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Senior Hedis Analyst information

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$102.5K

$130.5K

How much do senior hedis analyst jobs pay per year?

As of Jul 17, 2026, the average yearly pay for senior hedis analyst in the United States is $102,527.00, according to ZipRecruiter salary data. Most workers in this role earn between $88,000.00 and $116,500.00 per year, depending on experience, location, and employer.

What are Senior HEDIS Analysts?

Senior HEDIS Analysts are experienced healthcare professionals who specialize in managing, analyzing, and interpreting data related to the Healthcare Effectiveness Data and Information Set (HEDIS). They work primarily for health plans or healthcare organizations to ensure compliance with HEDIS reporting requirements, improve quality measures, and support accreditation processes. Their responsibilities often include extracting and validating clinical and claims data, identifying gaps in care, and collaborating with clinical and quality improvement teams to enhance patient outcomes. Senior HEDIS Analysts typically bring advanced analytical skills, a strong understanding of healthcare regulations, and several years of relevant experience to their roles.

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

To thrive as a Senior HEDIS Analyst, you need expertise in healthcare data analysis, HEDIS measures, and a background in health informatics or a related field, often supported by a bachelor’s or master’s degree. Proficiency with data extraction tools (like SQL), reporting software (such as SAS or Tableau), and knowledge of NCQA standards are typically required. Strong problem-solving abilities, attention to detail, and effective communication skills set top performers apart in this role. These skills and qualities are crucial for ensuring accurate quality reporting, regulatory compliance, and driving improvements in healthcare outcomes.

What is the difference between Senior Hedis Analyst vs Hedis Analyst?

AspectSenior Hedis AnalystHedis Analyst
Required CredentialsBachelor's degree, certifications in healthcare analytics or HEDISBachelor's degree, certifications in healthcare analytics or HEDIS
Work EnvironmentHealthcare insurance companies, managed care organizationsHealthcare insurance companies, managed care organizations
Employer & Industry UsageUsed for senior-level roles overseeing HEDIS data analysisEntry to mid-level roles focused on HEDIS data collection and reporting

The main difference between a Senior Hedis Analyst and a Hedis Analyst lies in experience and responsibility level. Senior Hedis Analysts typically have more experience, oversee complex data analysis, and may lead projects, whereas Hedis Analysts focus on data collection and reporting tasks. Both roles are common in healthcare insurance and managed care settings, with the senior position requiring additional expertise and leadership skills.

How does a Senior HEDIS Analyst collaborate with clinical and IT teams to improve quality reporting?

As a Senior HEDIS Analyst, you’ll frequently work cross-functionally with both clinical staff and IT professionals to ensure accurate HEDIS data collection and reporting. This collaboration typically involves translating clinical guidelines into data requirements, troubleshooting data discrepancies with IT, and communicating findings to care management teams to support quality improvement initiatives. Building strong relationships across these teams is essential for identifying process enhancements and ensuring compliance with NCQA standards. Effective communication skills and a proactive approach to problem-solving are key to success in this collaborative environment.
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Senior Hedis Analyst jobs near you
Infographic showing various Senior Hedis Analyst job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $102,527 per year, or $49.3 per hour.
Senior HEDIS Analyst/ Technical Lead - Denver Health Medical Plan (Must Live in Colorado. Weekly On-

Senior HEDIS Analyst/ Technical Lead - Denver Health Medical Plan (Must Live in Colorado. Weekly On-

Denver Health

Denver, CO • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Denver Health rating

