Hedis Coordinator - 210403

AxelonNewark, DE

$32 - $32 / hour

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Overview

Remote

On-site

Compensation

$32-$32/hour

Job Description

Remote- Delaware, 2-3 days per week of field work Looking for 1 candidate per location. 1 - New Castle County 1 - Kent County 1 - Sussex County Shift : Mon- Fri, 8am- 5pm EST, NO OT, No HolidaysTarget Start Date : 16 Nov 2026Duration : 2 months Description: Job Profile Summary

Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results Establish and maintain an action plan to improve HEDIS scores Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities Collaborate with providers and internal departments on rate investigation and validation activities, including maintaining all evidences, documentations, and changes Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality Conduct quality audit and maintain all data and process controls to ensure compliance

Travel on site to provider offices to retrieve medical records for HEDIS

Performance expectations: 1. 100% adherence to HIPAA 2. Retrieved records meet HEDIS criteria, are within required timeframe are legible, and complete. 3. Accurate indexing and naming of records, 4. Timely escalation and resolution of provider barriers affecting retrieval, 5. Maintain professional relationships with office staff and providersThis role offers a unique opportunity to combine healthcare quality expertise with direct provider engagement. Unlike traditional office-based positions, the Medical Record Retrieval Specialist works directly with provider offices to obtain critical medical records that support HEDIS reporting, quality improvement initiatives, and better health outcomes. The role requires a blend of relationship-building, problem-solving, travel, and technical knowledge of medical records, EHR systems, and HEDIS measures, making a tangible impact on both provider performance and member care.

Education/Certification	Required: Bachelors degree in related field or equivalent experience.			Preferred:
Licensure	Required: Driver's license required and own vehicle			Preferred:
Years of experience required: 3+ years of quality improvement or healthcare related experience. Disqualifiers: no prior HEDIS expeirence Additional qualities to look for: Comfortable with travelling to provider offices
Top 3 must-have hard skills stack-ranked by importance		1	HEDIS Measures and Quality Improvement Knowledge - Understanding of HEDIS measure requirements, medical record documentation standards, and quality gap closure opportunities. - Ability to identify records and documentation needed to support measure compliance and improve quality outcomes.
		2	Medical Record Retrieval and Documentation Management - Ability to locate, request, collect, organize, and securely transmit medical records from provider offices. - Understanding of medical record components, dates of service, and documentation requirements needed to support quality measures. - Experience working with EMRs, provider portals, fax systems, scanning, and document management tools.
		3	HIPAA Compliance & Healthcare Regulations - Knowledge of HIPAA, PHI handling, and data privacy requirements. - Ability to securely transport, store, scan, and transmit confidential patient information. - Understanding of audit and compliance standards related to medical record collection and quality reporting.

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FAQs About Hedis Coordinator - 210403 Jobs at Axelon

What is the work location for this position at Axelon?

This job at Axelon is located in Newark, DE, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

What pay range can candidates expect for this role at Axelon?

Candidates can expect a pay range of $31.88–$31.88 per hour for this role.

What employment applies to this position at Axelon?

The employer has not provided this information. This may be discussed during the hiring process.

What is the process to apply for this position at Axelon?

You can apply for this role at Axelon either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.