HEDIS Manager

Job Description- Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and goals- Leads and manages annual HEDIS process within plan or region; serves as subject matter expert to enterprise team- Identifies, develops, and improves processes, procedures, and operations, conducts analysis, leads cross functional teams, and schedules, develops, and implements initiatives to strategically improve project processes- Secures and coordinates resources, temporary staff, space and equipment, and system requirements- Evaluates and monitors performance and efficiency of programs to ensure that implementation meets targeted timelines- Develops strategy with multiple enterprise departments and external vendor to annually field a new HEDIS pursuit application- Synthesizes performance data, prepares presentation materials, and presents comparative complex reports to local and enterprise quality committees- Builds relationships with internal and external customersPay RangeThe typical pay range for this role is:Minimum: 60,300Maximum: 126,600Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications- 5 years experience involving direct health care background and analyses of health care data- Minimum of 3 years of experience with HEDIS activity coordination and experience working with Managed/Acute/ Provider Care environment; or any combination of education and experience, which would provide an equivalent backgroundPreferred Qualifications- Managed care organization experience working with medicaid population and medicaid providersEducation- Bachelors Degree in health care related field or equivalent experience.Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-11-15