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Hedis Associate Jobs (NOW HIRING)

Camarena Health

Associate Medical Director

Madera, CA · On-site

$300K - $350K/yr

... HEDIS, UDS, value-based measures). · Participate in peer review and performance evaluations. · Ensure adherence to federal, state, and regulatory standards (HRSA, OSHA, HIPAA, etc.). · Promote ...

Apex Health Solutions

Practice Coordinator

Houston, TX · On-site

$23 - $26.25/hr

EDUCATION: • Bachelor's or Associate's Degree in a related field, or three (3) or more years of ... HEDIS measures, supplemental data submission, and quality gap closure processes • Experience ...

Apex Health Solutions

Practice Coordinator

Houston, TX · On-site

$23 - $26.25/hr

EDUCATION: • Bachelor's or Associate's Degree in a related field, or three (3) or more years of ... HEDIS measures, supplemental data submission, and quality gap closure processes • Experience ...

LSMA Management Inc

Preventative Care Advocate

Fresno, CA · On-site +1

$33.65 - $35.10/hr

... HEDIS), CMS Star Ratings, NCQA accreditation standards, DMHC regulatory requirements, and ... Associate's degree or higher in healthcare administration, public health, social services, or ...

LSMA Management Inc

Preventative Care Advocate

Fresno, CA · On-site +1

$33.65 - $35.10/hr

... HEDIS), CMS Star Ratings, NCQA accreditation standards, DMHC regulatory requirements, and ... Associate's degree or higher in healthcare administration, public health, social services, or ...

LSMA Management Inc

Preventative Care Advocate

Fresno, CA · On-site

$33.65 - $35.10/hr

... HEDIS), CMS Star Ratings, NCQA accreditation standards, DMHC regulatory requirements, and ... Associate's degree or higher in healthcare administration, public health, social services, or ...

LSMA Management Inc

Preventative Care Advocate

Fresno, CA · On-site

$33.65 - $35.10/hr

... HEDIS), CMS Star Ratings, NCQA accreditation standards, DMHC regulatory requirements, and ... Associate's degree or higher in healthcare administration, public health, social services, or ...

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Hedis Associate information

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$19.5K

$92K

$139.5K

How much do hedis associate jobs pay per year?

As of Jun 21, 2026, the average yearly pay for hedis associate in the United States is $91,993.00, according to ZipRecruiter salary data. Most workers in this role earn between $32,000.00 and $138,500.00 per year, depending on experience, location, and employer.

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 become a HEDIS reviewer?

To become a HEDIS reviewer, candidates typically need a background in healthcare, nursing, or health information management, along with experience in medical record review and quality measurement. Certification in HEDIS or related quality improvement programs can enhance prospects, and strong attention to detail and knowledge of healthcare data are essential. Training is often provided by employers or through industry-specific courses.

What jobs pay 10,000 a month without a degree?

A Hedis Associate typically earns less than $10,000 per month, as this role usually offers a salary below that threshold. High-paying jobs that can reach $10,000 a month without a degree often include roles such as sales managers, real estate brokers, or skilled trades like electricians and plumbers, which rely on experience, certifications, or licenses rather than formal degrees.

What is a HEDIS job description?

A HEDIS Associate is responsible for collecting, reviewing, and analyzing healthcare data to ensure compliance with HEDIS (Healthcare Effectiveness Data and Information Set) standards. They often work with medical records, perform data abstraction, and support quality improvement initiatives, typically requiring attention to detail and familiarity with healthcare regulations.

What are the key skills and qualifications needed to thrive as a HEDIS Associate, and why are they important?

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 are HEDIS Associates?

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.
More about Hedis Associate jobs
What cities are hiring for Hedis Associate jobs? Cities with the most Hedis Associate job openings:
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Hedis Associate jobs near you
Infographic showing various Hedis Associate job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 1% Full Time, 96% Part Time, and 1% Nights. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $91,993 per year, or $44.2 per hour.
Director, Quality Performance / Job Req 956626885

