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Hedis Associate Jobs in Georgia (NOW HIRING)

CenterWell Primary Care

Clinical Care RN

Savannah, GA · On-site

Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population ... Associate's degree in nursing (ADN) or Bachelor's degree in nursing (BSN). * Active, unrestricted R ...

CenterWell

Clinical Care Nurse (RN)

Atlanta, GA · On-site

Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population ... Associate's degree in nursing (ADN) or Bachelor's degree in nursing (BSN). * Active, unrestricted R ...

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Hedis Associate information

What is a HEDIS associate?

HEDIS Associates are professionals who support the collection, analysis, and reporting of healthcare data as part of the Healthcare Effectiveness Data and Information Set (HEDIS) process. Their work helps healthcare organizations measure performance on important dimensions of care and service. Typical responsibilities include gathering medical records, verifying data accuracy, and assisting with quality improvement initiatives. HEDIS Associates play a key role in ensuring compliance with HEDIS requirements and improving patient outcomes.

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

To thrive as a HEDIS Associate, you need a solid understanding of healthcare data collection, quality measurement, and familiarity with HEDIS specifications, often supported by a background in healthcare administration or a related field. Experience with medical record abstraction, proficiency in data management systems, and knowledge of HIPAA compliance are typically required, and certification in healthcare quality can be beneficial. Strong attention to detail, analytical thinking, and effective communication skills are crucial for accurately interpreting data and collaborating with clinical teams. These skills ensure accurate reporting, regulatory compliance, and contribute to the organization's overall healthcare quality improvement initiatives.

What are some common challenges faced by HEDIS associates during the annual data collection cycle?

HEDIS Associates often encounter challenges such as tight deadlines, coordinating with multiple internal departments and external providers, and ensuring the accuracy and completeness of medical record data. The role requires strong attention to detail and the ability to manage large volumes of sensitive information while adhering to strict privacy regulations. Effective communication and organizational skills are essential, as associates must often clarify documentation requirements and follow up on missing records to ensure timely and accurate reporting.

What is the difference between Hedis Associate vs Hedis Analyst?

AspectHedis AssociateHedis Analyst
Required CredentialsTypically requires a healthcare-related certification or associate degreeOften requires a bachelor's degree in healthcare, health information, or related field
Work EnvironmentHealthcare organizations, insurance companies, or consulting firmsHealthcare providers, insurance companies, or health analytics firms
Employer & Industry UsageCommonly employed in healthcare quality improvement and complianceFocuses on data analysis, reporting, and process improvement in healthcare

The main difference between a Hedis Associate and a Hedis Analyst lies in their focus and responsibilities. Hedis Associates typically handle data collection and compliance tasks, while Hedis Analysts focus more on analyzing data and generating reports to improve healthcare quality. Both roles require healthcare knowledge but differ in their level of analytical responsibility.

How to get into Hedis Associate?

To become a HEDIS Associate, candidates typically need a high school diploma or equivalent, strong attention to detail, and familiarity with healthcare data and documentation. Relevant skills include data entry, understanding of healthcare quality measures, and proficiency with data management tools. Some positions may require prior experience in healthcare or health insurance environments.

What are the most commonly searched types of Hedis jobs in Georgia?

The most popular types of Hedis jobs in Georgia are:

What are popular job titles related to Hedis Associate jobs in Georgia?

For Hedis Associate jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Hedis Associate jobs in Georgia look for?

The top searched job categories for Hedis Associate jobs in Georgia are:

What cities in Georgia are hiring for Hedis Associate jobs?

Cities in Georgia with the most Hedis Associate job openings:

Hedis Associate jobs near you
Infographic showing various Hedis Associate job openings in Georgia as of August 2026, with employment types broken down into 88% Full Time, and 12% Contract. Highlights an 85% In-person, and 15% Remote job distribution.

Clinical Care RN

CenterWell Senior Primary Care

Savannah, GA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 hours ago

CenterWell Senior Primary Care rating

7.6

Company rating: 7.6 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

11th of 245 rated social care providers

Job description

Become a part of our caring community
 The Clinical Care Nurse (RN) is a clinic-based nursing role focused on improving patient outcomes. You will support safe Transitions of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars and quality performance. The Clinical Care RN plays a critical role in advancing clinical quality and supporting patients across transitions of care to improve patient outcomes.
Conviva clinic locations may be available in the following areas: CW Victory Heights
As a Clinical Care RN, you will contribute to Medicare Advantage Stars ratings by proactively identifying care opportunities, engaging patients and providers, and driving evidence-based interventions. You will balance direct patient education and outreach with data-driven quality improvement efforts. The Clinical Care RN aligns daily responsibilities with organizational values, integrity, respect, empathy, and commitment to health equity – to enhance patient health outcomes and satisfaction. Role Scope:
  • Transitions: Care transition support, follow-up coordination, and avoidable readmission prevention for discharged inpatient, observation and emergency department patients. 

  • Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population.  

  • Population Health: Deliver culturally appropriate chronic disease education to activate patients are chronic disease self-management, particularly in DM, HTN, CHF and COPD.  

Duties and Responsibilities:  

  • Analyze clinical data and trends from platforms such as Athena EMR and DataHub to identify gaps in care related to Stars and HEDIS measures and Transitions of Care and post-hospitalization needs, prioritizing high-impact opportunities.  

  • Proactively identify recently discharged inpatient, observation and emergency department patients and coordinate timely post-discharge follow-up in alignment with TOC and Transitional Care Management (TCM) requirements, with the aim of addressing root causes of utilization and supporting patients to prevent avoidable readmissions or return visits.  

  • Conduct targeted patient and provider outreach via phone, telehealth and in-clinic visits to close care opportunities, provide tailored education on preventive care, chronic disease management, and medication management.  

  • Conduct post-discharge outreach to assess understanding of discharge instructions, bottles-out medication reconciliation, symptom monitoring, and follow-up appointment adherence. Identify and escalate barriers, collaborating with providers and care team to prevent readmissions and avoidable ED utilization.  

  • Collaborate effectively with interdisciplinary teams, including providers, care assistants, center administrators, medical assistants, pharmacy, and quality improvement staff—to implement evidence-based interventions and optimize workflows.  

  • Document all outreach efforts, clinical interactions, and outcomes accurately and in compliance with organizational and CMS regulatory standards.  

  • Prepare, participate and discuss patients in center huddles and high-risk rounds with providers and the center-based and interdisciplinary team.  

  • Participate in quality improvement projects, provider education sessions, team huddles to stay current with evolving clinical guidelines and organizational priorities.  

  • Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.  

  • Support clinic operations through provider collaboration, care coordination, and community education initiatives.  

  • Coordination and facilitation of center and market-based Wellness Events-focused in-person engagement for Stars care opportunity closures.  

  • Maintain patient confidentiality in accordance with HIPAA.  

  • Document patient encounters accurately and timely in the indicated platform (e.g., medical record).  

  • Follow organizational policies related to safety, infection control, and attendance.  

  • Perform other duties as assigned. 


Use your skills to make an impact
 

Required Qualifications: 

  • Must meet one of the following requirements: Associate’s degree in nursing (ADN) or Bachelor’s degree in nursing (BSN).  

  • Active, unrestricted RN license (state specific as applicable). 

  • 3+ years' clinical nursing experience with exposure to transitions of care, quality improvement, managed care, or population health management. 

  • Proficiency with electronic health records (e.g., Athena EMR), data analytics tools (e.g., DataHub, Compass Rose, SalesForce HealthCloud – per your prior employer’s population health tools), and Microsoft Office Suite. 

  • Willing and able to complete and maintain Basic Life Support training.  

Preferred Qualifications: 

  • Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements. 

  • Experience with Transitions of Care, hospital discharge or ER follow up programs. 

  • Strong clinical judgment, data analysis skills, and ability to apply evidence-based practices. 

  • Excellent communication and motivational interviewing skills to educate and empower members. 

  • Commitment to health equity, inclusiveness, and patient-centered care. 

  • Bilingual in English and Spanish with full professional proficiency. (strongly preferred)

  • Basic Life Support trained. 

Additional Information

Core Competencies: 

  • Clinical quality improvement and strategic gap closure. 

  • Transitions of Care coordination and post-discharge support. 

  • Member and provider engagement with motivational interviewing. 

  • Regulatory compliance and documentation accuracy. 

  • Data interpretation and actionable reporting. 

  • Cross-functional collaboration and teamwork. 

  • Time management balancing administrative and outreach duties. 

Values & Mission Alignment: 

  • Demonstrate integrity, respect, and empathy in all interactions. 

  • Uphold the mission to improve health outcomes and member satisfaction through proactive, compassionate care. 

  • Champion continuous learning, innovation, and professional growth. 

Work Information:

This role requires an in-center presence, involving daily commute to assigned clinic(s) and occasional (quarterly) travel within the market to alternative clinic(s) for strategic meetings. 

  • Workstyle: Clinic-based, in-center 5 days per week. 

  • Location: Must reside in designated market area, in reasonable commutable distance to assigned clinic(s). 

  • Hours: Monday–Friday, 8:00 AM–5:00 PM; additional time may be required. 

TB Statement: 

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. 

Driving Statement: 

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. 

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


 

$71,100 - $97,800 per year


 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
 About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

​
Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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