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Hedis Analyst Jobs (NOW HIRING)

Driscoll

HEDIS Coordinator

Corpus Christi, TX

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

Integrated Resources

HEDIS RN LPN

Manhattan, NY · On-site

$33.25 - $44/hr

HEDIS RN LPN Following are the position details: HEDIS 2015 Record Collection- Temps to assist with ... analyses. Must have good communication skills to interface and be very detailed oriented. This ...

Integrated Resources

HEDIS RN/LPN

Jacksonville, FL · On-site

$28 - $37/hr

... analyses. Must have good communication skills and be very detailed oriented. This position is ... HEDIS data collection Additional Information Feel free to forward my email to your friends ...

Integrated Resources

HEDIS LPN RN

Manhattan, NY · On-site

$33.25 - $44/hr

HEDIS LPN RN A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized ... analyses. Must have good communication skills to interface and be very detailed oriented. This ...

Integrated Resources INC

HEDIS LPN RN

New York, NY · On-site

$33 - $43.75/hr

... analyses. Must have good communication skills to interface and be very detailed oriented. This ... HEDIS data collection and reports to the Quality Management Manager. Coordinates and performs ...

Integrated Resources INC

HEDIS RN/LPN

Jacksonville, FL · On-site

$28 - $37/hr

... analyses. Must have good communication skills and be very detailed oriented. This position is ... HEDIS data collection Additional Information Feel free to forward my email to your friends ...

Integrated Resources INC

HEDIS RN LPN

New York, NY · On-site

$33 - $43.75/hr

HEDIS 2015 Record Collection- Temps to assist with record collection and data abstractions and/or ... analyses. Must have good communication skills to interface and be very detailed oriented. This ...

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$73.3K

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How much do hedis analyst jobs pay per year?

As of Aug 22, 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 is a Hedis analyst?

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 does a Hedis analyst do?

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.

What skills and qualifications are needed to be a Hedis analyst?

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.

How to get experience in Hedis Analyst?

To gain experience as a HEDIS Analyst, individuals typically pursue a relevant healthcare or data analysis background, such as a degree in health information management, nursing, or health administration. Gaining proficiency in healthcare data systems, quality measurement tools, and coding standards like ICD and CPT, along with certifications such as Certified Health Data Analyst (CHDA), can enhance qualifications. Entry-level roles or internships in healthcare quality or data analysis can provide practical experience in this field.
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Hedis Analyst jobs near you
Infographic showing various Hedis Analyst job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 5% Part Time, and 6% Contract. Highlights an 80% Physical, 9% Hybrid, and 11% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.

Senior Analyst, Risk & Quality Reporting - HEDIS

Molina Healthcare

Long Beach, CA • On-site

$60K - $117K/yr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

166th of 311 rated insurance

Job description

Job Description

Job Summary

The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. 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. Assists with research, development, and completion of special performance improvement projects including root cause analysis.

Job Duties

  • Works with assigned health plan to capture and document requirements, build custom health plan reports, and educate health plan users on how to use reports
  • Builds intervention strategy reporting for the Risk and Quality interventions and measures gap closure
  • Builds ad hoc reports as requested to track HEDIS performance and supplemental data monitoring
  • Develops and QA custom health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP
  • Develops 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
  • Calculates and tracks gap closure and intervention outcome reporting for the assigned state
  • Works in an agile business environment to derive meaningful information out of complex and large organizational data sets through data analysis, data mining, verification, scrubbing, and root cause analysis
  • Conducts root cause analysis for business data issues
  • Analyzes data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks SQL, PowerBi, excel, and techniques to determine significance and relevance
  • Assists 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
  • Key partner to assist with testing changes in the Datawarehouse platform and perform transparent upgrades to reporting modules to ensure no impact to the end users
  • Conducts preliminary and post impact analyses for any logic and source code changes for data and reporting module keeping other variables as constant that are not of focus
  • Develops oneself as a HEDIS subject matter expert to help health plan improve performance on underperforming measures

Job Qualifications

REQUIRED QUALIFICATIONS:

  • Bachelor's Degree or equivalent combination of education and work experience
  • 3-5 years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data
  • 3-5 years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL Queries, Functions, Procedures and Data design
  • 3-5 years of experience working with Microsoft T-SQL, Databricks SQL and PowerBI
  • 1-3 years of experience with Microsoft Azure, AWS, or Hadoop
  • 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment
  • 3-5 years of experience in working with complex data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics

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: $60,415 - $117,809 / 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

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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

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