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Hedis Analyst Remote Jobs (NOW HIRING)

Scanhealthplan

Sr. STARS Quality Analyst

Long Beach, CA · Remote

$71K - $103K/yr

Monitor, analyze, and develop insights on STAR measure performance for HEDIS, CAHPS, HOS, Pharmacy ... Mostly Remote * An annual employee bonus program * Robust Wellness Program * Generous paid-time-off ...

Datafied

Senior Business Analyst - Healthcare

$94K - $122K/yr

Ensure all documentation and solutions comply with HIPAA, HEDIS, and other relevant healthcare ... Remote-first work culture with flexible hours * Continuous learning and development opportunities

Fractal, Inc.

Business Analyst

Manhattan, NY · Remote

Remote Role Overview: We are seeking an experienced Business Analyst (BA) with strong expertise in ... Ensure alignment with healthcare standards such as ICD-10, CPT, HCPCS, HEDIS, and FHIR where ...

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How much do hedis analyst remote jobs pay per year?

As of Jun 22, 2026, the average yearly pay for hedis analyst remote in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What is a HEDIS Analyst (Remote)?

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 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 the key skills and qualifications needed to thrive as a HEDIS Analyst (Remote), and why are they important?

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.
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Hedis Analyst Remote jobs near you
Infographic showing various Hedis Analyst Remote job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 71% Full Time, 27% Part Time, and 1% Temporary. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.
Risk & Quality Reporting Analyst (Must have SQL, PowerBi, Databricks, Managed Care) - REMOTE

Risk & Quality Reporting Analyst (Must have SQL, PowerBi, Databricks, Managed Care) - REMOTE

Molina Healthcare

Bellevue, NE • Remote

$47K - $97K/yr

Full-time

Posted 24 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

145th of 261 rated insurance

Job description

JOB DESCRIPTION

Job Summary

The Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP.

Job Duties

  • Work with assigned health plan to capture and document requirements, build custom health plan reports, and educate health plan users on how to use reports
  • Build intervention strategy reporting for the Risk and Quality interventions and measure gap closure.
  • Build ad hoc reports as requested to track HEDIS performance and supplemental data monitoring
  • Development and QA of custom health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP
  • Develop custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates
  • Assists and collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan 
  • Calculate and track gap closure and intervention outcome reporting for the assigned state
  • Work in an agile business environment to derive meaningful information out of organizational data sets through data analysis and data profiling
  • Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks SQL, PowerBi, excel, and techniques to determine significance and relevance
  • Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations

JOB QUALIFICATIONS

REQUIRED QUALIFICATIONS:

  • Bachelor's Degree or equivalent combination of education and work experience
  • 1-3 years of experience in working with data mapping, data profiling, scrapping, and cleaning of data.
  • 1-3 years of experience in a Managed Care Organization executing similar techno functional role that involves writing SQL Queries, Functions, Procedures, and Data design 
  • 1-3 years of experience working with Microsoft T-SQL, Databricks SQL and PowerBI
  • Familiarity with Microsoft Azure, AWS or Hadoop
  • 1-3 years of experience in Analysis related to health care reporting
  • 1-3 years of experience in working with data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics
  • Familiarity with HEDIS and Risk data

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.

Pay Range: $47,433 - $97,362.61 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

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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

Social media

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