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Hedis Manager Jobs (NOW HIRING)

Healthcare Support Staffing

Remote HEDIS Specialist

OR · Remote

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 ...

Integrated Resources INC

HEDIS NURSE

New York, NY · On-site

$33 - $43.75/hr

We deliver strategic workforce solutions that help you manage your talent and business more ... This position is responsible for HEDIS data collection and reports to the Quality Management ...

Integrated Resources INC

HEDIS Nurse

Jacksonville, FL · On-site

$28 - $37/hr

We deliver strategic workforce solutions that help you manage your talent and business more ... Recent experience in data collection for HEDIS / Stars preferred. Determine member compliance ...

Humana, Inc.

Senior HEDIS Data Manager

The HEDIS Senior Data Manager is accountable for engaging in and supporting all aspects of the HEDIS program and regulatory operations, including: vendor oversight, process development, system 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.
Remote HEDIS Specialist

Remote HEDIS Specialist

Healthcare Support Staffing

OR • Remote

Contractor

Posted 12 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Company Job Description/Day to Day Duties:




Remote worker with ability to read and write in Spanish and medical records. 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 collaboration with other HEDIS staff.




Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.


Participates in meetings with vendors for the medical record collection process. Assists Manager with medical record vendor oversight.


Assists Manager in training abstractor staff and participates in the medical record IRR.


Identifies member service gaps based on data loaded in the MHI HEDIS application.


Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.


Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.


Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.


Assists the QI staff with physician and member interventions and incentive efforts as needed.


Provides data collection and report development support for Quality Improvement studies and performance improvement projects.


Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.

Qualifications

Minimum Education/Qualifications/Licensures:


Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico

Licensed RN/LVN/LPN

HEDIS knowledge

Ability to read and understand medical records

Independent and able to work on their own

Additional Information

Interested in hearing more about this great opportunity? Please call and e-mail your resume to Brianne Salazar (Office number: 321-710-4799) for immediate consideration. 

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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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