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Hedis Associate Jobs in Hanover, MD (NOW HIRING)

Medical Director

Linthicum, MD ยท On-site +1

$266K - $315K/yr

Participate in EQRO and HEDIS audits as needed. * Accountable for other duties as assigned to include the possibility of supervising nurses and associate medical directors as required. Requirements ...

Internist

Washington, DC ยท On-site

$190 - $230/hr

... Director or their proxies (Associate Medical Director and/or Clinical Lead). Duties and ... Practice medicine within quality standards such as HEDIS * Coordinate for sub-specialty care with ...

We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military ...

New

We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military ...

New

We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military ...

New

We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military ...

New

We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military ...

Registered Nurse IMCU

Baltimore, MD ยท On-site

$41.12 - $58.79/hr

We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military ...

Registered Nurse IMCU

Baltimore, MD ยท On-site

$41.12 - $58.79/hr

We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military ...

We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military ...

Registered Nurse IMCU

Baltimore, MD ยท On-site

$41.12 - $58.79/hr

We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military ...

We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military ...

Showing results 41-60

Hedis Associate information

See Hanover, MD salary details

$19.4K

$91.5K

$138.8K

How much do hedis associate jobs pay per year?

As of Sep 3, 2026, the average yearly pay for hedis associate in Hanover, MD is $91,533.00, according to ZipRecruiter salary data. Most workers in this role earn between $31,800.00 and $137,800.00 per year, depending on experience, location, and employer.

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 job categories do people searching Hedis Associate jobs in Hanover, MD look for?

The top searched job categories for Hedis Associate jobs in Hanover, MD are:

What cities near Hanover, MD are hiring for Hedis Associate jobs?

Cities near Hanover, MD with the most Hedis Associate job openings:

Medical Director

Maryland Physicians Care

Linthicum, MD โ€ข On-site, Remote

$266K - $315K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago


Job description

Job Type
Full-time
Description
Summary/Position Objectives:
Under the direction of the Senior Medical Director, the Medical Director will lead and participate in the Maryland Physicians Care MCO's (MPCMCO) Medical Management Program. The Medical Director will assist in the development and implementation of comprehensive medical policies and standards of care. The Medical Director will provide leadership for the Health Management Teams. The Medical Director is responsible for the general supervision of Utilization Management, Quality Management and Inpatient Concurrent Review as well as interaction with providers.
About Maryland Care Management, Inc. (MCMI)
Maryland Care Management Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.
Why join us?
MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans. Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives
What You'll Do:
  • Participate in Quality Management and Utilization Management processes.
  • Confer and consult with health professionals or providers with questions related to the concurrent review process.
  • Conduct peer-to-peer clinical case reviews with attending physicians, physician advisors or other ordering providers to discuss review determinations.
  • Provide medical support and direction to MPC MCO's Pre-Authorization Unit related to the authorization of providers' requests for elective consultations, procedures, tests, and formulary.
  • Identify and report quality of care issues.
  • Participate in MPC/MCO Grievance and Appeals Review Processes.
  • Participate in the QM/UM Committee, the Pharmacy and Therapeutics Committee, and the Credentialing Committee as needed.
  • Round with concurrent review nurses on a regular basis to discuss inpatient members as determined with MD.

Secondary Functions:
  • Participate in EQRO and HEDIS audits as needed.
  • Accountable for other duties as assigned to include the possibility of supervising nurses and associate medical directors as required.

Requirements
Knowledge and Skills:
  • Knowledge and familiarity of local, regional, and national provider medical standards of care.
  • Ability to establish and maintain constructive relationships with diverse members, management, employees, and vendors.
  • Ability to successfully utilize Microsoft Office Suite software applications and common computer and office hardware.
  • Knowledge of Medicaid and Commercial regulatory requirements is beneficial.

Education and Work Experience:
  • M.D. or D.O. unincumbered license with a minimum of five (5) years of post-residency clinical experience.
  • Active Board certification.
  • Experience in managed care practices, processes, procedures, and operations.
  • Experience in utilization review and management practices, processes, and procedures.
  • Knowledge and familiarity with contracts and policies as they pertain to the managed care environment.

EEOC Statement:
Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment.
As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive.
We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.
Salary Description
266-315k