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Director Hedis Operation Jobs (NOW HIRING)

Sentara Healthcare

IT HEDIS & Analytics Manager

Norfolk, VA · On-site +1

$29.25 - $38.75/hr

Overview The IT HEDIS Manager is responsible for leading the technology, data integration, platform ... operations, analytics, production support, or similar teams, including direct oversight of staff ...

Sentara Health Plans

$116K - $216K/yr

... operations, analytics, production support, or similar teams, including direct oversight of staff ... Experience supporting HEDIS data processing, reporting, validation, audits, quality-measurement ...

Zing Health

Director, Quality Operations

IL · Remote

$160K - $175K/yr

The Director acts as a subject matter expert on HEDIS measures including providing education on ... Operations (claims and encounters) * Develops annual Quality Management Program Evaluation and ...

Zing Health Holdings Inc

IL · On-site

$160K - $175K/yr

The Director acts as a subject matter expert on HEDIS measures including providing education on ... Operations (claims and encounters) * Develops annual Quality Management Program Evaluation and ...

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Director Hedis Operation information

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$42.5K

$105.6K

$182.5K

How much do director hedis operation jobs pay per year?

As of Sep 11, 2026, the average yearly pay for director hedis operation in the United States is $105,577.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,500.00 and $130,000.00 per year, depending on experience, location, and employer.

What does a director HEDIS operation do?

A Director of HEDIS Operations oversees and manages the Healthcare Effectiveness Data and Information Set (HEDIS) processes within a healthcare organization. They ensure the accurate collection, reporting, and analysis of HEDIS data to comply with regulatory requirements and improve healthcare quality. Their role involves leading teams, coordinating with various departments, implementing quality improvement initiatives, and ensuring adherence to deadlines and standards set by the National Committee for Quality Assurance (NCQA). Effective leadership and a strong understanding of healthcare data management are essential for this position.

What are the key skills and qualifications needed to thrive as a director HEDIS operation?

To excel as a Director HEDIS Operation, you need expertise in healthcare quality management, data analysis, and a solid understanding of HEDIS measures, typically backed by a bachelor’s or master’s degree in healthcare administration or a related field. Familiarity with HEDIS reporting software, health plan data systems, and relevant certifications such as Certified Professional in Healthcare Quality (CPHQ) are highly valuable. Exceptional leadership, strategic planning, and communication skills help drive teams toward achieving regulatory compliance and quality improvement goals. These competencies are crucial for ensuring accurate reporting, optimizing healthcare outcomes, and maintaining accreditation standards.

What are the primary challenges faced by a director HEDIS operation, and how can new hires effectively address them?

A Director of HEDIS Operations often faces challenges such as managing tight reporting deadlines, ensuring data accuracy and compliance with NCQA standards, and coordinating cross-functional teams to collect and validate healthcare data. To address these challenges, new hires should prioritize building strong relationships with IT, quality improvement, and clinical teams, and stay up to date on HEDIS specifications and regulatory changes. Leveraging robust project management practices and fostering a culture of continuous process improvement are also key to meeting performance goals in this role.

What is the difference between Director Hedis Operation vs Hedis Coordinator?

AspectDirector Hedis OperationHedis Coordinator
CredentialsTypically requires a bachelor's degree, healthcare management certification, and experience in healthcare operationsUsually requires a high school diploma or associate degree, with some healthcare or case management training
Work EnvironmentOversees HEDIS data collection, analysis, and team management in healthcare organizationsPerforms data collection, member outreach, and assists in HEDIS data gathering
Employer & Industry UsageUsed in healthcare plans, provider organizations, and quality improvement departmentsCommonly employed in health plans and clinics for HEDIS data collection

The main difference is that the Director Hedis Operation manages the entire HEDIS process and team, while the Hedis Coordinator focuses on data collection and support tasks. The director has more strategic responsibilities and requires higher credentials, whereas the coordinator handles operational tasks under supervision.

What are popular job titles related to Director Hedis Operation jobs?

For Director Hedis Operation jobs, the most frequently searched job titles are:

Infographic showing various Director Hedis Operation job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $105,577 per year, or $50.8 per hour.

Director, HEDIS Performance & Strategy (Enterprise Medicare) - REMOTE

Remote

Molina Healthcare
Health Care and Social Assistance • 10K+ employees
Learn more about Molina Healthcareexternal

$105K - $229K/yr

Full-time

This job post has expired 3 days ago. Applications are no longer accepted.

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

Job description


Job Description
The Director, HEDIS Performance & Strategy leads the execution of enterprise initiatives to improve HEDIS measures aligned with Medicare Star Ratings. As a strategic partner to senior quality leadership, this role translates priorities into coordinated workstreams across markets and shared services, aligning operations, supplemental data, reporting, provider engagement, and quality improvement.
The ideal candidate brings deep expertise in HEDIS operations, Medicare Stars, supplemental data, and measure implementation, with the ability to analyze performance, influence matrixed stakeholders, and drive accountability.
Primary Responsibilities
Strategic Deployment & Operational Execution
  • Lead enterprise execution of Medicare HEDIS and Stars strategies by translating quality priorities into actionable measure-level workstreams.
  • Coordinate enterprise readiness planning for upcoming NCQA, CMS, HEDIS, and Stars measure changes.
  • Drive implementation of operational, documentation, coding, workflow, and supplemental data enhancements aligned to measure requirements.

Cross-Functional Leadership & Alignment
  • Align Quality, Care Management, Pharmacy, Network, Provider Engagement, Analytics, IT, Supplemental Data, and market stakeholders around enterprise priorities, execution, and accountability.

Measure Performance Optimization
  • Analyze measure gaps, performance trends, supplemental data impact, chase outcomes, and intervention effectiveness to prioritize improvement opportunities.
  • Proactively identify performance risks and operational barriers, recommend remediation, and monitor improvement initiatives for Stars-aligned measures.

Supplemental Data & HEDIS Operations
  • Assess opportunities for evaluation, integration, mapping, validation, and optimization of supplemental data sources in partnership with Systems and technical teams.
  • Ensure documentation workflows and source systems support data integrity, audit readiness, measure capture, and HEDIS reporting accuracy.

Program & Project Management
  • Maintain enterprise workplans, timelines, risks, dependencies, decisions, and progress reporting while driving stakeholder accountability and continuous improvement.

Executive Support & Communication
  • Develop executive materials, performance analyses, prioritization recommendations, and implementation updates for leadership and governance forums.

Required Qualifications
  • Deep expertise in HEDIS specifications, Medicare Star Ratings, supplemental data, and enterprise quality operations.
  • Demonstrated success leading complex, cross-functional Medicare quality initiatives and operational workstreams in matrixed organizations.
  • Strong analytical skills with experience interpreting performance data and operational impacts.
  • Excellent relationship management and communication skills.
  • Lean Six Sigma Black Belt preferred certification.
  • DSNP experience preferred.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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