Director, Quality Performance / Job Req 956626885

Alameda Alliance For Health

Alameda, CA • On-site

$167K - $251K/yr

Full-time

Posted 19 days ago

Job description

Description
Hybrid: Applicants must be a California resident as of their first day of employment.
PRINCIPLE RESPONSIBILITIES:
Under the general direction of the Senior Director, Quality, the Director, Quality Performance is responsible for developing, coordinating, implementing, and managing the strategic quality performance programs across multiple lines of businesses including Medi-Cal, Dual Eligible Special Needs Program (D-SNP), and Group Care). This role will work cross-functionally to implement quality initiatives to achieve state and national benchmarks for National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS), Centers for Medicare & Medicaid (CMS) Star Ratings, Department of Health Care Services Medi-Cal Managed Care Accountability Set, and Department of Managed Health Care (DMHC) Health Equity and Quality Measure Set. The Director, Quality Performance is expected to collaborate with internal teams, provider networks, and with senior clinical leadership to drive initiatives and ensure oversight of medical management in accordance with regulatory requirements, accreditation standards, clinical outcomes, and member experience
Principle responsibilities include:
  • Develop and execute a comprehensive quality performance strategy, aligned with regulatory requirements, in partnership with the Director, Star Strategy and Program Management and QI Medical Director
  • Design and implement programs to improve HEDIS, CAHPS, and Star Ratings performance, ensuring alignment with NCQA, CMS, and DHCS standards
  • Oversee and maintain a robust data-driven quality measures program by developing dashboards and reporting tools to track quality performance of targeted initiatives, identify gaps, and inform decision-making
  • Monitor and report on quality measure performance and initiatives to Quality Improvement Committees and relevant sub-committees
  • Develop innovative strategies to improve and sustain HEDIS, CAHPS, and Star Ratings performance through on-going engagement with internal stakeholders, provider networks, members, and community partners
  • Develop or maintain policies and procedures, standard operating procedures, and trilogy documents (i.e. program description, workplan, evaluation) for the D-SNP Quality Management program
  • Work cross-collaboratively with clinical teams to review, update, and implement the D-SNP Model of Care
  • Partner with clinical leadership for coordination and administrative oversight of clinical responsibilities to ensure compliance with regulatory requirements and accreditation standards
  • Provide operational oversight of quality improvement processes including site visits, quality monitoring activities for skilled nursing or long-term care facilities, and medical chart audits
  • Serve as a resource for the design and evaluation of process improvement plans/quality improvement plans, and ensure they meet Continuous Quality Improvement (CQI) methodology and state contractual requirements
  • Ensure compliance with CMS, DHCS, and other relevant regulatory agencies by maintaining up-to-date knowledge of quality and performance measurement standards

ESSENTIAL FUNCTIONS OF THE JOB:
  • Assumes responsibility and exercises good judgement in making decisions within the scope of authority of the position.
  • Proficient in understanding the NCQA technical specifications as it relates to HEDIS measures and their impact to Star ratings methodology.
  • Demonstrates strong organizational, time management, and project management skills and multi-tasking abilities.
  • Proven track record of developing and implementing successful HEDIS and member experience interventions with a focus on improving Star ratings.
  • Provides support to the Project Management Office (PMO) and various enterprise-wide activities based on availability.
  • Organizes and facilitates HEDIS, Stars, quality improvement, project-related meetings, as necessary.
  • Works effectively independently as well as part of a team and supports team decisions.
  • Adapts to changes in requirements/priorities for daily and specialized tasks.
  • Produces accurate and precise work, detects discrepancies, and resolves discrepancies all while meeting deadlines.
  • Demonstrates analytical skills and problem-solving skills as well as formulates and communicates recommendations for improvements as needed.

PHYSICAL REQUIREMENTS:
  • Constant and close visual work at desk or computer.
  • Constant sitting and working at desk.
  • Constant data entry using keyboard and/or mouse.
  • Frequent use of telephone headset.
  • Frequent verbal and written communication with staff and other business associates by telephone, correspondence, or in person.
  • Frequent lifting of folders and various other objects weighing between 0 and 20 lbs.
  • Frequent walking and standing.
  • Occasional driving of automobiles.

Number of Employees Direct Supervision: 3-10
Number of Employees In-Direct Supervision: 10-15
MINIMUM QUALIFICATIONS:
EDUCATION OR TRAINING EQUIVALENT TO:
• Master's degree in a health care field (i.e. nursing, health sciences/administration) strongly preferred.
• Requires a BA/BS in a health care field (i.e. nursing, health sciences)
MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:
• Minimum of 7-10 years of experience in management roles in a health care setting, including at least:
o 3 years of quality leadership and management experience in a managed care health plan setting.
• Medi-Cal and Medicare Advantage D-SNP experience is strongly preferred.
• Experience with Quality measures reporting is strongly preferred.
SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):
  • If a RN, must have an active and current non-restricted CA license
  • Ability to work collaboratively with physicians, staff, and external organizations to improve quality outcomes.
  • Strong regulatory audit experience including organized approaches for continuous readiness, monitoring, and actions to comply with State and Federal mandates or regulations.
  • Robust ability to lead and train staff in various quality improvement and performance improvement methodologies and overall nursing licensure needs.
  • Strong communication and presentation skills, training/meeting facilitation skills a plus
  • Solid relationship building and interpersonal skills.
  • Excellent writing, research, analytical, and time management skills.
  • Excellent coordination skills, including multi-tasking and setting priorities on work assignments.
  • Ability to organize and coordinate various activities involved in a research, collaborative and demonstration project.
  • High degree of independence, flexibility, initiative and commitment.
  • Ability to work effectively with diverse populations, both internally and externally.
  • Solid critical thinking and problem-solving skills.
  • Ability to utilize sound judgment and promptly report potential risks.
  • Ability to work in a fast paced, patient-service oriented environment.
  • Demonstrate sound ability to promote quality improvement through development and maintenance of standards.
  • Must handle PHI and maintain confidentiality at all levels.
  • Proficiency in Windows including Microsoft Office suite including Word, Excel, and PowerPoint

SALARY RANGE $167,440.00 - $251,160.00 ANNUALLY
The Alliance is an equal opportunity employer and makes employment decisions on the basis of qualifications and merit. We strive to have the best qualified person in every job. Our policy prohibits unlawful discrimination based on race, color, creed, gender, religion, veteran status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition, genetic characteristic, sexual orientation, gender identity or expression, or any other consideration made unlawful by federal, state, or local laws. M/F/Vets/Disabled.

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