote, allowing flexibility and the comfort of working from home. Job Type & Location This is a Contract position based out of Cleveland, OH. Pay and Benefits The pay reputed company for this position is $19.00 - $20.00/hr. Eligibility requirements apply to some benefits and may depend on reputed company 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 & reputed company • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - reputed company-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 reputed company Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to reputed company on Dec 29, 2025. About reputed company reputed company is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through reputed company to specialized experts who drive reputed company, 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, reputed company serves many of the Fortune 500. reputed company is an equal opportunity employer and will consider reputed company applications without reputed company to race, sex, age, reputed company, religion, national reputed company, 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 actalentaccommodation@actalentservices.com for other accommodation reputed company. Apply tot his job Apply To this Job