HEDIS Coordinator

Job Title: HEDIS Coordinator Job Description
The HEDIS Coordinator supports quality improvement initiatives by managing medical record retrieval and review for HEDIS hybrid projects across multiple states. This role focuses on organizing incoming records, coordinating with providers, and ensuring accurate documentation to meet HEDIS compliance standards while working closely with a collaborative project team.
Responsibilities
- Monitor and manage incoming medical records received via fax and email, including downloading, splitting, and renaming files to ensure accurate organization and easy retrieval.
- Investigate and contact healthcare providers to confirm demographic information and request medical records needed for HEDIS review.
- Escalate chart retrieval efforts when necessary to ensure timely and complete record collection for HEDIS projects.
- Manage pended records classified as 'unable to contact' by tracking outreach attempts and updating status in project systems.
- Review claims databases to verify dates of service and identify records required for HEDIS measure validation.
- Perform medical record review and rate maximization activities to assess compliance with HEDIS standards, depending on experience and project needs.
- Collaborate with a project team to support multi-state HEDIS hybrid medical record initiatives and contribute to overall quality improvement goals.
- Use standard office software and portals to document work, track progress, and communicate with internal team members and external providers.
- Support project timelines by working additional hours as needed during peak HEDIS season to meet retrieval and review targets.
Essential Skills
- High school diploma or equivalent.
- Experience working with medical records in a healthcare or managed care organization setting.
- Knowledge of medical record processes and quality improvement activities related to HEDIS.
- Proficiency with computer programs and strong navigational skills, including use of Excel, Outlook, Adobe PDF, and similar applications.
- Ability to manage and organize large volumes of electronic medical records received via fax and email.
- Strong attention to detail when reviewing claims data and medical records for dates of service and HEDIS compliance.
- Effective verbal and written communication skills for contacting providers and documenting interactions.
- Ability to work both independently and as part of a team to meet project deadlines.
Additional Skills & Qualifications
- Claims experience, including reviewing and interpreting claims data.
- Experience using Datavant or similar medical record retrieval portals.
- Provider outreach call experience, including making outbound calls to request records and verify information.
- Familiarity with HEDIS measures and requirements.
- Knowledge of NCQA standards and quality improvement frameworks.
- Experience working on multi-state HEDIS hybrid medical record projects.
Work Environment
This is a remote, full-time position supporting the HEDIS hybrid season, typically working Monday through Friday with overtime as needed based on project demands. You will work as part of a collaborative team of approximately 1015 colleagues focused on multi-state HEDIS hybrid medical record retrieval and review. The role relies heavily on computer-based work, including use of email, Excel, Adobe PDF, claims databases, and secure portals such as Datavant. The environment is fast-paced during peak HEDIS periods, with a strong focus on accuracy, timely record collection, and adherence to quality standards.
Job Type & Location
This is a Contract position based out of West Des Moines, IA.
Pay and Benefits
The pay range for this position is $25.00 - $30.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. 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)
Job Type & Location
This is a Contract position based out of West Des Moines, IA.
Application Deadline
This position is anticipated to close on Nov 27, 2026.
Workplace Type
This is a fully onsite position in West Des Moines,IA. 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 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

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
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Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the
city and county of San Francisco, we will consider for employment qualified applicants
with arrest and conviction records.

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It is unlawful in Massachusetts to require or administer a lie detector test as a
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