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Hedis Manager Jobs in Virginia (NOW HIRING)

Sentara Healthcare

IT HEDIS & Analytics Manager

Norfolk, VA · On-site +1

$29.25 - $38.75/hr

Overview The IT HEDIS Manager is responsible for leading the technology, data integration, platform operations, and technical validation functions that support the organization's HEDIS program. This ...

Sentara Health

IT HEDIS & Analytics Manager

Norfolk, VA · On-site +1

$10K/mo

Overview The IT HEDIS Manager is responsible for leading the technology, data integration, platform operations, and technical validation functions that support the organization's HEDIS program. This ...

PONOS MGMT INC

Virginia-RN Case Manager

Richmond, VA · On-site

$45 - $60/hr

This role supports value-based care initiatives and ensures care management activities meet applicable regulatory, quality, and documentation standards, including NCQA and HEDIS requirements. Core ...

Humana

Clinical Care Nurse (RN)

Portsmouth, VA · On-site

... HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients in chronic disease self-management ...

Humana

Clinical Care Nurse (RN)

Norfolk, VA · On-site

... HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients in chronic disease self-management ...

Centerwell

Clinical Care Nurse (RN)

Chesapeake, VA · On-site

... HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients in chronic disease self-management ...

CenterWell

Clinical Care Nurse (RN)

Chesapeake, VA · On-site

... HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients are chronic disease self-management ...

Centerwell

Clinical Care Nurse (RN)

Portsmouth, VA · On-site

... HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients are chronic disease self-management ...

Centerwell

Clinical Care Nurse (RN)

Hampton, VA · On-site

... HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients in chronic disease self-management ...

Humana

Clinical Care Nurse (RN)

Chesapeake, VA · On-site

... HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients in chronic disease self-management ...

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Showing results 1-20

All JobsHedis JobsHedis Manager JobsHedis Manager Jobs in Virginia

Hedis Manager information

See Virginia salary details

$24.3K

$59K

$115K

How much do hedis manager jobs pay per year?

As of Aug 11, 2026, the average yearly pay for hedis manager in Virginia is $59,014.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,600.00 and $67,900.00 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 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 the most commonly searched types of Hedis jobs in Virginia? The most popular types of Hedis jobs in Virginia are:
What are popular job titles related to Hedis Manager jobs in Virginia? For Hedis Manager jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Hedis Manager jobs in Virginia look for? The top searched job categories for Hedis Manager jobs in Virginia are:
What cities in Virginia are hiring for Hedis Manager jobs? Cities in Virginia with the most Hedis Manager job openings:
Hedis Manager jobs near you
Infographic showing various Hedis Manager job openings in Virginia as of August 2026, with employment types broken down into 90% Full Time, 6% Part Time, and 4% Contract. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $59,014 per year, or $28.4 per hour.

IT HEDIS & Analytics Manager

Sentara Healthcare

Norfolk, VA • On-site, Remote

$29.25 - $38.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 398 frontline employees who took The Breakroom Quiz

493rd of 887 rated healthcare providers

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Overview
The IT HEDIS Manager is responsible for leading the technology, data integration, platform operations, and technical validation functions that support the organization's HEDIS program. This role manages ETL developers and operational support staff while serving as a key IT partner to HEDIS, Quality, business, vendor, audit, and project stakeholders. The manager oversees HEDIS data feeds, production operations, platform support, data-quality controls, technical documentation, vendor coordination, audit support, and reporting deliverables. This role will also support a major HEDIS engine replacement initiative, including migration from the current Inovalon/Cotiviti environment to a future-state platform with Arcadia supporting portions of HEDIS and NCQA-related functionality.
Education
  • Bachelor's degree in Information Technology, Computer Science, Data Management, Healthcare Administration, or a related field (Preferred)
or
  • 7+ years relevant experience may be accepted in lieu of degree

Certification/Licensure
  • No specific certification or licensure requirements

Experience
  • Seven or more years of experience in healthcare data, payer technology, analytics, data warehousing, quality measurement, HEDIS operations, or related IT functions (required )
  • Three or more years of leadership experience managing ETL, data engineering, technical operations, analytics, production support, or similar teams, including direct oversight of staff (required)
  • Experience supporting HEDIS data processing, reporting, validation, audits, quality-measurement platforms, or HEDIS engine implementation, replacement, migration, or parallel-validation activities(Required)
  • Strong knowledge of payer enrollment, claims, encounters, pharmacy, provider, laboratory, clinical, supplemental data, ETL, SQL, data warehouses, Databricks, file-based integrations, APIs, testing, reconciliation, and production support.
  • Experience working with HEDIS-related vendors or platforms such as Arcadia, Cotiviti, Inovalon, or comparable systems, with the ability to communicate technical issues clearly to business, vendor, audit, project, and executive stakeholders.(preferred)
  • Experience supporting an NCQA HEDIS compliance audit.(preferred)
  • Knowledge of ECDS, digital HEDIS measures, FHIR, HIE integration, and clinical-data exchange

Keywords: LinkedIn , HEDIS, Cotiviti, Innovalan,Arcadia
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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