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Hedis Training Jobs (NOW HIRING)

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

This is a fully remote opportunity, and training will be provided prior to assignment start. Key Responsibilities: * Audit and overread medical record collection and review processes for HEDIS ...

Assists Manager in training abstractor staff and participates in the medical record IRR. * Identifies member service gaps based on data loaded in the HEDIS application. * Collects medical records and ...

Assists Manager in training abstractor staff and participates in the medical record IRR. * Identifies member service gaps based on data loaded in the HEDIS application. * Collects medical records and ...

HEDIS Reviewer

MI · Remote

$44 - $45/hr

Position: HEDIS Reviewer - Work From Home (Michigan Only) Location: Remote - Must reside in ... Training will be provided prior to the start of the project. Key Responsibilities: * Complete ...

... Training, and Professional Experience: * High School/GED with a minimum of two yeards HEDIS review experience. Clinical background preferred ( Medical Assistant, Nursing Assistant, Health Educator ...

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 ...

HEDIS RN / LPN

Baton Rouge, LA

$29 - $38.50/hr

... training and testing Successfully completes HEDIS software training and uses software correctly Is responsible for meeting daily abstraction production goal Is responsible for meeting and maintaining ...

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How much do hedis training jobs pay per hour?

As of Jun 21, 2026, the average hourly pay for hedis training in the United States is $34.38, according to ZipRecruiter salary data. Most workers in this role earn between $29.09 and $38.46 per hour, depending on experience, location, and employer.

What is a HEDIS Training job?

A HEDIS Training job involves educating healthcare professionals on the Healthcare Effectiveness Data and Information Set (HEDIS), which measures performance in healthcare quality and patient outcomes. Trainers teach data collection, reporting procedures, and compliance with HEDIS guidelines for health plans and organizations. These roles often require knowledge of medical records, coding, and quality improvement processes. HEDIS trainers may work for healthcare organizations, insurance companies, or as independent consultants.

What is the easiest healthcare job that pays well?

Healthcare jobs such as medical billing and coding, phlebotomy, or medical assisting are often considered easier to enter and can offer competitive pay with minimal formal education or certification. These roles typically require short training programs, and certifications can improve job prospects and salary potential.

What is the highest paying hands-on job?

In the context of Hedis training and related healthcare roles, high-paying hands-on jobs include specialized positions such as certified medical assistants, surgical technologists, and radiologic technologists, which often require specific certifications and offer higher salaries due to technical skills and responsibility levels. These roles typically involve direct patient care or technical procedures and tend to have higher compensation compared to entry-level healthcare positions.

What are the primary responsibilities of someone in a HEDIS Training role?

Professionals in HEDIS Training are mainly responsible for educating staff and teams on Healthcare Effectiveness Data and Information Set (HEDIS) measures, ensuring compliance, and facilitating accurate data collection and reporting. They often develop training materials, conduct workshops or one-on-one sessions, and serve as subject matter experts for HEDIS-related questions. Daily tasks may include reviewing updated guidelines, coordinating with quality improvement teams, and providing ongoing support and feedback to ensure best practices are followed. This role collaborates closely with clinical, coding, and data management teams to drive quality improvements across the organization. As healthcare quality continues to be a major focus, skilled HEDIS trainers can find ample growth and advancement opportunities.

What is the highest paying allied health job?

In allied health, anesthesiologists and nurse anesthetists tend to have the highest salaries, often exceeding $150,000 annually. These roles require advanced certifications, specialized training, and often involve working in surgical or hospital settings with high responsibility and demand for technical skills.

What are the key skills and qualifications needed to thrive in the Hedis Training position, and why are they important?

To thrive in HEDIS Training, you need a strong understanding of healthcare quality measures, data analysis, and clinical workflows, often supported by experience in healthcare administration or nursing. Familiarity with HEDIS software platforms, electronic health records (EHRs), and relevant certifications such as Certified HEDIS Compliance Auditor (CHCA) are highly valuable. Effective communication, teaching abilities, and attention to detail are essential soft skills for educating and supporting clinical and data teams. These competencies ensure accurate data reporting, compliance, and optimal performance in healthcare quality improvement initiatives.

What is the highest paying allied health profession?

In allied health professions, anesthesiologists and certain specialized nurse practitioners tend to have the highest salaries, often exceeding $150,000 annually. Roles such as radiologists and physical therapists also offer high earning potential, especially with advanced certifications and experience.
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Manager, HEDIS - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)

Manager, HEDIS - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)

