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Hedis Manager Jobs in Washington (NOW HIRING)

Integrated Resources INC

HEDIS RN/LPN

Columbia, MD · On-site

$30 - $39.75/hr

We deliver strategic workforce solutions that help you manage your talent and business more ... Minimum RN associates degree, * LPN with strong HEDIS experience * Software skills are needed ...

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Hedis Manager information

See Washington salary details

$27.7K

$67.4K

$131.4K

How much do hedis manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for hedis manager in Washington is $67,418.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,600.00 and $77,600.00 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 Washington?

The most popular types of Hedis jobs in Washington are:

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

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

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

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

What cities in Washington are hiring for Hedis Manager jobs?

Cities in Washington with the most Hedis Manager job openings:

Hedis Manager jobs near you
Infographic showing various Hedis Manager job openings in Washington as of August 2026, with employment types broken down into 75% Full Time, and 25% Contract. Highlights an 56% In-person, and 44% Remote job distribution, with an average salary of $67,418 per year, or $32.4 per hour.

HEDIS Outreach Coordinator

Maryland Care Management, Inc

Linthicum, MD • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Description:

Summary:

This position will be responsible for facilitating provider and member outreach to ensure member receipt of important clinical services to improve member health outcomes. Provides support for “Healthcare Effectiveness Data and Information Set” (HEDIS) quality initiatives and regulatory/contractual requirements including outreach to members who are non-compliant in the designated outreach services. Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.


About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.


Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans. 

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.


What You'll Do:

  • Integral part of the HEDIS team delivering member and provider education related to HEDIS care gaps.
  • Works with provider sites to assist with member scheduling of appointments and education r/t coding guidelines for HEDIS.
  • Responsible for scheduling and tracking of HEDIS-specific specialty clinics.
  • Responsible for inbound/outbound call queue to assist members with appointment scheduling, HEDIS initiatives, education.
  • Collaborate with the HEDIS team to deliver outreach initiatives to close care gaps.
  • Distributes educational information to members and providers in accordance with the HEDIS outreach work plan (mailings, social media, automated calls, etc.).
  • Conducts HEDIS provider chart request calls and mailings.
  • Maintains an incentive database to track member compliance.
  • May identify opportunities to partner with community organizations for special events and presentations (i.e., health fairs and community events).
  • Works with internal staff to schedule, organize, and staff these events. Records and documents all member and provider outreach activity.
  • Engages in HEDIS relevant provider relationships, record retrieval during MRR project, requiring travel to offices throughout Maryland 10-25%.
Requirements:

Knowledge and Skills:

  • Proficiency in use of Microsoft Office Suite application software.
  • Effective problem-solving skills to procure data and information.

Education and Work Experience:

  • High school diploma or equivalent.
  • Minimum of 3 years’ recent and related health care marketing, outreach, and/or health education experience.
  • Recent and related experience working with HEDIS criteria; working in a call center environment. 

Requirements

  • Travel 15-20% throughout the state of Maryland.
  • Current driver’s license and reliable transportation.
  • May require working outside of normal business hours to include evenings and Saturdays.




EEOC Statement: 

Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment. 

As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive. 

We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population. 

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