HEDIS Administrator II

Workforce Classification:

Join Our Team: Do Meaningful Work and Improve People’s Lives 

Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.

To better serve our customers, we are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the 2025 America's Dream Employers list. Newsweek honored Premera as one of America's Greatest Workplaces, America's Greatest Workplaces for Inclusion, and America's Greatest Workplaces For Mental Well-Being, Forbes ranked Premera among America’s Best Midsize Employers for the fourth time.

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog:  https://healthsource.premera.com/.

About the role of HEDIS Adminstrator II

The HEDIS Administrator II is critical to the company’s HEDIS® quality reporting and improvement activities and initiatives. This Administrator works in collaboration with others as well as independently, facilitating HEDIS® reporting to support company initiatives to improve member health and service to customers, and comply with State, Federal and Accreditation requirements. The HEDIS Administrator II is a subject matter expert providing leadership, management, and oversight of ongoing operational activities that directly support HEDIS data collection, analysis of results and reporting. Accountabilities also include medical record abstraction, facilitation of annual HEDIS® Audit and HEDIS® Roadmap, HEDIS® projects and activities, development of process improvements, and collaboration with many functional areas of the company and other healthcare entities to achieve objectives and desired outcomes.

What you’ll do:

• Abstract paper and electronic medical records using HEDIS® Technical Specifications as they relate to Premera’s clinical quality initiatives.
• Develop, implement, and maintain HEDIS® Program documentation, including work plans, status reports, policies, procedures, required to meet regulatory and HEDIS® reporting requirements.
• Implement activities that support specific quality projects and activities, and health and process improvement strategies in collaboration with associates throughout the organization.
• Reporting annual audit and measures for all lines of business, facilitate the annual HEDIS® audit and manage the communications between vendors, Premera and Audit Firm.  
• Quality Reporter-Web SME for entering and reviewing abstracted data across every measure for every line of business.
• Collaborate with other departments to ensure successful cross-functional integration between the HEDIS reporting and other department programs and initiatives throughout the Company
• Conduct HEDIS reporting activities and interventions that support data collection, reporting, communication, analysis of data and results for HEDIS® audit reporting.
• Participate in or lead the implementation of activities that support specific quality and HEDIS improvement projects and activities, and process improvement strategies in collaboration with associates throughout the organization and with individual Providers,
• Provider Groups, and other healthcare entities, maintaining positive relationships with team members and other stakeholders  
• Perform other duties as assigned.

What you’ll bring:

• High school diploma or two (2) year experience in Health Care Administration, Health Education, Nursing or related field. (Required)
• Two (2) years’ experience in health plan quality management and clinical performance improvement including HEDIS reporting. (Required)
• Clinical position experience in physician’s office working with medical records and/or medical record abstraction. (Required)
• Bachelor’s degree in Health Administration, Health Education, Nursing, or another related field. Clinical Experience. (Preferred)
• Experience with measuring and reporting HEDIS or other performance or outcome data. (Preferred)
• Advanced experience in developing and maintaining timelines, process flows, SmartSheet and OneNote. (Preferred)
• Proven ability to work independently, as a leader and team member of a cross-functional teams to accomplish time-driven goals. (Preferred)
• Ability to establish positive working relationships. (Preferred)
• Advanced Microsoft Office Suite Computer skills. (Preferred)
• Proven ability to identify issues and effectively communicate with a variety of audiences both verbal and written. (preferred)
• Ability to set and organize work priorities to meet timelines while maintaining organization and attention to detail. (Preferred)
• Ability to establish positive working relationships both internally and externally. (Preferred)
• Excellent verbal and written communication skills.
• Intermediate skills working in SmartSheet and One Note
• Ability to establish positive working relationships throughout the corporation and influence others to resolve issues and make decisions
• Bachelor’s degree in Health Administration, Health Education, Nursing, or another related field. Clinical Experience.
• Experience with measuring and reporting HEDIS or other performance or outcome data.
• Advanced Microsoft Office Suite Computer skills
• Proven ability to identify issues and effectively communicate with a variety of audiences both verbal and written.
• Ability to set and organize work priorities to meet timelines while maintaining organization and attention to detail.

Working environment:

This is primarily a sedentary role which requires the ability to exert up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. This role requires the ability to keyboard and to communicate clearly and understandably in person, and over the telephone.

Premera total rewards

Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:

• Medical, vision, and dental coverage with low employee premiums.

• Voluntary benefit offerings, including pet insurance for paw parents.

• Life and disability insurance.

• Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.

• Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.

• Generous paid time off to reenergize.

• Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.

• Employee recognition program to celebrate anniversaries, team accomplishments, and more.

For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.

• Commuter perks make your trip to work less impactful on the environment and your wallet.

• Free convenient on-site parking.

• Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.

• Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.

• Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.

• Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.

Equal employment opportunity/affirmative action:

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera.com or via phone at 425-918-4785.

Premera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.

The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

National Salary Range:

National Plus Salary Range:

*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.

We’re happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We’re committed to creating an environment where all employees are celebrated for their unique skills and contributions.