New22h ago
- Specialty: Quality Management
- Job type: Contract
- Salary: $30 – $35
- License states: Compact
RemoteHEDIS+2
Job details6 live roles
Remote Quality Management Nurse Jobs
Quality management is one of the most reliable desk paths off the floor: health plans need RNs to run HEDIS medical-record review, chase STARS measures, audit clinical quality, and prepare NCQA accreditation evidence. CVS/Aetna and Humana post these roles continuously as "Quality Management Nurse Consultant" and "STARS Improvement Clinical Professional." Listings currently on the board post salary bands from roughly $63K to $137K. Most are fully remote with standard weekday hours; HEDIS season (roughly January through May) is the annual crunch.
quality management market snapshot · computed from live listings
Posted pay
$70K–$140K median
3 of 6 listings post pay · observed $61K–$150K
Who's hiring
Elevance Health 2 · CVS Health 2 · Omada Health 1 · Humana 1
License requirements
Ohio 2 · California 1 · Georgia 1 · Illinois 1 · Indiana 1 · Kentucky 1
Schedule mix
Contract 1
beyond the full-time roles
Open roles
See all jobs →New22h ago
- Specialty: Quality Management
- Job type: Full-time
- Salary: $100,000 – $150,000
- License states: California, Georgia, Illinois, Indiana, Kentucky, Missouri, Nevada, New Hampshire, New York, North Carolina, Ohio, Texas, Virginia, Wisconsin
RemoteHEDIS+2
Job detailsNew5d ago
- Specialty: Quality Management
- Job type: Full-time
- Salary: $70,000 – $140,000
- License states: Pennsylvania
RemotePennsylvania RN+1
Job details13d ago
- Specialty: Quality Management
- Job type: Full-time
- Salary: Salary not listed
- License states: Any US
RemoteSTARS+2
Job details27d ago
- Specialty: Quality Management
- Job type: Full-time
- Salary: Salary not listed
2mo ago
- Specialty: Quality Management
- Job type: Full-time
- Salary: $60,522 – $129,615
- License states: Ohio
RemoteNCQA+4
Job detailsFrequently asked
What does a remote quality management nurse actually do?+
Abstract and review medical records against HEDIS specifications, investigate quality-of-care concerns, track STARS/CMS measures, prepare NCQA audit evidence, and push corrective-action plans with provider groups. It's detail work — closer to UR than to bedside.
What background do employers want?+
An active RN license plus a couple of years in utilization review, case management, or direct quality/audit work. CPHQ certification helps but is usually preferred, not required. HEDIS abstraction experience is the single strongest signal on a resume.
Is the work seasonal?+
Partly. HEDIS medical-record review runs roughly January-May and drives a wave of contract postings each winter; STARS and accreditation work is year-round. If you see a surge of short-term QM contracts in December, that's why.
How does it compare to utilization review?+
UR decides whether care meets criteria before or during treatment; QM measures how good the care was after the fact. The clinical reasoning transfers both ways, and plenty of nurses move between the two — which is why the two hubs cross-link.
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