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Hedis Manager Jobs in California (NOW HIRING)

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Description The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting ... Ability to work independently and manage multiple priorities in a fast-paced environment * Strong ...

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · On-site

$27 - $33/hr

HEDIS Abstractor Department: Quality - Quality Care Improvement Employment Type: Full Time Location ... Ability to work independently and manage multiple priorities in a fast-paced environment * Strong ...

Astrana Health

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive ... Ability to work independently and manage multiple priorities in a fast-paced environment * Strong ...

Actalent

Hedis Specialist

Victorville, CA

$27.66 - $29.07/hr

HEDIS LVN Case Manager / HEDIS Specialist The HEDIS LVN Case Manager / HEDIS Specialist supports quality programs by focusing on HEDIS and quality gap closure activities rather than traditional ...

Actalent

HEDIS LVN Case Manager

Victorville, CA

$27.66 - $29.07/hr

HEDIS LVN Case Manager / HEDIS Specialist The HEDIS LVN Case Manager / HEDIS Specialist supports quality programs by focusing on HEDIS and quality gap closure activities rather than traditional ...

Quantix

Project Manager

Alameda, CA · On-site

Project Management ... HEDIS (Healthcare Effectiveness Data and Information ) You may reach me at 513 245 4982 or send me ...

Hippocratic-Ai

Implementation Manager (Payor)

Palo Alto, CA · On-site

$150 - $230/hr

You'll partner closely with health plan operations, population health, care management, clinical ops, Stars/HEDIS, IT, and vendor management teams. This is a role that requires both deep execution ...

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Hedis Manager information

See California salary details

$24.2K

$58.7K

$114.5K

How much do hedis manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for hedis manager in California is $58,746.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,400.00 and $67,600.00 per year, depending on experience, location, and employer.

What is a HEDIS manager?

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?

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.

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 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 the most commonly searched types of Hedis jobs in California?

The most popular types of Hedis jobs in California are:

What are popular job titles related to Hedis Manager jobs in California?

For Hedis Manager jobs in California, the most frequently searched job titles are:

What job categories do people searching Hedis Manager jobs in California look for?

The top searched job categories for Hedis Manager jobs in California are:

What cities in California are hiring for Hedis Manager jobs?

Cities in California with the most Hedis Manager job openings:

Hedis Manager jobs near you
Infographic showing various Hedis Manager job openings in California as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 60% In-person, and 40% Remote job distribution, with an average salary of $58,746 per year, or $28.2 per hour.

HEDIS Outreach Specialist

COMMUNITY HEALTH GROUP

Chula Vista, CA • On-site

$24.96 - $27.46/hr

Full-time

Posted yesterday

New

Job description

POSITION SUMMARY
The HEDIS Outreach Specialist is responsible for improving quality performance outcomes through member outreach, provider coordination, quality gap closure initiatives, medical record review, HEDIS reporting support, incentive program administration, and Initial Health Assessment (IHA) outreach activities. Utilizes persuasive communication and motivational interviewing techniques to encourage members to complete preventive and chronic care services, coordinates appointments with PCPs and specialists, handles complex member inquiries, and supports quality improvement projects through effective navigation of Epic, NextGen, eClinicalWorks, and other EHR systems.
COMPLIANCE WITH REGULATIONS
Works closely with all departments necessary to ensure that the processes, programs and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal.
RESPONSIBILITIES
  • Supports -intra departmental workflows by establishing and maintaining effective communications with internal and external contacts.
  • Conducts high-volume outreach campaigns to close HEDIS and quality care gaps including Annual Wellness Visits, Mammograms, Pap Smears, Prenatal/Postpartum Care, Immunizations, and other preventive services.
  • Coordinates member appointments directly with PCP offices, specialists, facilities, laboratories, imaging centers, and contracted vendors.
  • Utilizes persuasive communication techniques to educate and motivate members to complete recommended healthcare services.
  • Performs Initial Health Assessment (IHA) outreach, scheduling, follow-up, and coordinate activities for our DSNP and CSNP members which help improve our risk adjustment scores.
  • Completes annual HEDIS abstraction training, pass competency testing, perform chart reviews, and participates in medical record extraction activities.
  • Retrieves, scans, organizes, and prepares medical records for HEDIS reporting, abstraction, and audit purposes. Maintains member and physician confidentiality at all times
  • Navigates Epic, NextGen, eClinicalWorks, and other EHR platforms to identify and retrieve documentation supporting quality measure compliance.
  • Provides appropriate HEDIS correspondence to members as necessary.
  • Handles calls related to member incentive programs, eligibility determinations, portal registration, document uploads, and complaint resolution.
  • Assists members with portal account creation and navigation, including uploading supporting documentation.
  • Research and completes special projects assigned by the HEDIS Manager to improve quality performance and increase measure compliance.
  • Identifies operational issues preventing the delivery of good customer service by documenting and referring these to Customer Services management for follow-up and resolution.
  • Maintains product and company reputation and contributes to the team effort by conveying professional image and accomplishing related tasks; participating on committees and in meetings; performing other duties as assigned or requested.
  • Maintains customer confidence and protects company operations by keeping information confidential.
  • This position requires occasional travel within the San Diego County area.
  • Meets or exceeds departmental productivity, quality, outreach, appointment scheduling, quality gap closure, medical record retrieval, and member service performance standards established by management. Based on weekly outreach reports, is responsible for placing a minimum of 45 outbound calls per hour with an expected successful contact rate of at least six (6) members per hour. Productivity standards may include, but are not limited to, outbound call volume, successful member contacts, appointment scheduling conversion rates, quality gap closure rates, incentive call resolution metrics, medical record review accuracy, documentation quality, completion of special projects, and achievement of departmental performance goals.
  • Contributes to the team effort by accomplishing related duties as assigned or requested.

EDUCATION
  • High school diploma or equivalent.

EXPERIENCE/SKILLS
  • Ability to influence, educate, and motivate members to complete healthcare services and close quality care gaps.
  • Experience coordinating care and scheduling appointments with providers and healthcare vendors.
  • Proficiency navigating multiple EHR platforms including Epic, NextGen, eClinicialWorks, and other provider systems.
  • Ability to effectively manage difficult members interactions while maintaining exceptional customer service.
  • Two of customer service experience or outreach experienced preferred.
  • Medical terminology preferred.
  • Bilingual English/Spanish required.
  • Excellent communication and interpersonal skills.
  • Strong analytical, research, organizational, and problem-solving skills.
  • Ability to review medical records and identify documentation supporting quality measure compliance.
  • Working knowledge of HEDIS, CMS STAR rating, quality improvement programs, and managed care operations preferred.

PHYSICAL REQUIREMENTS
  • Driving within San Diego County
  • Prolonged periods of sitting.
  • Extensive use of telephone.
  • May be required to work evenings and/or weekends.

The above statements describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
All qualified applicants will receive consideration for employment based on merit, without regard to race, color, religion, sex, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.

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