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Hedis Project Jobs (NOW HIRING)

Integrated Resources INC

HEDIS RN LPN

New York, NY

$33 - $43.75/hr

HEDIS 2015 Record Collection- Temps to assist with record collection and data abstractions and/or ... Project Nurse/Medical Professional will be responsible for completing auditing and/or medical ...

Pacer Group

HEDIS Data Reviewer

Philadelphia, PA · On-site

Completing additional designated projects assigned and deemed as necessary." Requirement: * Three to five years working with HEDIS data including chart review/collection. HEDIS, QRS, or STARs ...

Integrated Resources INC

HEDIS RN/LPN

Jacksonville, FL

$28 - $37/hr

Must have prior experience working on a HEDIS audit (at least 1 season) Must have an active RN or LPN license in Florida Responsible for completing auditing and/or medical records review projects.

Pacer Group

HEDIS Data Reviewer

Philadelphia, PA · On-site

$40 - $44/hr

Completing additional designated projects assigned and deemed as necessary." Requirement: * Three to five years working with HEDIS data including chart review/collection. HEDIS, QRS, or STARs ...

Wellbe Senior Medical

Hedis Coordinator

Chicago, IL · On-site

GENERAL SUMMARY The Quality / HEDIS Coordinator plays a critical role in supporting the ... Attendance with regular team meetings to report findings of data collection/project and quickly ...

Healthcare Support Staffing

HEDIS RN/LPN

Latham, NY

$29.25 - $38.75/hr

HEDIS RN/LPN Location: Latham, NY Daily Responsibilities: * Performs provider/practitioner medical ... Are you interested in a project / contract job? Do you want the chance to advance your career by ...

Integrated Resources INC

HEDIS RN / LPN

Nashville, TN · On-site

$29.25 - $38.75/hr

HEDIS or supplemental data project experience is preferred, but not required Experience in medical record review preferred Some travel involved Must be able to work independently and have excellent ...

Emergent Holdings

Expert Analyst - HEDIS

Lansing, MI

The HEDIS Improvement Team supports quality improvement initiatives with a primary focus on Stars ... This role also coordinates projects for senior management. * Develops documentation, reports and ...

Regal Medical Group, Inc.

$24 - $25/hr

Able to work well in a team environment on special projects. * Skill in working independently, but ... HEDIS experience preferred. * Computer literate with knowledge and experience with specific ...

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Hedis Project information

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$13

$28

$50

How much do hedis project jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for hedis project in the United States is $28.40, according to ZipRecruiter salary data. Most workers in this role earn between $19.95 and $33.17 per hour, depending on experience, location, and employer.

What is the difference between Hedis Project vs Hedis Analyst?

AspectHedis ProjectHedis Analyst
Required CredentialsTypically requires healthcare or data management certificationsOften requires similar certifications, with additional focus on data analysis skills
Work EnvironmentProject-based, healthcare settings, data collection and managementHealthcare organizations, data analysis, reporting roles
Employer & Industry UsageUsed by healthcare providers, insurance companies, and government agenciesCommonly employed in healthcare analytics departments and consulting firms

The Hedis Project involves managing specific healthcare quality measurement projects, focusing on data collection and compliance. The Hedis Analyst typically performs data analysis, reporting, and quality improvement tasks related to HEDIS measures. While both roles require healthcare knowledge and data skills, the Hedis Project is more project management-oriented, whereas the Hedis Analyst emphasizes data analysis and reporting.

What is a HEDIS Project?

A HEDIS Project refers to initiatives aimed at collecting, reporting, and improving health care data based on the Healthcare Effectiveness Data and Information Set (HEDIS) measures. These projects are typically managed by health plans or providers to ensure compliance with quality standards and to enhance care outcomes. HEDIS Projects involve tasks like data abstraction, performance measurement, and quality improvement efforts. The results are used by organizations such as the National Committee for Quality Assurance (NCQA) to compare plan performance and support public reporting. Effective HEDIS Projects help organizations identify gaps in care and implement strategies to enhance patient outcomes.

How does a HEDIS Project role typically collaborate with cross-functional teams, and what are some common challenges faced during this process?

