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Hedis Jobs in Virginia (NOW HIRING)

Sentara Healthcare

IT HEDIS & Analytics Manager

Norfolk, VA · On-site +1

$29.25 - $38.75/hr

Overview The IT HEDIS Manager is responsible for leading the technology, data integration, platform operations, and technical validation functions that support the organization's HEDIS program. This ...

Centerwell

Clinical Care Nurse (RN)

Hampton, VA · On-site

Medicare Advantage Stars, HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients are chronic ...

Centerwell

Clinical Care Nurse (RN)

Portsmouth, VA · On-site

Medicare Advantage Stars, HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients are chronic ...

Centerwell

Clinical Care Nurse (RN)

Chesapeake, VA · On-site

Medicare Advantage Stars, HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients are chronic ...

CenterWell

Clinical Care Nurse (RN)

Chesapeake, VA · On-site

Medicare Advantage Stars, HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients are chronic ...

CenterWell

Clinical Care Nurse (RN)

Hampton, VA · On-site

Medicare Advantage Stars, HEDIS and quality performance across value-based population. * Population Health: Deliver culturally appropriate chronic disease education to activate patients are chronic ...

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How much do hedis jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for hedis in Virginia is $34.08, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $38.12 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.
More about Hedis jobs

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

The most popular types of Hedis jobs in Virginia are:

What are popular job titles related to Hedis jobs in Virginia?

For Hedis jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Hedis jobs in Virginia look for?

The top searched job categories for Hedis jobs in Virginia are:

What cities in Virginia are hiring for Hedis jobs?

Cities in Virginia with the most Hedis job openings:

Hedis jobs near you
Infographic showing various Hedis job openings in Virginia as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $70,887 per year, or $34.1 per hour.

IT HEDIS & Analytics Manager

Norfolk, VA • On-site, Remote

Sentara Healthcare
Hospitals • 10K+ employees

6.7

Company rating: 6.7 out of 10

Based on 413 frontline employees who took The Breakroom Quiz

532nd of 894 rated healthcare providers

People enjoy working here

Recommended by students

Good schedule notice

Learn more about Sentara Healthcareexternal

$29.25 - $38.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Overview
The IT HEDIS Manager is responsible for leading the technology, data integration, platform operations, and technical validation functions that support the organization's HEDIS program. This role manages ETL developers and operational support staff while serving as a key IT partner to HEDIS, Quality, business, vendor, audit, and project stakeholders. The manager oversees HEDIS data feeds, production operations, platform support, data-quality controls, technical documentation, vendor coordination, audit support, and reporting deliverables. This role will also support a major HEDIS engine replacement initiative, including migration from the current Inovalon/Cotiviti environment to a future-state platform with Arcadia supporting portions of HEDIS and NCQA-related functionality.
Education
  • Bachelor's degree in Information Technology, Computer Science, Data Management, Healthcare Administration, or a related field (Preferred)
or
  • 7+ years relevant experience may be accepted in lieu of degree

Certification/Licensure
  • No specific certification or licensure requirements

Experience
  • Seven or more years of experience in healthcare data, payer technology, analytics, data warehousing, quality measurement, HEDIS operations, or related IT functions (required )
  • Three or more years of leadership experience managing ETL, data engineering, technical operations, analytics, production support, or similar teams, including direct oversight of staff (required)
  • Experience supporting HEDIS data processing, reporting, validation, audits, quality-measurement platforms, or HEDIS engine implementation, replacement, migration, or parallel-validation activities(Required)
  • Strong knowledge of payer enrollment, claims, encounters, pharmacy, provider, laboratory, clinical, supplemental data, ETL, SQL, data warehouses, Databricks, file-based integrations, APIs, testing, reconciliation, and production support.
  • Experience working with HEDIS-related vendors or platforms such as Arcadia, Cotiviti, Inovalon, or comparable systems, with the ability to communicate technical issues clearly to business, vendor, audit, project, and executive stakeholders.(preferred)
  • Experience supporting an NCQA HEDIS compliance audit.(preferred)
  • Knowledge of ECDS, digital HEDIS measures, FHIR, HIE integration, and clinical-data exchange

Keywords: LinkedIn , HEDIS, Cotiviti, Innovalan,Arcadia
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:116,729.60-216,777.60. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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