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Hedis Manager Jobs in Nebraska (NOW HIRING)

archwellhealth

RN Care Manager - Omaha Market

Omaha, NE · On-site

Managed care experience including knowledge of HEDIS and CMS guidelines preferred. * Mission driven and motivated to join an organization that will transform the way we deliver accessible, clinically ...

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Hedis Manager information

See Nebraska salary details

$23.4K

$56.8K

$110.6K

How much do hedis manager jobs pay per year?

As of Aug 16, 2026, the average yearly pay for hedis manager in Nebraska is $56,754.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $65,300.00 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 Nebraska?

The most popular types of Hedis jobs in Nebraska are:

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

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

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

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

What cities in Nebraska are hiring for Hedis Manager jobs?

Cities in Nebraska with the most Hedis Manager job openings:

Hedis Manager jobs near you
Infographic showing various Hedis Manager job openings in Nebraska as of August 2026, with employment types broken down into 86% Full Time, 10% Part Time, and 4% Contract. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $56,754 per year, or $27.3 per hour.

Provider Operations Coordinator - Omaha

P3 Health Partners

Omaha, NE • On-site

Full-time

Posted 19 days ago

P3 Health Partners rating

6.6

Company rating: 6.6 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

People. Passion. Purpose.
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.
We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.
We are looking for a Provider Operations Coordinator. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Nebraska then you should consider joining our team.
*Must be able to travel throughout the Omaha, Nebraska area.
Overall Purpose
The Provider Operations Coordinator (POC) role combines responsibilities of managing operational support initiatives while overseeing special projects, with a focus on supporting HEDIS quality gap closures, Risk Adjustment activities, and provider engagement. This multifaceted position requires daily problem-solving, meticulous tracking, and coordination across departments to meet varying and changing requirements. The POC will oversee assigned affiliate groups, providing operational support to clinics to achieve their goals, which may include engaging with internal and external stakeholders with in-person and telephonic outreach to patients for education and engagement on preventative screenings, medication adherence, and follow-up with primary care providers. This position, depending on experience and education, may directly interact with patients to complete tasks for quality gap closure.
Roles and Responsibilities
  • Build and maintain effective relationships with assigned Affiliate groups to achieve goals and key initiatives. Serve as a liaison between the Affiliate groups and P3 local, regional, and national departments to provide a seamless point of contact.
  • Advises and supports affiliate practices as needed with quality (HEDIS/HOS) gaps and conditional documentation by outreach, chart data mining / audits, claims surveillance, quality events (i.e., diabetic eye screening), educating practice employees, etc. Responsible for reviewing data collected to confirm gaps in care are captured.
  • Works with the affiliate practices on prioritizing patient outreach and assists affiliate practices with patient outreach and coordinating scheduling new and establish patients outreaching and scheduling patients for visits by finding appointment dates/times that meet patient needs and availability.
  • Partners with assigned groups and other P3 departments to manage high / rising risk patients by actively ensuring coordination of care across all healthcare services provided to the patient (hospital discharge, hospice, MRA, Care Management, Referrals, Quality, etc.)
  • Assists in CSR/IDT/JOC meeting preparation and participate in meetings as requested.
  • Conducts data entry and maintain appropriate documentation and tracking for quality initiatives.
  • Educates patients and affiliates on preventative screenings that are being scheduled/performed and the reason for performing them.
  • Depending on education and experience - conduct in home HEDIS gap closure for select measures such as blood pressures, diabetic eye exams, point of care hemoglobin a1c testing, distribution of colorectal screening kits.
  • Other duties as assigned.

Knowledge, Skills, and Abilities
  • Excellent interpersonal, rapport/trust building, and communication skills with patients, providers, internal and external stakeholders.
  • Excellent organizational and time management skills.
  • Strong analytical, critical thinking, and problem-solving skills.
  • Ability to present information and obtain buy-in on recommendations.
  • Ability to handle a fast-paced environment and prioritize tasks based on importance.
  • Ability to work independently or as part of a team.
  • Dedication to maintaining the confidentiality of all patient records.
  • Knowledge of vital signs and other clinical skills related to direct patient care for quality gap closure.

Education and Experience
  • High school diploma/GED required, associate degree in related field or equivalent experience preferred.
  • 2+ years experience in healthcare-related fields required, clinical health care related experience, managed care, or Healthplan experience strongly preferred.
  • Experience with Microsoft Word, Excel, Power Point, Outlook and general office equipment such as copier, fax machine, required.
  • Experience in Electronic Health Records required.
  • Medical Assistant Certification or experience as a Pharmacy Tech, Radiology Tech, Lab Tech or similar strongly preferred.
  • Experience with data mining preferred.
  • Medical terminology knowledge required, experience with CPT II codes preferred.
  • Current CPR Certification preferred.

Work Conditions
  • Availability to travel within assigned region and work from multiple providers offices up to 90% of work schedule.
  • Must have a valid driver's license, safe driving record, and able to furnish reliable transportation.

Physical Requirements
  • The work environment consists of exposure to physical conditions typical of a normal office environment. Most of the job is performed while sitting and talking/listening on the phone, although the work may require occasional standing or walking and/or the lifting and carrying of small objects up to 25 pounds.

Pay Range $22-30 per hour based on experience
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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