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Manager Hedis Project Jobs (NOW HIRING)

Quantix

Project Manager

Alameda, CA

Project Management * HEDIS (Healthcare Effectiveness Data and Information ) You may reach me at 513 ... 245 4982 or send me an e-mail at rpalulan@quantixinc. com

Managed Staffing

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

Participate in required training and project calls. * Safeguard all confidential and protected ... Excellent attention to detail, organizational, and time management skills. * Professional ...

Managed Staffing

HEDIS Reviewer

MI · Remote

$44 - $45/hr

Training will be provided prior to the start of the project. Key Responsibilities: * Complete ... Work with provider offices to schedule appointments, follow up on record submissions, and manage ...

Integrated Resources INC

HEDIS NURSE

New York, NY

$33 - $43.75/hr

We deliver strategic workforce solutions that help you manage your talent and business more ... A Special Project Nurse/Medical Professional will be responsible for completing auditing and/or ...

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$38.5K

$102.7K

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How much do manager hedis project jobs pay per year?

As of May 31, 2026, the average yearly pay for manager hedis project in the United States is $102,682.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,500.00 and $123,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Manager HEDIS Project, and why are they important?

To thrive as a Manager HEDIS Project, you need expertise in healthcare quality measurement, data analysis, and project management, typically supported by a bachelor’s degree in healthcare or a related field. Familiarity with HEDIS reporting tools, data management platforms, and knowledge of NCQA guidelines are essential, and certifications such as PMP or CPHQ are often preferred. Strong leadership, communication, and problem-solving skills help in managing cross-functional teams and ensuring compliance with regulatory requirements. These skills ensure successful project execution, accurate quality reporting, and improved healthcare outcomes for the organization.

What are some common challenges faced by a Manager HEDIS Project, and how can they be effectively addressed?

A Manager HEDIS Project often encounters challenges such as aligning cross-functional teams, managing tight reporting deadlines, and ensuring data accuracy for compliance. Coordination between clinical, IT, and quality assurance teams can be complex, requiring strong communication and project management skills. To address these challenges, it is essential to implement clear processes, establish regular check-ins, and utilize robust data validation tools. Building strong relationships with stakeholders and proactively identifying potential bottlenecks also contributes to smoother project execution.

What are Manager HEDIS Projects?

A Manager HEDIS Project oversees the planning, implementation, and management of HEDIS (Healthcare Effectiveness Data and Information Set) initiatives within a healthcare organization. Their primary role involves coordinating teams, analyzing data, ensuring compliance with regulatory standards, and improving quality measures related to patient care. They work closely with clinical staff, data analysts, and quality improvement teams to ensure accurate reporting and to help the organization meet or exceed HEDIS performance benchmarks.

What is the difference between Manager Hedis Project vs Hedis Coordinator?

AspectManager Hedis ProjectHedis Coordinator
CredentialsTypically requires project management certification, healthcare experienceUsually requires healthcare or nursing certification, experience in data collection
Work EnvironmentOversees projects, manages teams, strategic planningPerforms data collection, patient outreach, and record review
Employer & Industry UsageUsed in healthcare organizations managing HEDIS projectsCommonly employed in clinics or healthcare facilities for HEDIS data gathering

The Manager Hedis Project focuses on overseeing HEDIS-related projects, managing teams, and strategic planning, while the Hedis Coordinator handles data collection, patient outreach, and record review. Both roles are essential in healthcare quality improvement but differ in responsibilities and required credentials.

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Manager Hedis Project jobs near you
Infographic showing various Manager Hedis Project job openings in the United States as of May 2026, with employment types broken down into 64% Part Time, and 36% Contract. Highlights an 77% Physical, 3% Hybrid, and 20% Remote job distribution, with an average salary of $102,682 per year, or $49.4 per hour.
Senior Abstractor, HEDIS/Quality Improvement (Remote)

Senior Abstractor, HEDIS/Quality Improvement (Remote)

Molina Healthcare

Miami, FL • Remote

Other

Posted 7 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 191 frontline employees who took The Breakroom Quiz

145th of 259 rated insurance

Job description

Job Description

Molina's Quality Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. Sr. Abstractors will also provide mentoring to entry level abstractors.

Job Duties

  • Performs the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
  • Participates in meetings with vendors for the medical record collection process.
  • As needed, may collects medical records and reports from provider offices, loads data into the HEDIS application, and compares the documentation in the medical record to specifications to determine if preventive and diagnostic services have been correctly performed.
  • Participates in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results.
  • Assists with projects and process improvement initiatives
  • Mentors entry level Abstractors

Job Qualifications

REQUIRED EDUCATION:

Bachelor's degree or equivalent experience

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

  • 3 years experience in healthcare Quality/HEDIS specific to medical record review and abstraction
  • Intermediate knowledge and understanding of HEDIS projects

PREFERRED EXPERIENCE:

  • At least 3 years of medical record abstraction experience
  • 3+ years managed care experience.
  • Advanced knowledge of HEDIS and NCQA

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

Active RN license for the State(s) of employment

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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