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Hedis Analyst Remote Jobs in Ridgewood, NJ (NOW HIRING)

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Hedis Analyst Remote information

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$31.4K

$74.1K

$131.5K

How much do hedis analyst remote jobs pay per year?

As of Aug 23, 2026, the average yearly pay for hedis analyst remote in Ridgewood, NJ is $74,124.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,100.00 and $88,000.00 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 Ridgewood, NJ?

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The top searched job categories for Hedis Analyst Remote jobs in Ridgewood, NJ are:

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Cities near Ridgewood, NJ with the most Hedis Analyst Remote job openings:

Hedis Analyst Remote jobs near you

Lead Analyst, Digital HEDIS & Quality Analytics - (Remote)

EmblemHealth

New York, NY • Remote

Full-time

Posted 3 days ago

New

EmblemHealth rating

9.4

Company rating: 9.4 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

14th of 311 rated insurance

Job description

Summary of Position

Lead the implementation of the quality department digital HEDIS strategy under the quality measurement analytics team. Lead efforts to continually improve data capabilities and quality of department analysis and reporting. Develop and implement automation of manual reporting and analysis of business implications and trends. Develop, automate, and manage the intake, use and data governance of clinical and supplemental data sources to support all HEDIS/QARR/Star metrics.  Identify areas of opportunity and new data sources to support quality metrics. Work closely with quality department, IT, NCQA certified HEDIS vendor and auditors to ensure readiness for digital quality. Prepare and present analytical dashboards and data to key stakeholders to support strategic decision making.  


Principal Accountabilities

  • Develop, implement, and manage reporting and reconciliation workflows and document processes.  
  • Lead medical trend studies as they pertain to quality initiatives.  
  • Identify data improvement opportunities through review of HEDIS/QARR/Star reports and data outputs and detecting data acquisition, capture, and system error issues.  
  • Collaborate with IT and others to plan and execute digital readiness, including readiness for FHIR.  
  • Engage with vendors, providers, and others to identify new sources of clinical data ingestion (e.g. data aggregators, EHRs, HIEs, etc).    
  • Perform research and collection of data, including data mining and reporting, which is provided to various customers inside and outside the department.   
  • Lead the development of complex and/or advanced statistical/modeling analyses of quality metrics for Medicare, State Sponsored Programs, and other populations.   
  • Develop and maintain automated quality dashboards and measure profiles utilizing data visualization tools.  
  • Provide analytical and technical guidance for design, development and maintenance of quality improvement and wellness initiatives. Build self-service reports to be used by the quality department.  
  • Identify and analyze business problems related to quality experience of member, particularly related to how members receive care and other factors influencing the STARS rating.  
  • Present analytical findings to internal business partners, leading discussions and providing delivery of further analysis.  
  • Collaborate with internal quality management teams to assist on quality improvement initiatives.   

Qualifications

  • Bachelor's Degree in analytical/quantitative field including healthcare management, finance, business, mathematics, engineering, applied stats/economics, or any other related fields  
  • Master's Degree preferred    
  • 5 - 8+ years of relevant, professional work experience (Required)  
  • 5+ years of experience in managed care/healthcare analytics (Required)  
  • Advanced knowledge of HEDIS and Medicare Stars, including experience working with electronic clinical quality measures and related data sources (Required) 
  • Proficient in Microsoft Office (Word, PowerPoint, Excel, Access) (Required)  
  • Advanced experience with relational database applications (such as SAS, R, SQL, or others). (Required) 
  • Experience with improving and automating processes using programming languages/software (Python, VBA, R, SAS, C++, or others) (Required)  
  • Experience with and proficient in statistical software/programs (such as SAS, R, Stata, Minitab or others) (Preferred) 
  • Experience with and proficient in data visualization tools (such as Power BI, Tableau) (Required) 
  • Strong communication skills (verbal, written, presentation, interpersonal) (Required) 
  • Demonstrated self-starter with ability to develop projects end to end independently (Required)   
     
Additional Information
  • Requisition ID: 1000003328
  • Hiring Range: $77,760-$149,040

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