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Hedis Researcher Jobs (NOW HIRING)

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Hedis Researcher information

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$30K

$113.1K

$164.5K

How much do hedis researcher jobs pay per year?

As of Jun 12, 2026, the average yearly pay for hedis researcher in the United States is $113,102.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,000.00 and $154,000.00 per year, depending on experience, location, and employer.

What job makes $10,000 a month without a degree?

A Hedis Researcher typically does not earn $10,000 a month without specialized training or experience; most research roles in healthcare or data analysis require relevant skills and certifications. High-paying jobs that can reach this level without a degree often include sales, real estate, or entrepreneurship, but they depend heavily on individual performance and market conditions.

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

To thrive as a HEDIS Researcher, you need a solid understanding of healthcare quality measures, data analysis, and experience with medical records, often supported by a degree in health information management or a related field. Familiarity with HEDIS reporting software, electronic medical records (EMR) systems, and possibly Certified Professional in Healthcare Quality (CPHQ) certification is highly valuable. Attention to detail, analytical thinking, and strong organizational skills help researchers accurately extract and interpret complex healthcare data. These skills are crucial for ensuring accurate reporting and compliance, which directly impacts healthcare quality improvement and regulatory standards.

What jobs will no longer exist in 2030?

Hedis Researchers, involved in healthcare data analysis and quality measurement, are less likely to be fully replaced by automation by 2030 due to the need for specialized knowledge and interpretation. However, some administrative or repetitive roles in healthcare data collection may decline as AI and electronic health records become more advanced. Continuous skill development in data analysis tools and healthcare regulations will be important for job security.

What is the difference between Hedis Researcher vs Hedis Analyst?

AspectHedis ResearcherHedis Analyst
Required CredentialsBachelor's degree in healthcare, research, or related field; experience with HEDIS dataBachelor's degree in healthcare, data analysis, or related field; familiarity with HEDIS metrics
Work EnvironmentResearch settings, healthcare organizations, or consulting firmsData analysis teams within healthcare plans or quality improvement departments
Employer & Industry UsageHealthcare research firms, insurance companies, healthcare providersHealth insurance companies, healthcare quality departments
Common Search & ComparisonHedis Researcher vs Hedis Analyst

Hedis Researchers focus on designing and conducting studies related to HEDIS data, while Hedis Analysts primarily analyze and interpret HEDIS metrics to improve healthcare quality. Both roles require similar educational backgrounds and work within healthcare organizations, but their core responsibilities differ in research versus data analysis.

What does a HEDIS analyst do?

A HEDIS analyst reviews and analyzes healthcare data to ensure compliance with HEDIS (Healthcare Effectiveness Data and Information Set) measures, which assess the quality of care provided by health plans. They often use data management tools and work closely with clinical and administrative teams to improve performance metrics and support quality improvement initiatives.

What are HEDIS Researchers?

HEDIS Researchers are professionals who collect, analyze, and report healthcare data according to the Healthcare Effectiveness Data and Information Set (HEDIS) standards. Their role is crucial in measuring the quality of care and services provided by health plans, ensuring compliance with regulatory requirements, and identifying areas for improvement. HEDIS Researchers typically review medical records, validate data, and work closely with healthcare providers and quality assurance teams. Their work helps organizations improve patient outcomes and meet accreditation standards.

What jobs pay 2000 a day?

Hedis Researchers typically do not earn $2000 a day; such high daily rates are more common in specialized consulting, executive roles, or high-level freelance work. Professions like management consultants, specialized medical professionals, or certain legal experts may reach this level with extensive experience and certifications. Most roles paying this amount require advanced skills, significant responsibility, or independent contracting arrangements.

What are some common challenges faced by HEDIS Researchers when collecting and validating healthcare data?

HEDIS Researchers often encounter challenges related to data completeness and accuracy, as healthcare data can come from multiple sources such as electronic health records, claims, and patient surveys. Ensuring that data meets strict HEDIS measure specifications can require extensive validation and cross-referencing, which can be time-consuming. Additionally, coordinating with clinical and administrative staff to resolve discrepancies and fill in missing information is a frequent part of the role. Staying organized and detail-oriented, while effectively communicating with team members, is essential to overcoming these obstacles and meeting tight reporting deadlines.
More about Hedis Researcher jobs
Infographic showing various Hedis Researcher job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 81% Full Time, 12% Part Time, and 5% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $113,102 per year, or $54.4 per hour.
Senior Analyst, Risk & Quality Reporting - HEDIS

Senior Analyst, Risk & Quality Reporting - HEDIS

Molina Healthcare

Chandler, AZ

$60K - $117K/yr

Full-time

Posted 28 days ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

147th of 261 rated insurance


Job description

Job Description

Job Summary

The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause analysis.

Job Duties

  • Works with assigned health plan to capture and document requirements, build custom health plan reports, and educate health plan users on how to use reports
  • Builds intervention strategy reporting for the Risk and Quality interventions and measures gap closure
  • Builds ad hoc reports as requested to track HEDIS performance and supplemental data monitoring
  • Develops and QA custom health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP
  • Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates
  • Assists and collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan
  • Calculates and tracks gap closure and intervention outcome reporting for the assigned state
  • Works in an agile business environment to derive meaningful information out of complex and large organizational data sets through data analysis, data mining, verification, scrubbing, and root cause analysis
  • Conducts root cause analysis for business data issues
  • Analyzes data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks SQL, PowerBi, excel, and techniques to determine significance and relevance
  • Assists with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations
  • Key partner to assist with testing changes in the Datawarehouse platform and perform transparent upgrades to reporting modules to ensure no impact to the end users
  • Conducts preliminary and post impact analyses for any logic and source code changes for data and reporting module keeping other variables as constant that are not of focus
  • Develops oneself as a HEDIS subject matter expert to help health plan improve performance on underperforming measures

Job Qualifications

REQUIRED QUALIFICATIONS:

  • Bachelor's Degree or equivalent combination of education and work experience
  • 3-5 years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data
  • 3-5 years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL Queries, Functions, Procedures and Data design
  • 3-5 years of experience working with Microsoft T-SQL, Databricks SQL and PowerBI
  • 1-3 years of experience with Microsoft Azure, AWS, or Hadoop
  • 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment
  • 3-5 years of experience in working with complex data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing

Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $60,415 - $117,809 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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