7.9

Company rating: 7.9 out of 10

Based on 67 frontline employees who took The Breakroom Quiz

157th of 1,020 rated hospitals

Job description

We are recruiting for a mission-driven Senior HEDIS Analyst/ Technical Lead - 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 2 days per week.
Job Summary
This position serves as the technical owner of Healthcare Effectiveness Data and Information Set (HEDIS) outputs from the HEDIS Engine, ensuring accuracy, completeness, and audit readiness of all measure results and working with the HEDIS Clinical Lead to interpret new measure specifications.
The HEDIS Technical Lead is responsible for end-to-end execution of HEDIS measurement, validation, and submission, with a primary focus on HEDIS Engine (Cotiviti) production, rate validation, and NCQA IDSS submission for Denver Health Medical Plan (DHMP). The ideal candidate has hands-on experience running HEDIS cycles in Cotiviti (or similar vendor platforms), validating measure outputs, and managing IDSS submissions, and can partner effectively with data warehouse and clinical team. This role ensures that all HEDIS data is accurate, complete, traceable, and audit-ready.
Essential Functions:
  • HEDIS Technical Execution
    • Serves as Technical Lead on HEDIS Production and Submission Lifecycle
    • Partners with Clinical Lead for strategy development of HEDIS Program
    • Manages test, early production, and production run sequencing
    • Oversees ingestion of claims, encounters, enrollment, provider, and SDS data
    • Ensures data integrity, traceability, and documentation of data flows within the HEDIS Engine
    • Works directly with HEDIS Engine staff to ensure issues are resolved timely
    (40%)
  • Supplemental Data Sources (SDS)
    • Partner with Clinical Lead and internal IT Teams for technical implementation of new and existing SDS
    • Partners with business/clinical stakeholders to translate requirements into technical design
    • Supports mapping, validation, PSV preparation, and remediation
    • Troubleshoots SDS-related issues during runs and audit (20%)
  • QA / UAT (Technical)
    • Owns technical QA/UAT for:
    o Measure output validation and variance analysis
    o CAHPS sample generation and technical files
    • Confirms technical outputs align with HEDIS specifications and business expectations (10%)
  • Submissions & File Management
    • Owns technical aspects of submissions, including:
    o Cotiviti output files
    o Attest uploads
    o NCQA IDSS technical files (XML/CSV)
    o State submissions, as applicable
    • Ensures submissions are complete, timely, and compliant (20%)
  • Audit & Issue Resolution
    • Provides technical evidence and analysis for audit requests
    • Performs root cause analysis for discrepancies or findings
    • Maintains technical documentation to support audit defense and continuity
    (10%)

Education:
  • Bachelor's degree in data analytics, information systems, computer science, or related field required

Work Experience:
  • 4-6 years experience in health care data analytics,with at least 3 years focused specifically on HEDIS-specific technical experience in a health plan or similar environment required
  • 1-3 years experience supporting data validation, QA/UAT, and/or audits required
  • 1-3 years ability to communicate technical concepts to non-technical stakeholders and collaborate effectively across departments required
  • 1-3 years strong SQL and data analysis skills required

Licenses:
Knowledge, Skills and Abilities:
  • Strong knowledge of NCQA HEDIS specifications, CMS Star Ratings, and regulatory reporting to State and Federal programs.
  • Direct experience with HEDIS software tools (e.g., Inovalon QSI-XL, Cotiviti, OnPoint, or other vendors).
  • In-depth knowledge of HEDIS lifecycle, including NCQA IDSS submission formats and requirements.
  • Familiarity with data from clinical systems (e.g., EMR/EHR), claims, encounters, and supplemental data sources.
  • Experience supporting HEDIS audits and PSV processes.
  • Excellent problem-solving, communication, multi-disciplinary collaboration and project management skills.
  • Proficiency in Microsoft Office (Excel, PowerPoint, Word).
  • Accuracy and attention to detail in data analysis and reporting.
  • Proven ability to meet deadlines and manage deliverables.
  • Ability to work independently and manage multiple competing priorities in a fast-paced environment.
  • Experience working with Medicaid, Exchange, Medicare Advantage, or Dual Eligible populations, preferred
  • Knowledge of risk adjustment, care gaps, or other quality-related initiatives such as CAHPS or Health Outcomes Survey (HOS), preferred
  • Advanced proficiency with SQL (Oracle, SQL Server, or similar), with experience writing complex queries and optimizing data pipelines, preferred
  • Experience using reporting and data visualization tools (e.g., Tableau, Power BI, SAS, R, Python), preferred

* Must Live in Colorado
*This is a hybrid role located in Denver, Colorado with a requirement of being in the office 2 days per week.
Shift
Days (United States of America)
Work Type
Regular
Salary
$91,000.00 - $141,000.00 / 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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