HEDIS Architect & Data Analytics Lead

Healthcare IS; United States; On-site; USD 110,000 - 150,000; Full time

Job summary

Healthcare IS is seeking an experienced HEDIS Architect / Data Analyst to support HEDIS measurement, CMS STARs, and regulatory reporting. The role bridges business stakeholders, quality teams, and technical partners to deliver accurate insights and scalable data solutions.

The ideal candidate has 4–6+ years in a health plan environment, strong SQL skills, and hands-on HEDIS expertise to drive data modernization and quality improvements.

Qualifications

• Bachelor's degree or equivalent in a relevant field.
• 4–6+ years in healthcare payer, health plan, or managed care.
• Hands-on HEDIS knowledge and experience supporting HEDIS reporting initiatives.
• Exposure to data architecture concepts and data platform modernization.
• Advanced SQL for healthcare data analysis and validation.

Responsibilities

• Support HEDIS measurement, reporting, validation, and annual submission activities.
• Translate business requirements into data and reporting solutions.
• Analyze HEDIS performance to identify improvement opportunities and close care gaps.
• Contribute to HEDIS solution architecture, data flow design, and scalable data models.
• Collaborate with architects, engineering, quality, and operations to align reporting with platform capabilities.
• Facilitate requirements sessions and translate findings into executive communications.

Skills

HEDIS knowledge

SQL

Data analysis

Business analysis

Stakeholder management

Data quality & reconciliation

Requirements gathering

Education

Bachelor's degree

Job description

Healthcare IS is seeking an experienced HEDIS Architect / Data Analyst to support HEDIS measurement, CMS STARs, and regulatory reporting. The role bridges business stakeholders, quality teams, and technical partners to deliver accurate insights and scalable data solutions.

The ideal candidate has 4–6+ years in a health plan environment, strong SQL skills, and hands-on HEDIS expertise to drive data modernization and quality improvements.