ZipRecruiter

Log In

1

Director Hedis Operation Jobs (NOW HIRING)

Cambia Health Solutions, Inc.

You'll report to the Assistant Director of Data & Analytics Products and work alongside other ... You will own the strategy, operation, and evolution of our Snowflake-native HEDIS platform ...

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 ... Establish operational performance metrics and processes, including workload distribution and output ...

H. T. PROF Group

$150K - $180K/yr

... operational rigor to a fast-growing organization. This role is a fit for a strong analytical ... Own overall quality performance for the IPA/ACO, including HEDIS, QARR, patient satisfaction, and ...

HCP Talent

Director of Quality

Manhattan, NY · Hybrid

$150K - $180K/yr

... operational rigor to a fast-growing organization. This role is a fit for a strong analytical ... Own overall quality performance for the IPA/ACO, including HEDIS, QARR, patient satisfaction, and ...

previous page

Showing results 41-60

All JobsHealthcare JobsHospital JobsMedical Reviewer JobsDirector Hedis Operation Jobs

Director Hedis Operation information

See salary details

$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.

Product Manager, HEDIS Data & Agentic

Boise, ID • On-site, Remote

Cambia Health Solutions
Health Care and Social Assistance • 1 - 5K employees
Learn more about Cambia Health Solutionsexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago

Cambia Health Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 32 frontline employees who took The Breakroom Quiz

Job description

Product Manager, HEDIS Data & Agentic

Hybridrole(3days/weekin office)atour Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargooffices.

Candidates mustresidewithin commutable distance of that location or be willing torelocate.

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia's dedicated team of Product Manager are living our mission to make health care easier and lives better. We are rebuilding how Cambia's health plan turns data into decisions - Snowflake-native, GenAI-powered, and moving toward agentic. The Senior Product Manager owns a product domain within that portfolio: the roadmap, the requirements, the delivery, and the results.

You'll report to the Assistant Director of Data & Analytics Products and work alongside other product managers, developers, analysts, and engineering squads. This is a role for a passionate and expert data practitioner who wants to lead and own building a real data, semantics, and agentic stack - deep in the technology as a practitioner, and senior enough to understand and move the business.

Cambia seeks a data leader passionate about turning health data into HEDIS insights that improve member and provider outcomes. You will own the strategy, operation, and evolution of our Snowflake-native HEDIS platform, balancing the demands of a mission-critical business capability with a vision for the next generation of agentic analytics.

Do you have a passion for serving others and learning new things? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

The Product Manager II would have a BA/BS in Business Administration or relevant field with 6+ years' experience in a product management position in healthcare or equivalent combination of education and experience. For technology specific roles experience in consumer-facing software & services or a start-up environment preferred. MBA preferred

The Product Manager III would have a BA/BS in Business Administration or relevant field with 8+ years' experience in a product management position in healthcare, or equivalent combination of education and experience. For technology specific roles experience in consumer-facing software & services or a start-up environment preferred. MBA preferred.

The Product Manager Senior would have a BA/BS in Business Administration or relevant field with 10+ years' experience in a product management position in healthcare, or equivalent combination of education and experience. For technology specific roles experience in consumer-facing software & services or a start-up environment preferred. Must have experience that aligns directly to the products being managed. MBA preferred.

Preferred Qualifications: Healthcare payer data domain knowledge - health informatics, clinical care and analytics, claims and revenue, medical and Rx.

Skills and Attributes:

  • Technical credibility - working fluency in SQL and modern data platforms (Snowflake preferred), dimensional modeling concepts, and BI/visualization tools (SIGMA a plus, or the drive to learn it immediately).

  • AI product exposure - experience evaluating or delivering generative AI features within a data & analytics ecosystem, with sound judgment on responsible AI practices.

  • Influence without authority - you translate analytical insight into framing that drives high-quality decisions with product and business stakeholders.

  • Organization & communication - highly proficient planning across competing priorities, clear and concise presentations, and effective communication at senior levels of the organization.

  • Partnership instincts - you partner across, collaborate with, and inspire teams - including remote members - and negotiate complex, sensitive issues with diplomacy and persuasiveness.

What You Will Do at Cambia:

  • Own and deliver end-to-end product domains - Take full ownership of your assigned data and analytics product area, from vision and backlog management through delivery, adoption, and measurable business outcomes

  • Build production-ready AI and data products - Ship features on our live product stack powered by Snowflake Cortex and Cortex Code, contributing to our data and agentic AI roadmap with real-world impact

  • Develop domain strategy and roadmaps - Create and execute vision, strategy, and delivery roadmaps for data enrichment, analytics, quality assurance, and the complete product development lifecycle

  • Translate business strategy into actionable requirements - Lead the distillation of complex business objectives into clear, detailed product requirements that engineering and analytics teams can build against

  • Drive AI-powered innovation - Identify and deliver use cases for AI-powered insights, automated reporting, and enhanced data discovery while ensuring responsible AI practices are embedded throughout

  • Partner with business stakeholders - Lead collaborative interactions with business partners to identify high-impact opportunities where data and analytics drive measurable results, balancing business needs with technical feasibility

  • Guide cross-functional teams - Influence and mentor developers, analysts, and contract resources; collaborate with program management, engineering, data governance, architecture, and operations to navigate complex product decisions

  • Measure and optimize product impact - Track product success metrics, analyze usage patterns, and drive continuous improvements to product accuracy and effectiveness

  • Create meaningful impact at scale - Make product decisions that directly affect millions of members, enabling faster answers, fairer decisions, and more affordable healthcare

  • Grow your product leadership - Develop your skills within a product family that includes our most senior IC product roles, with a clear path for advancement

Work Environment:

  • Hybrid: 3 days per week in office

  • Some travel required within the Cambia US office footprint

Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.

Product Manager II:

  • Oregon, Washington, Idaho, Utah: The expected hiring range is $104K - $131K, the full salary range is $104K - 171K, and the bonus target is15%.

  • North Dakota: The expected hiring range is $100K - $134K, and the full salary range is $100K - $167K.

Product Manager III:

  • Oregon, Washington, Idaho, Utah: The expected hiring range is $128K - $160K, the full salary range is $128K - 208K, and the bonus target is15%.

  • North Dakota: The expected hiring range is $113K - $150K, and the full salary range is $113K - $187K.

Product Manager Senior:

  • Oregon, Washington, Idaho, Utah: The expected hiring range is $140K - $175K, the full salary range is $140K - 228K, and the bonus target is20%.

  • North Dakota: The expected hiring range is $129K - $171K, and the full salary range is $129K - $214K.

About Cambia


Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.


Why Join the Cambia Team?


At Cambia, you can:

  • Work alongside diverse teams building cutting-edge solutions to transform health care.
  • Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
  • Grow your career with a company committed to helping you succeed.
  • Give back to your community by participating in Cambia-supported outreach programs.
  • Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.


In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:


  • Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
  • Annual employer contribution to a health savings account.
  • Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
  • Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
  • Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
  • Award-winning wellness programs that reward you for participation.
  • Employee Assistance Fund for those in need.
  • Commute and parking benefits.

Learn more about our benefits.


We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.


As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

What Cambia Health Solutions employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply