About Careertakes

👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, Legal.

Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.

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Overview

This is a fully remote, contract opportunity for a REMOTE HEDIS Coordinator supporting a Confidential Client. The HEDIS Coordinator will manage HEDIS data collection, audits, and quality-improvement activities, collaborating with clinical teams, vendors, and providers to validate rates and improve performance on HEDIS measures.

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What You’ll Do

• Coordinate, collect, and report clinical quality metrics and HEDIS results for assigned measures.
• Maintain and execute action plans to improve HEDIS scores across measures.
• Request and evaluate member compliance reports for each HEDIS measure and identify improvement opportunities.
• Investigate rate discrepancies, validate findings, and maintain complete documentation and evidence for audits.
• Oversee HEDIS project activities, including assignment of nursing resources, timeline adherence, and vendor oversight to ensure timeliness and quality.
• Conduct quality audits and maintain data and process controls to ensure compliance with internal standards and NCQA requirements.
• Collaborate with providers and internal teams to provide education, obtain documentation, and close gaps in care.
• Prepare regular updates for management on project status, findings, and remediation progress.
• Perform other duties as assigned; comply with all client policies and standards.

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What We’re Looking For (Qualifications & Skills)

• Bachelor's degree in a related field or equivalent experience.
• 3+ years of experience in quality improvement, healthcare quality, HEDIS processes, or related roles.
• Working knowledge of NCQA and HEDIS requirements preferred.
• Strong auditing, documentation, and investigative skills.
• Proficiency with MS Office suite (Excel, Word, PowerPoint) and the ability to manage data and reporting.
• Excellent written and verbal communication skills; able to collaborate effectively with clinical and non-clinical stakeholders.
• Strong organizational skills and ability to manage multiple priorities and timelines.
• Attention to detail and commitment to maintaining accurate audit trails and evidence.

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Preferred / Nice to Have

• Prior HEDIS coordination experience.
• Experience managing vendors or nurse assignments for quality initiatives.
• Familiarity with electronic health records (EHR) systems and clinical workflows.

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Work Type, Pay & Benefits

• Employment type: Contract (fully remote; role is TELECOMMUTE)
• Location (for record): Atlanta, GA, USA
• Pay range: $19.00 - $21.00 per hour
• Benefits (may be available depending on eligibility and classification): medical, dental & vision; 401(k); voluntary life/AD&D; short- and long-term disability; HSA; employee assistance program; paid time off policies for eligible assignments.

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Additional Information

• This role requires strict adherence to documentation and audit readiness to support quality reporting and NCQA standards.
• Careertakes and the Confidential Client will not discriminate on any legally protected characteristic. Reasonable accommodations may be available for candidates with disabilities during the hiring process—please request accommodations if needed.
• AI tools may be used to assist with resume screening; final hiring decisions are made by people.

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Equal Opportunity & Hiring Transparency

Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind. To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.

If you have questions about how your data is used, please contact us directly.