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Hedis Researcher Jobs (NOW HIRING)

CVS Health

Informatics Manager - Quality - HEDIS

$54K - $145K/yr

Confers with industry partners on ways to apply research findings to real-world settings to advance ... Experience with NCQA HEDIS and other quality metrics * Experience with AI-facilitated reporting ...

CVS Health Corporation

$54 - $146/hr

Confere s with industry partners on ways to apply research findings to real-world settings to ... Experience with NCQA HEDIS and other quality metrics * Experience with AI-facilitated reporting ...

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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 Aug 23, 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 is a HEDIS researcher?

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 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 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.

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.

More about Hedis Researcher jobs

What job categories do people searching Hedis Researcher jobs look for?

The top searched job categories for Hedis Researcher jobs are:

Hedis Researcher jobs near you
Infographic showing various Hedis Researcher job openings in the United States as of August 2026, with employment types broken down into 67% Full Time, and 33% Contract. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $113,102 per year, or $54.4 per hour.

Informatics Manager - Quality - HEDIS

CVS Health

Remote

$54K - $145K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,341 frontline employees who took The Breakroom Quiz

91st of 113 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Candidate may reside anywhere in US

Position Summary

Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, analyzing healthcare data, and utilizing technology to support clinical workflows and decision-making. Applies expertise in healthcare and information technology to ensure efficient data management, promote data-driven insights, and enhance the delivery of healthcare services.


What you will do

  • Ensure regulatory, audit, and compliance readiness for HEDIS and State reporting
  • Advance governed AI-enabled change control aligned to NCQA, CMS, and state requirements-improving consistency and cycle time with maintained accountability
  • Assesses the requirements of the informatics department and identifies integration opportunities for new technologies and system processes
  • Assists the informatics team in the management of the data, reporting, and analytics function to help internal teams draw meaningful conclusions.
  • Coaches the informatics team on how to apply statistical and computational methods to analyze research data.
  • Conducts thorough literature reviews to understand the current state of knowledge data management, information systems, machine learning, and artificial intelligence.
  • Confers with industry partners on ways to apply research findings to real-world settings to advance industry knowledge.
  • Designs a documentation system for the informatics system to outline system specifications, architectural diagrams, and user guides.
  • Determines best approaches to define data models, data integration processes, and data governance policies for the informatics department.
  • Develops complex data migration systems to coordinate with data management teams to ensure accuracy in transferring information into new informatics systems.
  • Establishes a testing system for the informatics department to ensure defined requirements and functions are met.


Required Qualifications

  • 3+ years relevant work or equivalent experience
  • Adept at SQL and/or Python
  • Adept at Business Intelligence reporting (Tableau, Power BI, etc.)
  • Adept at problem solving and decision-making skills
  • Adept at collaboration and teamwork
  • Adept at growth mindset (agility and developing yourself and others) skills
  • Adept at execution and delivery (planning, delivering, and supporting) skills
  • Ability to translate non-analytical customer needs into analysis and reporting and communicate data insights


Preferred Qualifications

  • Experience working in Healthcare Quality Management
  • Experience with NCQA HEDIS and other quality metrics
  • Experience with AI-facilitated reporting with disciplined governance and oversight
  • Preferred education in Statistics, Mathematics, Data Analytics, or related STEM field.

Education

  • Bachelor's degree or equivalent work experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $145,860.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/22/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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