Denver Health

Denver, CO • On-site

$31.25 - $41.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago


Denver Health rating

7.9

Company rating: 7.9 out of 10

Based on 67 frontline employees who took The Breakroom Quiz

152nd of 1,001 rated hospitals


Job description

We are recruiting for a mission-driven Manager, HEDIS - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) to join our team!
We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something we live every day, for life's journey.
Our Values
Respect | Belonging | Accountability | Transparency
Department
Managed Care Administration
* Must Live in Colorado
*This is a hybrid role located in Denver, Colorado with a requirement of being in the office 3 days per week.
Job Summary
Under minimal supervision, the HEDIS manager will oversee the Health Employer Data Information Set (HEDIS), and HOS survey project timelines; collaborates with vendors and internal IT department to ensure all data requirements and submissions are accurate and timely. Supports Population Health and QI teams with metric data and strategy for MCR Stars, Medicaid MLR and NCQA certification. Promotes positive interpersonal (customer) relationships with fellow employees, physicians, patients and visitors. Supervises RN, Medical Records HEDIS personnel.
Essential Functions:
• Data Project Management: Oversees the HEDIS/ HOS data collection, development and analysis; maintains and updates appropriate data collection systems and enters information, as required, using MS Office, and Managed Care systems used to extract data for HEDIS/ HOS while driving and providing oversight of post-audit reviews to define operational improvements for future HEDIS cycles. Ensures compliance with all NCQA HEDIS Audit requirements. (15%)
  • Support strategic goals of MCR Stars by providing subject matter expertise on quality metrics and HEDIS strategy (15%)
  • Support NCQA accreditation process by providing subject matter expertise on quality standards (10%)
  • Work with providers on appropriate coding and documentation for HEDIS Stars and MLR measures. Oversee post-audit reviews to define operational improvements for future HEDIS cycles. (10%)
  • Process and Procedure: Determines work procedures and expedites workflow; assigns duties and reviews work; prepares necessary and required reports to management. Delegates responsibility/authority. Identifies problems and opportunities for improvement; identifies appropriate solution and involves others in the implementation process. Makes recommendations for cost efficiency and process improvement. Meets all NCQA HEDIS Medical Record Review (MRR) requirements and deadlines. (10%)
  • Reporting and Analysis Prepares and/or reviews daily, weekly, monthly and quarterly quality assessment reports and conducts/reports findings for QI data for all lines of business as required for HEDIS/ HOS activities, lead discussions about data/results, provides timely updates. Meets NCQA Compliance Audit activities to include annual training/testing of HEDIS staff and timely completion of Supplemental Data Audit (SD), Medical Record Review Validation (MRRV, Inter-Rater Reliability (IRR) tracking, and supports HEDIS annual roadmap submission. (10%)
  • Vendor Management: Partners with vendors and manages tracking progress during and prior to submission such as HEDIS auditor and Hedis Data vendor for medical record capture (10%)
  • Staff Management: Creates annual HEDIS training and testing materials per NCQA Technical Specification and compliance audit requirements. Identifies training and staff development needs of employees, recognizes positive behavior and contributions to the staff, using praise, appreciation and rewards, participates in the selection of QI staff, sets performance expectations by developing job specific customer service expectations and behaviors. Promotes guidance/oversight of certain tasks and delegates appropriately. (10%)
  • Oversee post-audit reviews to define operational improvements for future HEDIS cycles. (10%)

Education:
  • Bachelor's degree In nursing, health informatics, healthcare administration, public health or related field required

Work Experience:
  • 4-6 years Project Management experience, preferably in HEDIS/HOS within a managed care environment required and
  • 4-6 years previous experience in performing medical record review, inter rater reliability and working knowledge of medical terminology and NCQA HEDIS Technical Specifications required and
  • 4-6 years previous experience with HEDIS quality measurements for health plan STAR ratings and
  • 4-6 years previous experience in healthcare, quality improvement, statistics and/or evaluation.

Licenses:
Knowledge, Skills and Abilities:
  • Prerequisite skills including collecting, compiling and interpreting HEDIS CAHPS , and HOS data for QI studies
  • Extensive knowledge of MCR Stars program and NCQA accreditation process including previous experience with HEDIS quality measurements, health plan STAR ratings and quality reporting
  • Knowledge/familiarity with medical terminology, medical record review, NCQA HEDIS Technical specifications, and decision making skills regarding appropriateness of care review.
  • Provide HEDIS /HOS data for research design planning and analysis to generate quality improvement reports.
  • Applies efficient research and data collection skills and organize information by line of business succinctly
  • Ability to work independently as well as collaboratively with other internal and external team members to ensure timelines are met
  • Utilizes software applications and information systems to perform work processes with responsibility for training on such and providing updates as necessary
  • Demonstrated leadership skills in working with clinical professionals and office staff
  • Ability to coach and lead others on a collaborative basis to ensure team success
  • Ability to engage physicians, advance care providers, vendors, clinical leaders, and other key stakeholders to deliver member-centered care.
  • Demonstrate flexibility in response to unexpected changes.

* Must Live in Colorado
*This is a hybrid role located in Denver, Colorado with a requirement of being in the office 3 days per week.
Shift
Days (United States of America)
Work Type
Regular
Salary
$98,600.00 - $152,800.00 / yr
Benefits
At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you're joining a mission-driven organization that invests in you.
Here is a small list of our benefit programs:
  • Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
  • 100% paid parental leave up to 6 weeks
  • Immediate eligibility for retirement plans with employer contribution up to 9.5%
  • Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
  • Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
  • Free RTD EcoPass (public transportation)
  • Childcare discount programs & exclusive perks on large brands, travel, and more
  • Tuition reimbursement & assistance
  • Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
  • Professional clinical advancement program & shared governance
  • Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
  • National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.
As Colorado's primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.

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