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Director Hedis Analyst Jobs (NOW HIRING)

Frey Consulting Group

Director of Quality

Manhattan, NY · On-site

$150K - $180K/yr

Own overall quality performance for the IPA/ACO, including HEDIS, QARR, patient satisfaction, and ... Lead and mentor the Quality team, translating analytics into actionable improvement plans.

H. T. PROF Group

$150K - $180K/yr

This role is a fit for a strong analytical thinker and hands-on leader who is equally at home in ... Own overall quality performance for the IPA/ACO, including HEDIS, QARR, patient satisfaction, and ...

CareSource

Enterprise Quality Statistician

Dayton, KY · On-site

$72K - $115K/yr

... Director of Quality Analytics and market business owners in developing quality analysis plans and implementing analysis and statistical tests Design and apply statistical models to predict HEDIS ...

Hobbsnews

The Program Manager, Consultant (Coordinated Outcomes) will report to the Snr Manager/Director of ... Requires demonstrated experience with complex analytic modeling and operational planning in ...

HCP Talent

Director of Quality

Manhattan, NY · Hybrid

$150K - $180K/yr

This role is a fit for a strong analytical thinker and hands-on leader who is equally at home in ... Own overall quality performance for the IPA/ACO, including HEDIS, QARR, patient satisfaction, and ...

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Director Hedis Analyst information

What is a Director HEDIS Analyst?

Director HEDIS Analysts are senior professionals responsible for overseeing the Healthcare Effectiveness Data and Information Set (HEDIS) programs within healthcare organizations. They manage teams that collect, analyze, and report quality performance data to ensure compliance with regulatory standards and improve patient care. Their role often includes developing strategies to enhance HEDIS measure outcomes, collaborating with clinical and IT departments, and ensuring accurate data submission to accrediting bodies. Directors also stay updated on changing HEDIS requirements and work to implement best practices throughout their organization.

How does a Director HEDIS Analyst typically collaborate with clinical and IT teams to improve data quality and reporting?

A Director HEDIS Analyst often serves as a bridge between clinical, IT, and quality improvement teams to ensure accurate and timely data collection and reporting for HEDIS measures. They coordinate with IT to optimize data extraction from electronic health records, and work closely with clinicians to clarify documentation requirements and address data gaps. Regular meetings, cross-functional training sessions, and collaborative problem-solving are common, fostering a team environment focused on continuous improvement in data quality and compliance.

What are the key skills and qualifications needed to thrive as a Director HEDIS Analyst, and why are they important?

To thrive as a Director HEDIS Analyst, you need expertise in healthcare data analysis, quality measurement, and a strong understanding of HEDIS metrics, often supported by a degree in health informatics, public health, or a related field. Experience with analytic tools such as SAS, SQL, and healthcare data platforms, along with knowledge of NCQA regulations and HEDIS reporting systems, is crucial. Outstanding leadership, problem-solving, and communication skills help drive quality initiatives and manage cross-functional teams. These skills are essential to ensure accurate reporting, regulatory compliance, and continuous improvement of healthcare quality outcomes.

What is the difference between Director Hedis Analyst vs Hedis Analyst?

AspectDirector Hedis AnalystHedis Analyst
Required CredentialsBachelor's degree, possibly advanced certifications in healthcare or analyticsBachelor's degree in healthcare, statistics, or related field
Work EnvironmentLeadership role overseeing teams, strategic planningData analysis, reporting, and compliance tasks
Employer & Industry UsageHealthcare organizations, insurance companiesHealthcare providers, insurance companies, analytics firms
Common Search & ComparisonHigher-level responsibilities, management focusData-focused, operational role

The main difference between a Director Hedis Analyst and a Hedis Analyst lies in their level of responsibility. The Director Hedis Analyst typically oversees teams and strategic initiatives, requiring leadership skills and possibly advanced certifications. In contrast, the Hedis Analyst focuses on data analysis and compliance tasks. Both roles are vital in healthcare analytics but differ in scope and seniority.

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Director Hedis Analyst jobs near you
Infographic showing various Director Hedis Analyst job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 84% Full Time, 12% Part Time, 1% Temporary, and 1% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Director of Quality

Manhattan, NY • On-site

Frey Consulting Group
Recruiting and Staffing Services • 1 - 10 employees
Learn more about Frey Consulting Groupexternal

$150K - $180K/yr

Other

Life, Retirement, PTO

Posted 10 days ago

Job description

Director of Quality & Provider Engagement

Salary range: $150,000 to $180,000

We are partnering with a high-performing independent physician association (IPA) in the New York metro area that supports a large network of providers and several hundred thousand patients, a substantial share of them under value-based care arrangements. The organization is financially stable, growing, and recognized for strong quality performance. This is a rare chance to own and elevate quality across a large value-based network, with meaningful autonomy and a direct line to executive leadership.

Reporting to the Chief Medical Officer, the Director of Quality & Provider Engagement leads both the Quality and Provider Engagement functions. You will own overall quality performance across the value-based book, turn data into measurable improvement, and bring operational rigor to a fast-growing organization. This role is a fit for a hands‑on leader who is equally at home in the data and leading and developing a team.

What you'll do

  • Own overall quality performance for the IPA/ACO, including HEDIS, QARR, patient satisfaction, and Star Ratings.
  • Develop and drive the quality improvement strategy through data analysis, stakeholder engagement, and health‑plan collaboration.
  • Lead and mentor the Quality team, translating analytics into actionable improvement plans.
  • Provide leadership and structure to the Provider Engagement team, operationalizing quality strategies at the practice level through provider coaching, EMR‑configuration support, and feedback loops.
  • Build and deepen provider relationships, and lead provider education on documentation and risk adjustment.
  • Establish operational performance metrics and processes, including workload distribution and output tracking, and lead digital transformation to reduce manual reporting.
  • Partner with IT, data, and finance, and support the distribution of quality incentives, risk‑adjustment earnings, and shared savings.
  • Own programs that improve member quality, engagement, and retention across the network.

What you'll bring

Required

  • 5+ years of progressive experience in quality or HEDIS performance under value-based care, ideally at a health plan, ACO, or IPA.
  • Strong data literacy, including advanced Excel and comfort working with large datasets to produce analyses and identify gaps and opportunities.
  • Demonstrated leadership, with experience leading and developing a team.
  • Ability to translate quality analytics into practice-level action.
  • Understanding of behavior-change and engagement principles to motivate clinicians and patients.
  • Working knowledge of CMS Star Ratings, NCQA and HEDIS, and Medicaid quality (QARR).
  • Comfort operating in a fast-growing, less-structured environment where you help build the structure.

We value depth of experience and accomplishments over exact tenure, so we encourage strong candidates to apply even if they do not meet every line above.

Preferred

  • Provider-engagement or provider-relations leadership experience.
  • Experience implementing a CRM or building operational performance metrics from the ground up.
  • Master's degree in a relevant field.
  • Experience at a large IPA or ACO, or with a Medicaid-heavy population and multiple plan contracts.
  • Familiarity with EMR configuration or clinical-implementation workflows.

What we offer

  • Competitive salary of $150,000 to $180,000.
  • Company-paid life insurance.
  • 401(k) retirement plan with a 6% corporate match.
  • Generous paid time off and 13 paid holidays.
  • A direct line to executive leadership and the opportunity to shape quality strategy for a large, high-performing network.
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