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Hedis Researcher Jobs (NOW HIRING)

EmblemHealth

Lead Analyst, Digital HEDIS & Quality Analytics - (Remote) Lead the implementation of the quality ... Perform research and collection of data, including data mining and reporting, which is provided to ...

New

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 ...

Healthcare Support Staffing

HEDIS Medical Assistant

Mason, OH · On-site

$16.75 - $21.50/hr

Candidate will work with the HEDIS team to collect member records and conduct reviews of these ... Must keep excellent documentation of research and contact information. Candidate must pass a ...

ASK Consulting

*Coordinator III

Woonsocket, RI · On-site +1

$18.50 - $25/hr

... HEDIS medical record review and abstraction of supplemental data. • Performs provider/location research, clean up, and data updates to ensure that medical record requests are submitted to the right ...

CareFirst

Quality Analyst (Remote)

Baltimore, MD · Remote

Perform medical record abstraction, research, and quality review by applying current HEDIS and NCQA measure specifications, company training guidelines, and project requirements. * Accurately ...

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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 Sep 14, 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.

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What are popular job titles related to Hedis Researcher jobs?

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Hedis Researcher jobs near you
Infographic showing various Hedis Researcher job openings in the United States as of September 2026, with employment types broken down into 83% Full Time, 14% Part Time, and 3% Contract. Highlights an 75% Physical, 3% Hybrid, and 22% Remote job distribution, with an average salary of $113,102 per year, or $54.4 per hour.

Lead Analyst, Digital HEDIS & Quality Analytics - (Remote)

New York, NY • Remote

EmblemHealth
Insurance Services • 1 - 5K employees
Learn more about EmblemHealthexternal

Full-time

Posted 24 days ago

EmblemHealth rating

9.4

Company rating: 9.4 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

Summary of Position

Lead the implementation of the quality department digital HEDIS strategy under the quality measurement analytics team. Lead efforts to continually improve data capabilities and quality of department analysis and reporting. Develop and implement automation of manual reporting and analysis of business implications and trends. Develop, automate, and manage the intake, use and data governance of clinical and supplemental data sources to support all HEDIS/QARR/Star metrics.  Identify areas of opportunity and new data sources to support quality metrics. Work closely with quality department, IT, NCQA certified HEDIS vendor and auditors to ensure readiness for digital quality. Prepare and present analytical dashboards and data to key stakeholders to support strategic decision making.  


Principal Accountabilities

  • Develop, implement, and manage reporting and reconciliation workflows and document processes.  
  • Lead medical trend studies as they pertain to quality initiatives.  
  • Identify data improvement opportunities through review of HEDIS/QARR/Star reports and data outputs and detecting data acquisition, capture, and system error issues.  
  • Collaborate with IT and others to plan and execute digital readiness, including readiness for FHIR.  
  • Engage with vendors, providers, and others to identify new sources of clinical data ingestion (e.g. data aggregators, EHRs, HIEs, etc).    
  • Perform research and collection of data, including data mining and reporting, which is provided to various customers inside and outside the department.   
  • Lead the development of complex and/or advanced statistical/modeling analyses of quality metrics for Medicare, State Sponsored Programs, and other populations.   
  • Develop and maintain automated quality dashboards and measure profiles utilizing data visualization tools.  
  • Provide analytical and technical guidance for design, development and maintenance of quality improvement and wellness initiatives. Build self-service reports to be used by the quality department.  
  • Identify and analyze business problems related to quality experience of member, particularly related to how members receive care and other factors influencing the STARS rating.  
  • Present analytical findings to internal business partners, leading discussions and providing delivery of further analysis.  
  • Collaborate with internal quality management teams to assist on quality improvement initiatives.   

Qualifications

  • Bachelor's Degree in analytical/quantitative field including healthcare management, finance, business, mathematics, engineering, applied stats/economics, or any other related fields  
  • Master's Degree preferred    
  • 5 - 8+ years of relevant, professional work experience (Required)  
  • 5+ years of experience in managed care/healthcare analytics (Required)  
  • Advanced knowledge of HEDIS and Medicare Stars, including experience working with electronic clinical quality measures and related data sources (Required) 
  • Proficient in Microsoft Office (Word, PowerPoint, Excel, Access) (Required)  
  • Advanced experience with relational database applications (such as SAS, R, SQL, or others). (Required) 
  • Experience with improving and automating processes using programming languages/software (Python, VBA, R, SAS, C++, or others) (Required)  
  • Experience with and proficient in statistical software/programs (such as SAS, R, Stata, Minitab or others) (Preferred) 
  • Experience with and proficient in data visualization tools (such as Power BI, Tableau) (Required) 
  • Strong communication skills (verbal, written, presentation, interpersonal) (Required) 
  • Demonstrated self-starter with ability to develop projects end to end independently (Required)   
     
Additional Information
  • Requisition ID: 1000003328
  • Hiring Range: $77,760-$149,040

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