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Hedis Lead Jobs (NOW HIRING)

Integrated Resources INC

HEDIS Nurse

Durham, NC

$29.25 - $38.75/hr

Required Hedis Experience. Knowledge with NCQA. Qualifications Prefer RN but would consider LPN. ... Lead Integrated Resources , Inc. IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726

US Tech Solutions

HEDIS RN - Quality Auditor

Newark, NJ · On-site

$40 - $42/hr

The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS ... Lead and coordinate Corrective Action Plans (CAPs) and follow-up reaudits. * Represent the ...

Centene

Sr. HEDIS Quality & Audit Analyst

$70K - $126K/yr

The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert responsible ... Independently lead complex NCQA audit workstreams, including Roadmaps, Section 5 documentation ...

Pyramid Consulting

HEDIS RN or LPN

Mount Laurel, NJ · On-site

$30 - $39.50/hr

Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor ... Maintain lines of communication with the assigned clinical lead, project coordinator and project ...

Pyramid Corporation

HEDIS RN or LPN

Mount Laurel, NJ · On-site

$30 - $39.50/hr

Hedis Nurse (Regional Assignments) Requirements: * Must be a registered nurse or LPN. Bachelor ... Maintain lines of communication with the assigned clinical lead, project coordinator and project ...

Varite

HEDIS RN - Quality Auditor

Newark, NJ · On-site

The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS ... Lead and coordinate Corrective Action Plans (CAPs) and follow-up reaudits. * Represent the ...

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How much do hedis lead jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for hedis lead in the United States is $30.10, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $31.73 per hour, depending on experience, location, and employer.

What is a HEDIS Lead?

HEDIS Leads are professionals responsible for overseeing the collection, analysis, and reporting of Healthcare Effectiveness Data and Information Set (HEDIS) measures within healthcare organizations. They coordinate quality improvement initiatives, ensure compliance with regulatory standards, and work closely with clinical and data teams to maximize performance scores. A HEDIS Lead plays a crucial role in maintaining data accuracy, facilitating audits, and supporting the organization in meeting national healthcare quality benchmarks.

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

To thrive as a HEDIS Lead, you need expertise in healthcare quality measurement, data analysis, and a solid understanding of HEDIS measures, often supported by a degree in healthcare or related fields. Familiarity with data management tools like SQL, Excel, and HEDIS abstraction software, as well as knowledge of NCQA guidelines, is typically required. Strong leadership, project management, and communication skills help coordinate teams and ensure accurate, timely reporting. These competencies are crucial for driving quality improvement initiatives, ensuring compliance, and supporting optimal patient outcomes within healthcare organizations.

What are some common challenges faced by a HEDIS Lead during the annual reporting cycle?

As a HEDIS Lead, one of the most common challenges during the annual reporting cycle is ensuring data completeness and accuracy within tight deadlines. Coordinating with multiple departments—such as IT, quality improvement, and clinical teams—can be complex, especially when data sources are siloed or inconsistent. Additionally, staying updated on evolving HEDIS technical specifications and managing timely audits requires strong organizational and communication skills. Proactively identifying gaps and fostering collaboration are key to overcoming these challenges.

What is the difference between Hedis Lead vs Hedis Coordinator?

AspectHedis LeadHedis Coordinator
CertificationsTypically requires knowledge of HEDIS measures, healthcare compliance, and sometimes project management certificationsOften requires basic healthcare or administrative certifications, such as Medical Assistant or Healthcare Administration
Work EnvironmentLeads teams, manages projects, and oversees HEDIS data collection and reportingSupports data collection, assists with documentation, and coordinates with healthcare providers
Employer & Industry UsageUsed in healthcare plans, managed care organizations, and quality improvement teamsCommonly found in healthcare clinics, insurance companies, and healthcare provider offices

The Hedis Lead typically has more responsibilities in managing HEDIS projects, overseeing teams, and ensuring compliance, while the Hedis Coordinator focuses on supporting data collection and administrative tasks. Both roles are essential in healthcare quality improvement but differ in scope and seniority.

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Hedis Lead jobs near you
Infographic showing various Hedis Lead job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $62,612 per year, or $30.1 per hour.

Project Manager II / Hedis Lead as 100% Remote

Amicis Global

Woonsocket, RI • Remote

$52/hr

Contractor

Re-posted 23 days ago

Job description

Title: Project Manager II / Hedis Lead
Location: Remote
Duration: 06 Months
Shift Timing: 08:00 AM - 05:00 PM (Monday - Friday)
Pay Rate: $40.00 - $50.00/Hour on W2

Kindly help with the Pre Screen Questionnaire:

• Is the name listed on your resumes your legal name and spelt correctly, if not please provide that name?
• What is your current address (including the Apartment unit # and info if applicable)?
• Do you have an alternate phone number to what is already on your resume?
• Are you able to work Monday thru Friday, 8 am to 5 pm your local time (January thru May) without interruption?
• Do you have anything that requires time off or would prevent you from working the above required schedule (January thru May)?
• Please list 3 different Microsoft Office Suite Programs you have experience with and how many years you've worked in each one.
• Are you able to connect the Aetna provided laptop to your home internet modem via an ethernet cable connection? (Not thru a WiFi connections)

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Roles & Responsibilities:  

• Directs, administers, and controls the day-to-day operations and activities of seasonal HEDIS colleagues.
• Provides leadership, support, and guidance to HEDIS management.
• Collaborates with HEDIS leadership including managers, directors, and executive leadership, when necessary.
• Supports the hiring, training, and coaching of seasonal colleagues ensuring compliance with established company and regulatory guidelines and procedures to provide high quality service.
• Ensures timely progress, tracking, accuracy, and completion of tasks assigned to HEDIS seasonal colleagues.
• Supports the implementation of divisional and company initiatives and strategies.
• Provides ongoing feedback throughout the HEDIS Hybrid Project.
• Orchestrates a strong, robust communications process between leadership, managers and colleagues ensuring the appropriate and timely dissemination of information to seasonal HEDIS colleagues.
• Ensures seasonal colleagues receive the appropriate training and education, including ongoing compliance training.
• Oversees schedule and time tracking of seasonal HEDIS colleagues.

Experience  
• 5+ years of management or leadership experience within the managed health care and/or quality management areas.
• Must have solid knowledge of HEDIS, NCQA (National Committee for Quality Assurance) Audits and STAR Measures Programs.
• Previous experience reflects a proven record of accomplishment or proficiency in the competencies noted.
• Proven management experience in a metrics driven and deadline driven environment.
• Able to coach and mentor team members.
• Demonstrated ability to plan, organize, and execute multiple functional business objectives.
• Good business acumen, professional communication skills both written and verbal

Education  
Associate's degree or equivalent experience

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