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Hedis Associate Jobs (NOW HIRING)

Independent Health Association

$115 - $155/hr

The Associate Medical Director (AMD) will assist the Medical Director in the efforts to develop ... The AMD will collaborate with internal teams to support corporate HEDIS initiatives with ...

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 ...

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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 Jul 14, 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.

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.
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Hedis Associate jobs near you

Clinical Quality Specialist, RN - Michigan

McLaren Integrated HMO Group

Flint, MI • On-site

$35.50 - $47.50/hr

Other

Posted 7 days ago

Job description

McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Clinical Quality Specialist RN, to join in leading the organization forward.

MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).

MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

Position Summary:

The Clinical Quality Specialist, RN is responsible for clinical elements of the PQI process for the Plan, participating in the HEDIS process, participating in NCQA activities, as well as implementing quality interventions and conducting evaluation to ensure on-going feedback and program effectiveness.

Essential Functions and Responsibilities:

  1. Provides clinical knowledge (i.e. clinical standards of care, best practices) and support for Potential Quality Issues (PQI) for all lines of business for the Plan.

  2. Investigates and responds timely to Potential Quality Issues (PQIs).

  3. Participates in the annual HEDIS process.

  4. Serves as subject matter expert on the certified HEDIS software system for support of the HEDIS process and other quality projects/reporting.

  5. Works with manager in developing and promoting HEDIS initiatives, participating in applicable Quality Committees, and work groups as needed or required.

  6. Serves a clinical reviewer of all quality documents. 

 #LI-KH1

Qualifications

Required:

  • Associate degree in nursing or related field.
  • Current valid RN License in state doing business in.
  •  Five (5) years' clinical or managed care health plan experience with at least two (2) years' demonstrated experience in clinical quality improvement processes, including HEDIS and NCQA.

Preferred:

  • Bachelor's degree in nursing or related field.
  • Project management experience.
  • CPHQ.
  • Healthcare data management and analysis experience.
Additional Information
  • Schedule: Full-time
  • Requisition ID: 26003085
  • Daily Work Times: 8:30 am - 5:00 pm
  • Hours Per Pay Period: 80
  • On Call: No
  • Weekends: No

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