HEDIS RN – Quality Auditor

US Tech Solutions

Contract Other Healthcare Practitioners and Technical Occupations
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Location
Newark, New Jersey, United States
Posted
July 21, 2026

Job Description


Duration: + months contract with potential extends or Convert


Job Description:
  • The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS measures, and quality-related complaints and referrals.

  • This role also supports data analysis and report preparation across various timeframes.


  • Responsibilities:
  • Conduct on-site reviews at provider offices to assess record quality and compliance with documentation standards.

  • Prepare reports summarizing findings and provide education and feedback to providers.

  • Support data services to identify trends and facilitate quality improvement initiatives.

  • Assist with clinical studies, quality projects, and audits.

  • Lead and coordinate Corrective Action Plans (CAPs) and follow-up reaudits.

  • Represent the organization for state audits and maintain documentation for compliance reporting.