HEDIS Quality Improvement Specialist

HEDIS Quality Improvement Specialist

Location: Remote (Texas)

Actalent is seeking HEDIS Quality Improvement Specialists to join our team supporting a major health plan's Quality Improvement Department in Texas. This role plays a critical part in driving overall health plan ratings by supporting the annual HEDIS Hybrid Project. You will work closely with a medical record retrieval vendor and internal teams to resolve retrieval barriers, ensure timely collection of medical records, and contribute to improved compliance and measure rates. This is a short-term but high-impact project with a collaborative, mission-driven team.

Key Responsibilities

• Contact provider offices to request and validate facility/provider addresses and collect medical records for the HEDIS project
• Perform data entry for address changes and upload medical records upon receipt
• Document all outreach efforts accurately and maintain compliance standards
• Utilize Microsoft Excel for tracking and reporting
• Support resolution of pending medical record retrievals to ensure project success

Why This Role Matters

This position is essential to improving quality scores and health plan performance. You'll join a diverse, collaborative team that values independence and teamwork during this critical HEDIS season.

Qualifications

• High School Diploma or GED
• Experience in HEDIS quality improvement and medical record retrieval
• Strong attention to detail and organizational skills
• Proficiency in Microsoft Excel

Preferred Experience:

• Medical record retrieval and auditing
• Familiarity with HEDIS measures and quality reporting
• Ability to analyze, track, and trend reporting results
• Experience preparing for meetings with providers and stakeholders

Job Type & Location

This is a Contract position based out of Houston, TX.

Pay and Benefits

The pay range for this position is $19.00 - $21.00/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 Nov 19, 2025.