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Hedis Manager Jobs (NOW HIRING)

Managed Staffing

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

HEDIS Quality Audit/HEDIS Quality Nurse Coordinator Location: 100% Remote (USA) Work Schedule ... Maintain accurate and complete documentation to meet risk management, regulatory, and accreditation ...

Integrated Resources INC

HEDIS Specialist

El Paso, TX · On-site

We deliver strategic workforce solutions that help you manage your talent and business more ... Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by ...

Healthcare Support Staffing

HEDIS Specialist

Troy, MI

$35 - $40/hr

Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in ...

Managed Staffing

HEDIS Reviewer

MI · Remote

$44 - $45/hr

Position: HEDIS Reviewer - Work From Home (Michigan Only) Location: Remote - Must reside in ... Work with provider offices to schedule appointments, follow up on record submissions, and manage ...

Elevait Solutions

HEDIS Coordinator

Newtown Square, PA · On-site

Attention to detail and quality compliance Must-Have Skills: * 1-3 years of experience in medical record abstraction, case management, or clinical data collection * Knowledge of HEDIS measures and ...

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$24.5K

$59.5K

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How much do hedis manager jobs pay per year?

As of Jun 6, 2026, the average yearly pay for hedis manager in the United States is $59,525.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $68,500.00 per year, depending on experience, location, and employer.

What is the difference between Hedis Manager vs Hedis Coordinator?

AspectHedis ManagerHedis Coordinator
CredentialsTypically requires experience in healthcare management, certifications in healthcare quality or case managementOften requires similar certifications but with less managerial experience
Work EnvironmentOversees teams, manages compliance, and develops strategies within healthcare organizationsSupports daily HEDIS data collection and reporting tasks under supervision
Employer & Industry UsageUsed in healthcare plans, managed care organizations, and insurance companiesCommonly employed in healthcare providers and insurance companies for data collection

The Hedis Manager typically holds a leadership role, overseeing HEDIS initiatives and teams, while the Hedis Coordinator focuses on data collection and reporting tasks. Both roles require healthcare knowledge, but the manager has more strategic responsibilities.

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

HEDIS Managers often face tight deadlines and the challenge of coordinating data collection from multiple internal and external sources during the annual reporting cycle. Ensuring data accuracy and completeness while handling frequent updates to HEDIS measures and technical specifications can be demanding. Additionally, HEDIS Managers must work closely with clinical teams, IT, and quality improvement departments to resolve data gaps and implement process improvements, all while maintaining compliance with NCQA standards.

What are HEDIS Managers?

HEDIS Managers are healthcare professionals responsible for overseeing the collection and reporting of data for the Healthcare Effectiveness Data and Information Set (HEDIS). They ensure that health plans meet regulatory requirements and quality standards by managing processes that assess care and service performance. HEDIS Managers collaborate with clinical teams, analysts, and IT staff to improve healthcare outcomes and meet benchmarks set by organizations like the National Committee for Quality Assurance (NCQA). Their role is crucial in maintaining compliance and supporting quality improvement initiatives within healthcare organizations.

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

To thrive as a HEDIS Manager, you need expertise in healthcare quality measurement, data analysis, and knowledge of HEDIS reporting requirements, along with a bachelor’s degree in healthcare or a related field. Familiarity with data management tools such as SQL, Excel, and specialized HEDIS software, as well as certifications like Certified Professional in Healthcare Quality (CPHQ), are commonly 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 and ensuring compliance with regulatory standards in healthcare organizations.
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Hedis Manager jobs near you
Infographic showing various Hedis Manager job openings in the United States as of May 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $59,525 per year, or $28.6 per hour.
HEDIS Analyst

HEDIS Analyst

Integrated Resources INC

Philadelphia, PA

Full-time

Posted 2 days ago

Job description

Job Description

Title: Hedis Analyst.

Location: Philadelphia, PA, 19113.

Duration: 3+ Months (Possible Extension).

Hours: Monday to Friday 08:00 to 05:00 PM EST.

Short Description:

  • Supports corporate, plan-level, and departmental strategies and goals for HEDIS process. Meets this standard by effectively applying both business knowledge and technical expertise to support business initiatives and solve business problems.

Essential Functions:

  • Manage the HEDIS lifecycle process for multiple plans.
  • Responsible for assuring the accuracy and validity of both source data and results and interpreting results into recommendations.
  • In collaboration with the HEDIS manager to develop annual HEDIS project plans and monitor the HEDIS project plans for multiple LOBs.
  • Assist in preparation for the HEDIS audit.
  • Develop and maintain HEDIS based report to support Quality Initiatives.
  • Represent HEDIS team in collaboration with internal departments for HEDIS improvement.
  • Ensures all data sent to HEDIS software vendor are accurate and meet HEDIS reporting timeline.
  • Assists as necessary in the HEDIS Road Map and all other documents required by auditors.
  • Able to assimilate into a team within a minimum amount of assistance.
  • Assures the ongoing high-performance level of the overall department through continued knowledge acquisition and knowledge sharing with co-workers.
  • Experience and ability to utilize a certified HEDIS software.
Additional Information

Experience:

  • Minimum 1-year HEDIS experience required, 2+ years preferred.
  • Minimum 5 years of work experience in healthcare and/or managed care.
  • Bachelor's Degree required with a concentration in a health care related field; Master's Degree preferred.

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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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