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Hedis Associate Jobs in New York (NOW HIRING)

Essen Medical Associates

Quality Intern

Bronx, NY · On-site

$15.75 - $20.75/hr

Review electronic medical records to identify and close care gaps for HEDIS measures such as diabetes, hypertension, cholesterol management, and preventive screenings. * Conduct diagnosis review and ...

Essen Medical Associates

Quality Intern

Bronx, NY · On-site

$20/hr

Review electronic medical records to identify and close care gaps for HEDIS measures such as diabetes, hypertension, cholesterol management, and preventive screenings. b. Conduct diagnosis review and ...

Essen Medical Associates

Quality Intern

Manhattan, NY · On-site

$16.50 - $22/hr

Review electronic medical records to identify and close care gaps for HEDIS measures such as diabetes, hypertension, cholesterol management, and preventive screenings. b. Conduct diagnosis review and ...

Essen Medical Associates

Quality Intern

Bronx, NY

$20/hr

Review electronic medical records to identify and close care gaps for HEDIS measures such as diabetes, hypertension, cholesterol management, and preventive screenings. b. Conduct diagnosis review and ...

Essen Medical Associates

Quality Intern

Bronx, NY · On-site

$15.75 - $20.75/hr

Review electronic medical records to identify and close care gaps for HEDIS measures such as diabetes, hypertension, cholesterol management, and preventive screenings. b. Conduct diagnosis review and ...

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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 New York?

The most popular types of Hedis jobs in New York are:

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

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

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

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

What cities in New York are hiring for Hedis Associate jobs?

Cities in New York with the most Hedis Associate job openings:

Hedis Associate jobs near you
Infographic showing various Hedis Associate job openings in New York as of August 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 85% In-person, and 15% Remote job distribution.

Associate Healthcare Advocate - Field Position

New York, NY • On-site

UnitedHealth Group
Insurance Services • 10K+ employees

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

189th of 895 rated healthcare providers

Good employer

Recommended by students

Recommended by parents

Learn more about UnitedHealth Groupexternal

Full-time

Retirement

Re-posted 15 hours ago

Job description

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
The Associate Healthcare Advocate is responsible for a range of provider relations services within Optum. The Associate Healthcare Advocate will work as an extension of the local Provider Performance Team by aligning to geographical regions, medical centers and/or physician practices that manage a high volume of membership. The Associate Healthcare Advocate under the supervision of a Director/ Manager and or Mentor is responsible for the successful program implementation, compliance with network requirements, network assessment and selection, and program/product implementation.
If you are located in Bronx, NY, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
  • Manage provider groups in a defined market, limited to groups with < 250 members
  • Locate medical screening results/documentation to ensure the closure of gaps in care/suspect medical conditions. Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and/or certified staff
  • Activities may include data collection, data entry, quality monitoring, HQPAF submission and chart collection activities
  • Partner with your leadership team, the practice administrative or clinical staff to determine best strategies to support the practice and our members
  • Utilizing data analysis, identify and target providers who would benefit from our coding, documentation and quality training and resources
  • Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and Hospitals
  • Provide measurable, actionable solutions to improve documentation and coding accuracy.
  • Anticipate customer needs and proactively develop solutions to meet them
  • Optimize customer satisfaction, positively impact the closing of gaps in care and productivity
  • Manage time effectively to ensure productivity goals are met
  • Ability to problem solve, use best professional judgment and apply critical thinking techniques to resolve issues as they arise Adhere to corporate requirements related to industry regulations/responsibilities
  • Maintain confidentiality and adhere to HIPAA requirements
  • Function independently, meeting with physicians to discuss OPTUM tools and programs focused on improving the quality of care for Medicare & Medicaid Advantage Members
  • Educate providers on Medicare quality programs and CMS-HCC Risk Adjustment methodology, emphasizing the importance of accurate chart documentation for proper reimbursement
  • Support providers in ensuring documentation aligns with ICD-10 and CPT II coding guidelines and national standards
  • Ability to travel within assigned territory (day trips) 75% of the time
  • Other duties, as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 2+ years of healthcare experience with demonstrated knowledge of medical terminology and clinical issues
  • 1+ years of experience with EMR systems
  • Demonstrated knowledge of ICD-10, HEDIS, and Stars programs
  • Demonstrated experience using MS Office (Excel, Word, PowerPoint) with ability to manipulate data, create documents, and deliver presentations
  • Demonstrated ability to communicate, engage, and develop relationships across diverse audiences and collaborating teams (i.e., providers and internal stakeholders)
  • Must be able/willing to travel approximately 75% of the time in the assigned territory (Bronx NY Regional Area) as business needs dictate
  • Reside within the Bronx NY Regional Area to perform daily travel requirements
  • Access to reliable personal transportation to perform daily travel requirements
  • Valid Driver's License and current auto insurance

Preferred Qualifications:
  • Certified Professional Coder (CPC/CPC-A) or equivalent certification.
  • CRC certification
  • Nursing background (LPN, RN, NP)
  • 2+ years of managed care experience
  • Experience in a physician office, clinic, hospital, or similar medical setting
  • Experience in Risk Adjustment, HEDIS/Stars, and gap closure initiatives
  • Advanced proficiency in MS Excel (pivot tables, advanced functions)
  • Demonstrated knowledge of billing, claims submission, and coding software
  • Project management experience
  • Experience in provider network management, physician contracting, healthcare consulting, Medicare Advantage sales, or pharmaceutical sales
  • Territory management experience

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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