A HEDIS Project role frequently collaborates with clinical, data analytics, IT, and quality improvement teams to collect, analyze, and report healthcare data for quality measurement. One common challenge is ensuring data accuracy and completeness across multiple sources, which requires strong attention to detail and effective communication. Coordinating timelines and priorities between departments can also be complex, especially during the annual HEDIS reporting cycle. However, this collaboration provides valuable exposure to various functions within healthcare organizations and can offer opportunities for advancement into leadership or specialized quality roles.

What are the key skills and qualifications needed to thrive as a HEDIS Project Manager, and why are they important?

To thrive as a HEDIS Project Manager, you need a solid understanding of healthcare quality measures, data analysis, and project management, often supported by a degree in healthcare administration or a related field. Familiarity with HEDIS software, data abstraction tools, and reporting systems, as well as certifications like PMP or CPHQ, are typically required. Strong organizational, communication, and leadership skills set top performers apart in managing cross-functional teams and meeting strict deadlines. These skills ensure accurate data collection, compliance with regulatory standards, and successful completion of quality improvement initiatives.
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What are the most commonly searched types of Hedis Project jobs? The most popular types of Hedis Project jobs are:
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Hedis Project jobs near you
Infographic showing various Hedis Project job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $59,079 per year, or $28.4 per hour.
Clinical Quality Performance Specialist

Clinical Quality Performance Specialist

AmeriHealth Caritas Health Plan

Remote

$37.25 - $50/hr

Full-time

Posted 9 days ago

AmeriHealth Caritas rating

8.5

Company rating: 8.5 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

87th of 261 rated insurance

Job description

Role Overview: The Quality Performance Specialist - Clinical supports the Quality Management (QM) team by leading and coordinating clinical quality reviews of member concerns and medical records, ensuring adherence to established standards of care. This role plays a key part in quality improvement initiatives, accreditation readiness, and annual medical record reviews, including Healthcare Effectiveness Data and Information Set (HEDIS) and Clinical Practice Guidelines.
Work Arrangement:
  • Remote - Fully remote position; may be performed from any location within the United States
  • Availability required during Eastern Standard Time (EST) hours
  • Reliable high-speed internet required (minimum 50 Mbps download / 5 Mbps upload)
  • Associates residing in states where reimbursement is required by contract, law, or regulation may submit eligible expenses for reimbursement

Responsibilities:
  • Lead quality-of-care (QOC) reviews, including member concerns and sentinel events; collaborate with physician advisors and clinical quality committees
  • Collect, organize, and review medical records; summarize findings for evaluation and decision-making
  • Support accreditation activities and clinical quality performance improvement initiatives
  • Recommend and implement quality improvement initiatives using Plan-Do-Study-Act (PDSA) methodology
  • Produce quarterly QOC trending reports for QAPI committees and track follow-up actions
  • Ensure compliance with QM policies, including annual reviews, updates, and approvals
  • Participate in regulatory and accreditation reporting to maintain compliance with state requirements and National Committee for Quality Assurance (NCQA) standards
  • Partner with the Quality Improvement team on annual medical record review activities, including tool development, training, testing, and audits
  • Perform other duties as assigned

Education & Experience:
  • Associate's degree in nursing is required
  • Bachelor's degree in nursing is preferred
  • Active, unrestricted Registered Nurse (RN) license required
  • Minimum 3 years of experience in clinical quality improvement, healthcare delivery, or a related field
  • Experience with project facilitation or project management preferred
  • Experience working in an HEDIS project
  • Knowledge of Quality Improvement (QI) functions within a preferred Managed Care Organization (MCO)
  • Familiarity with Medicaid and Medicare programs preferred
  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) required

Licensure:
  • Active, unrestricted Registered Nurse (RN) license required

Skills & Abilities
  • Strong knowledge of clinical quality standards, regulatory requirements, and accreditation processes (e.g., NCQA)
  • Ability to analyze medical records and identify quality-of-care trends and gaps
  • Effective collaboration skills with clinicians, physician advisors, and cross-functional teams
  • Strong organizational skills with the ability to manage multiple priorities and deadlines
  • Clear and concise written and verbal communication skills, including report development
  • Experience with quality improvement methodologies such as Plan-Do-Study-Act (PDSA)
  • Detail-oriented with the ability to synthesize complex clinical information into actionable insights
  • Proficient in data tracking, reporting, and Microsoft Office tools

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