HEDIS Clinical Quality Auditor | Remote

Back HEDIS Clinical Quality Auditor | Remote | Contract

Business & Care Management Contract Sep 30, 2026

Walker Healthforce is seeking a HEDIS
Clinical Quality Auditor with 3-5 years of related experience to conduct healthcare quality audits, analyze findings, support corrective action activities, and assist with quality improvement initiatives. This is a Contract opportunity.

Start Date: ASAP

Location: Remote
-Candidates must be local to New Jersey

Hours/

Schedule:

Monday-Friday, 40 hours

Worker Type: W2

• 3-5 years of related business experience, preferably within the healthcare industry
• Licensed Practical Nurse license or active New Jersey Registered Nurse license
• Valid driver's license and access to an automobile
• Knowledge of managed care principles and medical terminology
• Strong analytical, organizational, communication, and presentation skills
• Strong problem-solving, decision-making, and PC skills

• Knowledge of URAC accreditation standards and HEDIS principles
• Knowledge of health management or patient education

• Conduct on-site provider office reviews to assess medical records, documentation standards, and quality requirements.
• Prepare documentation summarizing audit findings and educational opportunities.
• Analyze audit findings, trends, and patterns to support quality improvement activities.
• Assist with special projects, focused clinical studies, and state audits.
• Provide training to staff, providers, and vendors regarding programs and audit standards.
• Prepare quality-related reports as requested.
• Coordinate Corrective Action Plans for assigned audit types.
• Conduct re-audits to confirm identified deficiencies have been addressed.

• Competitive compensation package
• Weekly pay via Direct Deposit
• Medical, Dental & Vision available
• 401k options

• Access to our top ranked team of recruiting and placement specialists
• Continuous, one-on-one support from a dedicated engagement manager
• Professional resume development and interview preparation

Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment.