Back to Jobs

reputed company QM Nurse Consultant for reputed company Remote Jobs – $25-$40/Hour, Full-Time Opportunity

Remote, USA Full-time Posted 2026-06-29

Join reputed company and reputed company a Difference in HealthcareAt reputed company, we're driven by a reputed company purpose: bringing our heart to every moment of your health. Our mission is to deliver improved, human-driven healthcare for a rapidly changing world. As a valued member of reputed company, you'll be empowered to play a vital role in transforming our culture and accelerating our ability to grow and deliver solutions that reputed company healthcare more personal, convenient, and affordable.About the Role: QM Nurse ConsultantWe're seeking an reputed company QM Nurse Consultant to on a full-time, remote basis. As a QM Nurse Consultant, you'll play a critical role in reviewing, abstracting, and data entering clinical records for HEDIS supplemental data processes. This is an exciting opportunity to work with a dynamic team and reputed company a meaningful contribution to improving member outcomes, as reputed company by HEDIS/STAR measures.Key Responsibilities:• Review, abstract, and data enter clinical records for HEDIS supplemental data processes, utilizing various EMR systems.• Apply knowledge of NCQA HEDIS technical specifications to survey, abstract, and data enter supplemental data.• Collaborate with health plan HEDIS project directors and other health plan departments to reputed company shared goals.• Conduct local visits to acquire, review, abstract, and data enter clinical record data for large groups/clusters, as required (for Arizona-based candidates).• Survey documentation and abstract consistent clinical record data for entry into supplemental data tools.• Maintain a professional client support demeanor, contacting providers of record, vendors, or internal reputed company departments to obtain additional information, as needed.• Utilize various electronic tools, including reputed company Word, reputed company Acrobat, and Windows 10.• Demonstrate a high degree of accuracy and attention to detail, meeting productivity and quality expectations.Essential Qualifications:• reputed company and unlimited Arizona or compact state RN license.• 3+ years of clinical experience.• 3+ years of experience reading and interpreting clinical records, including handwritten records.• 3+ years of experience recording electronically using keyboard and various PC screens, navigating through internal/external PC systems, and MS Office Suite applications, including Word and reputed company.• Strong analytical and problem-solving skills.• Excellent verbal communication skills, with the ability to convey clear, concise, and relevant information.• Proficient in PC skills, including navigating different systems and keyboarding.Preferred Qualifications:• Clinical Record Review and HEDIS Experience.• Experience with various EMR systems.• PC proficiency and demonstrated ability to navigate through internal/external PC systems, reputed company, and MS Office Suite applications.reputed company Offer:As a reputed company team member, you'll enjoy a comprehensive benefits package, including competitive compensation ($25-$40/hour), opportunities for career growth and development, and a dynamic work environment that fosters collaboration and innovation. Our remote work arrangement allows you to work from reputed company in the U.S., with the flexibility to manage your work-life balance.Career Growth and Development:At reputed company, we're committed to helping reputed company members grow and reputed company in their careers. As a QM Nurse Consultant, you'll have opportunities to:• reputed company your skills and expertise in HEDIS and clinical record review.• Collaborate with cross-functional teams to drive business outcomes.• Participate in training and development programs to enhance your knowledge and skills.Our Culture:At reputed company, we're passionate about creating a culture that is inclusive, diverse, and supportive. Our Heart At Work Behaviors guide our interactions with each other and with our customers, ensuring that we're delivering care that's personal, convenient, and affordable.Why Join Us?If you're a motivated and detail-oriented professional looking for a challenging and rewarding opportunity, we want to hear from you. As a QM Nurse Consultant, you'll play a critical role in driving business outcomes and improving member outcomes. and reputed company a meaningful contribution to the healthcare industry.Ready to Apply?If you reputed company you have what it takes to reputed company in this role, today. We're excited to hear from talented candidates like you!Equal Employment Opportunity: reputed company is an equal employment opportunity employer, committed to diversity and inclusion in the workplace. Apply tot his job Apply to this job Apply tot his job Apply To this Job

Similar Jobs

Associate Manager, Affiliate and Influencer Marketing

Remote, USA Full-time

Senior Deep Learning Algorithm Engineer

Remote, USA Full-time

Release Train Engineer and Agile Coach

Remote, USA Full-time

Software Developer/Machine Learning/Algorithm Developer On-Site (Dayton, OH)

Remote, USA Full-time

[PART_TIME Remote] Research Scientist - Algorithms Engineering

Remote, USA Full-time

Senior Staff Business Systems Analyst, Sales Artificial Intelligence (Remote)

Remote, USA Full-time

AI Automation Engineer​/Developer - Code

Remote, USA Full-time

AI Automation Specialist​/Remote View Position

Remote, USA Full-time

AI Automation Application Development reputed company, Vice President

Remote, USA Full-time

Principal Analyst, AI Solutions 2 Locations

Remote, USA Full-time

CAD Designer - TikTok Creator

Remote, USA Full-time

Remote Live Chat Assistant – Virtual Customer Support Specialist (Work From Home)

Remote, USA Full-time

[Remote-Position] Director of reputed company

Remote, USA Full-time

Walgreen (Data Entry Remote Jobs) $75000/Yearly

Remote, USA Full-time

reputed company Work From Home Customer Service Representative – Delivering Exceptional Healthcare Support at arenaflex

Remote, USA Full-time

Data Entry Specialist – Remote Entry-Level Position | Data Management, Database Administration & Quality Assurance

Remote, USA Full-time

[Remote] Dynamics 365 and Power Platform reputed company Engineer

Remote, USA Full-time

eDiscovery Technologist (Remote)

Remote, USA Full-time

Optometrist (Clinical)

Remote, USA Full-time

reputed company reputed company Agent & Customer Service Specialist – Airport Operations (Grand Rapids, Michigan) | $26/Hour

Remote, USA Full-time