HEDIS Data Analyst

Job Summary

To support healthcare organizations in improving quality performance and regulatory compliance, the full-time remote HEDIS Data Analyst will analyze healthcare data, manage HEDIS measurement and reporting activities, and collaborate with various teams to enhance clinical outcomes and operational efficiency.

Key responsibilities

• Support HEDIS measurement, reporting, validation, and annual submission activities
• Analyze HEDIS performance results to identify opportunities for quality improvement and care gap closure
• Collaborate with stakeholders to gather and validate business requirements for HEDIS and CMS reporting initiatives

Required qualifications

• Bachelor's degree in Healthcare Administration, Information Systems, Business, Data Analytics, Public Health, or a related field
• 4-6+ years of experience in a healthcare payer, health plan, or managed care environment
• Strong expertise in HEDIS reporting and knowledge of CMS regulations and quality programs
• Advanced SQL skills for healthcare data analysis and validation
• Experience analyzing healthcare data, including claims, encounters, and provider data