ZipRecruiter

Log In

2

Hedis Analyst Remote Jobs in Inkster, MI (NOW HIRING)

All JobsHedis Analyst JobsHedis Analyst Remote JobsHedis Analyst Remote Jobs in Inkster, MI

Hedis Analyst Remote information

See Inkster, MI salary details

$29K

$68.6K

$121.7K

How much do hedis analyst remote jobs pay per year?

As of Aug 26, 2026, the average yearly pay for hedis analyst remote in Inkster, MI is $68,566.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,100.00 and $81,400.00 per year, depending on experience, location, and employer.

What is a HEDIS analyst?

A HEDIS Analyst (Remote) is a healthcare professional who collects, analyzes, and reports on healthcare quality data according to the Healthcare Effectiveness Data and Information Set (HEDIS) standards, while working from a remote location. Their primary role is to ensure accurate and timely submission of HEDIS data, often using electronic medical records and claims data. They collaborate with healthcare providers, quality improvement teams, and data analysts to identify gaps in care and help improve patient outcomes. Remote HEDIS Analysts utilize technology to communicate with team members and manage sensitive health information securely from their home or another offsite location.

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

To thrive as a HEDIS Analyst (Remote), you need strong analytical skills, familiarity with healthcare data, experience in quality measurement, and typically a bachelor’s degree in health informatics, public health, or a related field. Proficiency with data analysis tools like SQL, Excel, and healthcare software such as NCQA HEDIS reporting systems is often required, along with knowledge of HIPAA compliance. Excellent attention to detail, problem-solving ability, and strong communication skills are crucial for collaborating with cross-functional teams and interpreting complex data. These skills ensure accurate measurement, reporting, and improvement of healthcare quality, which are critical for meeting regulatory standards and enhancing patient outcomes.

What are some common challenges HEDIS analysts face when working remotely, and how can they be addressed?

Remote HEDIS Analysts often encounter challenges related to data accessibility, communication, and maintaining collaboration with clinical and quality improvement teams. To address these, successful analysts leverage secure remote access tools, maintain regular check-ins with their teams, and use project management platforms to ensure data integrity and workflow transparency. Building strong relationships with IT and data management staff is also essential for troubleshooting technical issues quickly and keeping projects on track.

What is the difference between Hedis Analyst Remote vs Hedis Coordinator Remote?

AspectHedis Analyst RemoteHedis Coordinator Remote
Required CredentialsTypically requires a healthcare or data analysis background, often with certifications in healthcare analytics or related fieldsUsually requires healthcare experience, with some roles preferring certifications in care coordination or case management
Work EnvironmentPrimarily data analysis, reporting, and compliance monitoring in a remote settingFocuses on care coordination, member engagement, and documentation, often involving communication with providers and members
Employer & Industry UsageCommon in health plans, healthcare analytics firms, and insurance companiesFound in health plans, Medicaid/Medicare organizations, and healthcare providers

While both roles are remote and involve healthcare, Hedis Analysts focus on data analysis and compliance reporting, whereas Hedis Coordinators handle member engagement and care coordination. The choice depends on whether you prefer data-driven tasks or direct member interaction.

What are popular job titles related to Hedis Analyst Remote jobs in Inkster, MI?

For Hedis Analyst Remote jobs in Inkster, MI, the most frequently searched job titles are:

What job categories do people searching Hedis Analyst Remote jobs in Inkster, MI look for?

The top searched job categories for Hedis Analyst Remote jobs in Inkster, MI are:

What cities near Inkster, MI are hiring for Hedis Analyst Remote jobs?

Cities near Inkster, MI with the most Hedis Analyst Remote job openings:

Hedis Analyst Remote jobs near you

Practice Performance Advisor

Southfield, MI • On-site, Remote

Amerihealth Caritas
Health Care and Social Assistance • 5 - 10K employees

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

130th of 312 rated insurance

Great coworkers

Good employer

Paid breaks

Learn more about Amerihealth Caritasexternal

Full-time

Re-posted 18 days ago

Job description

Role Overview: The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and quality outcomes. This role analyzes provider performance data, identifies improvement opportunities, and partners with providers and internal teams to drive improvements in quality, cost, and overall care delivery.

Work Arrangements:

  • Remote - The associate can be located anywhere in Michigan (MI).
  • 50% travel is required to the provider's location and attend office meetings at our Southfield, MI location.

Responsibilities:

  • Produce all quality and performance-related reporting, establishing opportunities and strategies regularly in preparation for the Joint Operating Committee (JOC).
  • Present information to the provider, colleagues, and the executive team in a clear, concise manager
  • Analyze claims data, utilization trends, and patient outcomes to support performance optimization
  • Support provider engagement related to Healthcare Effectiveness Data and Information Set (HEDIS), Total Cost of Care (TCOC), and other performance-based programs
  • Partner with Quality, Provider Network, and Account Executive teams to align strategies and improve provider performance
  • Participate in provider meetings to review gaps in care and develop action plans in collaboration with Provider Network Management (PNM) and Chief Medical Officer (CMO) teams
  • Lead and support performance improvement initiatives and projects aligned with corporate strategy and best practices
  • Identify opportunities using data and collaborate with internal teams to develop and implement targeted intervention strategies
  • Track, monitor, and report on provider action plans and outcomes to measure the effectiveness of initiatives
  • Support network and quality strategy execution across markets
  • Maintain strong cross-functional collaboration with Provider Network Operations (PNO), PNM, and Quality teams to achieve performance goals
  • May assist with member outreach efforts and coordination of care-related activities

Education & Experience:

  • Associate's degree required
  • Bachelor's degree in healthcare administration or related field required
  • 3 years of Account Executive experience or provider engagement experience, demonstrating knowledge of TCOC and Medical Loss Ratio (MLR) analysis, is required.
  • Experience in a variety of provider reimbursement methodologies, including value-based or risk-based contracting
  • Understand quality and provider performance reporting, including HEDIS and other quality measures.

Licensure:

  • Valid driver's license, transportation, and insurance required:

Skills & Abilities:

  • Strong understanding of healthcare regulations, reimbursement models, and quality metrics, specifically in HEDIS and STARS
  • Ability to analyze and interpret complex healthcare data and translate insights into actionable strategies
  • Knowledge of provider operations, including claims coding, payment integrity, credentialing, appeals, and disputes
  • Experience working with value-based care programs and performance measures
  • Excellent communication and collaboration skills with the ability to engage providers and cross-functional teams
  • Strong analytical, problem-solving, and reporting capabilities
  • Ability to manage multiple priorities and drive performance improvement initiatives
Employment Type: FULL_TIME

What AmeriHealth Caritas employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply