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Hedis Analyst Jobs (NOW HIRING)

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HEDIS Business Analyst

Eden Prairie, MN · On-site

JobTitle: HEDIS Business AnalystLocation: Eden Prairie, MN RequiredQualifications:Professionalexperience in quality reporting in HEDIS / StarsExperienceworking in a Business Analyst ...

Driscoll

HEDIS Coordinator

Corpus Christi, TX · On-site

The HEDIS Coordinator is responsible for the identification, initiation, development ... Applies analytics from the Provider Performance Platform and other internal sources to identify ...

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Hedis Analyst information

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How much do hedis analyst jobs pay per year?

As of Jul 13, 2026, the average yearly pay for hedis analyst 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 are the key skills and qualifications needed to thrive in the Hedis Analyst position, and why are they important?

To thrive as a Hedis Analyst, you need strong analytical skills, attention to detail, and a background in healthcare data management or related fields, often supported by a relevant bachelor’s degree. Proficiency with data analysis tools such as SQL, Excel, SAS, or Tableau, as well as familiarity with HEDIS measures and medical coding systems like ICD-10 and CPT, is typically required. Effective communication, problem-solving abilities, and a collaborative mindset are valuable soft skills in this role. These competencies are crucial for ensuring accurate data collection, reporting, and the successful interpretation of quality metrics that drive healthcare compliance and improvement.

What is a HEDIS Analyst job?

A HEDIS Analyst is a healthcare professional responsible for analyzing and reporting Healthcare Effectiveness Data and Information Set (HEDIS) measures. They collect, validate, and interpret healthcare data to ensure compliance with quality standards and improve patient outcomes. HEDIS Analysts work closely with healthcare providers, insurance companies, and regulatory agencies to assess performance metrics, identify gaps in care, and implement quality improvement initiatives. Their role is crucial in supporting healthcare organizations in meeting accreditation and regulatory requirements.

What are some typical day-to-day responsibilities for a Hedis Analyst?

A typical day for a Hedis Analyst involves gathering, analyzing, and validating healthcare data to ensure compliance with HEDIS quality measures. You may collaborate with clinical and IT teams to improve data accuracy, generate performance reports, and identify gaps in care or documentation. The role also frequently requires auditing clinical records, supporting annual HEDIS reporting cycles, and recommending process improvements. This dynamic environment allows you to hone your data skills while playing a key role in healthcare quality initiatives.

More about Hedis Analyst jobs
What cities are hiring for Hedis Analyst jobs? Cities with the most Hedis Analyst job openings:
What are the most commonly searched types of Hedis Analyst jobs? The most popular types of Hedis Analyst jobs are:
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Hedis Analyst jobs near you
Infographic showing various Hedis Analyst job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.

HEDIS Abstractor (NorCal Region)

Astrana Health, Inc.

San Francisco, CA • Hybrid

$27 - $33/hr

Full-time

Re-posted 2 days ago

Job description

Description
The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This role is responsible for ensuring accurate collection, validation, and submission of clinical data in accordance with NCQA HEDIS technical specifications and regulatory guidelines. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits. 

What You'll Do
  • Perform medical record abstraction and chart review for HEDIS and quality improvement initiatives
  • Identify and close HEDIS care gaps through accurate review and documentation of clinical records
  • Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement
  • Review and validate data for accuracy, completeness, and compliance with HEDIS standards
  • Conduct quality assurance (QA) reviews of abstracted records and audit findings
  • Collaborate with providers, clinics, health plans, and internal departments to obtain required medical documentation
  • Partner with external audit vendors to support medical record retrieval, validation and audit readiness activities
  • Analyze abstraction results and identify trends, discrepancies, or opportunities for process improvement
  • Ensure compliance with HIPAA and all applicable privacy and confidentiality regulations
  • Maintain productivity and accuracy standards while meeting project deadlines
  • Support continuous quality improvement initiatives and assist with reporting activities as needed
  • Other duties as assigned

Qualifications
  • High school diploma or equivalent required; associate or bachelor’s degree in healthcare-related field
  • Have at least 2 years of HEDIS abstraction or medical record review experience
  • Strong knowledge of NCQA HEDIS measure specifications and quality improvement processes
  • Proficiency with ICD-10, CPT, HCPCS, and other clinical coding systems
  • Experience performing QA reviews and supporting HEDIS audit activities
  • Familiarity with EMR/EHR systems and healthcare documentation workflows
  • Strong analytical, organizational, and problem-solving skills
  • Excellent attention to detail and accuracy
  • Ability to work independently and manage multiple priorities in a fast-paced environment
  • Strong written and verbal communication skills
You're great for the role if:
  • Certified Professional Coder (CPC), RHIT, RHIA, LVN/LPN, RN, or other healthcare-related certification 
  • Experience working with health plans, managed care organizations, or quality improvement departments
  • Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred

Environmental Job Requirements and Working Conditions
  • Our organization follows a hybrid work structure. This role will require travelling locally to provider offices located in San Francisco bay area for up to 35% of the time. When not conducting onsite visits, the role supports remote work.
  • The annual total compensation target pay range for this role is: $27.00 - $33.00 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.