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HEDIS Coordinator

Spectraforce Technologies

United States, North Carolina, Raleigh

500 West Peace Street (Show on map)

Nov 13, 2026

Position Title: HEDIS Coordinator

Work Location: Remote - nationally sourced

Assignment Duration: 3.5 months

Schedule: 8:00-5:00 PM CST Monday-Friday

Position Summary
Key Responsibilities

Monitor/manage incoming medical records; including downloading, splitting and renaming of incoming records via fax or email.
Investigate and contact providers to confirm demographic information and request medical records.
Escalation of chart retrieval efforts as needed to ensure record retrieval.
Management of pended 'unable to contact' records.
Review claims database for evidence of date of service.

Potential for rate max of medical records for compliance with HEDIS standards (depending on experience).

Candidate Requirements
High School Diploma	Preferred:
N/A	Preferred:
Must haves: Medical Record Experience Health care or MCO experience Strong computer program and navigational skills (excel, outlook, adobe pdf, etc) Nice to haves: Claims Experience Datavant portal experience Provider outreach call experience HEDIS or NCQA knowledge Disqualifiers: Performance indicators: Required to onboarding medical record management test - including downloading, splitting and renaming files to show evidence of understanding of project steps prior to project start.
1	See above must haves
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