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Hedis Jobs in Utah (NOW HIRING)

Clinical Quality Manager

Layton, UT · On-site

$73.40 - $120.36/hr

This role emphasizes improving the quality of care with a focus on HEDIS, QARR and Medicare Advantage Star measures. * Interacts with hospitals, providers, and members to improve quality of care ...

Reviewer, Select Health

Murray, UT · On-site +1

$7.25 - $999.99/hr

Certification Requirements: Assist and support Health Care Services departments as needed in maintaining NCQA, HEDIS, and CAHPS certification, and other contractual requirements such as Medicare ...

Hedis information

See Utah salary details

$18

$31

$43

How much do hedis jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for hedis in Utah is $31.29, according to ZipRecruiter salary data. Most workers in this role earn between $26.49 and $35.00 per hour, depending on experience, location, and employer.

What are HEDIS jobs?

HEDIS jobs involve working with the Healthcare Effectiveness Data and Information Set (HEDIS), a widely used set of performance measures in the healthcare industry. Professionals in these roles typically collect, analyze, and report healthcare data to evaluate the quality of care provided by health plans. Common HEDIS job titles include HEDIS abstractor, HEDIS nurse, and HEDIS reviewer. These positions are crucial for ensuring health plans meet industry standards and regulatory requirements, and often require attention to detail and knowledge of medical records or coding.

What are HEDIS jobs?

Various jobs within the medical industry revolve around HEDIS. The most common career is to be a nurse with HEDIS certification. In this position, you use your knowledge of HEDIS to educate other staff members on the correct standards for healthcare procedures. Your responsibilities also include making proper documentation, coding for billing, and reporting on quality of care. There are also various levels of project and data analysts that handle the business side while still supporting the technical specifications for HEDIS. As an analyst, your duties are to oversee resources, methods, and reporting accuracy and look for areas for improvement within the department.

What are some common challenges HEDIS professionals face during the annual reporting cycle?

HEDIS professionals often encounter tight deadlines and the need to coordinate data collection from multiple sources within healthcare organizations during the annual reporting cycle. Ensuring data accuracy and completeness can be challenging, especially when working with electronic medical records and claims data that may have inconsistencies. Additionally, collaborating with clinical staff, IT teams, and quality improvement departments requires strong communication skills to resolve data gaps and implement process improvements. Staying current with evolving HEDIS measure specifications is also essential to ensure compliance and accurate reporting.

What is the difference between Hedis vs Medical Coder?

AspectHedisMedical Coder
Required CredentialsCertification in Hedis-specific guidelines, often a healthcare quality or coding certificationCertification in medical coding (e.g., CPC, CCS)
Work EnvironmentHealthcare facilities, insurance companies, or quality organizationsHospitals, clinics, or medical billing companies
Industry UsageUsed in healthcare quality measurement and complianceUsed in medical billing, coding, and documentation
Common Search/ComparisonHedis vs Medical Coder

Hedis professionals focus on healthcare quality measurement and compliance, utilizing specific guidelines and certifications. Medical coders primarily handle medical documentation coding for billing and records. While both roles are essential in healthcare, they serve different functions related to quality assurance versus billing processes.

How to become a Hedis abstractor?

To become a Hedis abstractor, candidates typically need a background in healthcare, medical coding, or health information management, along with strong attention to detail. Certification in medical coding or health data abstraction, such as the Certified Health Data Analyst (CHDA), can enhance job prospects. Familiarity with Hedis guidelines and data collection tools is also beneficial.

How to get into Hedis?

To pursue a career as a HEDIS specialist, candidates typically need a background in healthcare, nursing, or health information management, along with knowledge of quality measurement and data analysis. Relevant certifications, such as Certified HEDIS Professional (CHP), can enhance job prospects. Strong attention to detail and familiarity with electronic health records (EHR) systems are also beneficial.

What does a Hedis specialist do?

A Hedis specialist is responsible for reviewing and analyzing healthcare data related to the Healthcare Effectiveness Data and Information Set (HEDIS) measures to ensure compliance and improve quality scores. They often work with medical records, coding, and data management tools to accurately report patient care information and support healthcare quality improvement initiatives.

What are the most commonly searched types of Hedis jobs in Utah?

The most popular types of Hedis jobs in Utah are:

What cities in Utah are hiring for Hedis jobs?

Cities in Utah with the most Hedis job openings:

Infographic showing various Hedis job openings in Utah as of August 2026, with employment types broken down into 7% As Needed, 72% Full Time, and 21% Part Time. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $65,092 per year, or $31.3 per hour.

Clinical Operations Supervisor

Layton, UT • On-site


UnitedHealth Group
Insurance Services • 10K+ employees

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

192nd of 896 rated healthcare providers

Good employer

Recommended by students

Recommended by parents


$60K - $107K/yr

Full-time

Retirement

Re-posted 3 days ago


Job description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
Primary Responsibilities:
  • Provide supervision to department staff, works independently and collaborate with Physician and RN leadership on relevant clinical issues
  • Recruit and retain talented staff and ensure proper training, resource allocation and develop standards to monitor and evaluate staff performance
  • Implement and maintain clinical and business policies and procedures
  • Ensures patient satisfaction within the clinic sites and resolves patient issues
  • Ensure strict adherence to policies/procedures related to clinical compliance, Standard Work development and maintenance, etc
  • Analyze monthly metrics relating to patient satisfaction, access and achievement of quality goals and objectives; develop and implement operational changes based on metrics
  • Monitor, manage and ensure that provider and clinic empanelment is accurate
  • Educate staff and providers on monthly metrics, glide paths, goals and areas for improvements
  • Contribute to the development of short and long-term business planning, then ensure plans are executed
  • Achievement of clinical and business compliance and licensures for labs, staff and requirements for regulatory compliance
  • Safety functions in clinics and ensures completion of safety training and proper orientation for new employees
  • Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit
  • Supervision of medical assistant staff in clinic setting

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 2+ years of clinical staff management experience; 1+ years in a healthcare organization
  • Knowledge of organization policies and procedures, computer applications, including intermediate to advanced Microsoft Word and Excel skills
  • Medical supply management and performance management techniques and practices
  • Knowledge of ICD-10 and CPT coding
  • Driver's License and access to a reliable transportation

Preferred Qualifications:
  • Experience working with Medicare advantage care population
  • Experience with HEDIS quality Reports
  • Medical Assistant experience
  • Value based care contract experience and HEDIS measures
  • Understanding of patient rooming workflows, referrals, and provider task support
  • Proven excellent leadership skills to include solid communication (written and verbal) and interpersonal skills
  • Proven ability to gather, analyze and evaluate data of patient satisfaction
  • Proven ability to work independently, lead and motivate staff

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


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