HEDIS Technical Analyst
$70k-$100k plus bonus and benefits
For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.
The HEDIS Technical Analyst will be responsible for supporting HEDIS related activities including measure validation, and reporting activities. The role requires a strong understanding of NCQA HEDIS specifications, healthcare data models, and hands-on technical expertise in Python, SQL, and data analytics. The analyst will work closely with business and clinical stakeholders to design, develop, validate, and maintain HEDIS measurement solutions across multiple measures.
Responsibilities- Strong knowledge of NCQA HEDIS measures
- Understanding of hybrid, digital, administrative, and ECDS measures
- Knowledge of healthcare data sources including claims, enrollment, pharmacy, and EMR data
- Experience supporting HEDIS certification or measure validation
- 3-7 years of Healthcare Analytics experience
- 2+ years of HEDIS measure research/validation experience/data pipelines
- Experience in HEDIS certification projects preferred
- Experience working with US healthcare clients
- Bachelor's degree in Computer Science, Analytics, Statistics, Healthcare Informatics, or related field
Skills Required
- Strong knowledge of NCQA HEDIS measures
- Understanding of hybrid, digital, administrative, and ECDS measures
- Knowledge of healthcare data sources including claims, enrollment, pharmacy, and EMR data
- Hands-on technical expertise in Python
- Hands-on technical expertise in SQL
- Experience supporting HEDIS certification or measure validation
- 3-7 years of Healthcare Analytics experience
- 2+ years of HEDIS measure research/validation experience/data pipelines
- Experience in HEDIS certification projects
- Experience working with US healthcare clients
- Bachelor's degree in Computer Science, Analytics, Statistics, Healthcare Informatics, or related field
What We Do
Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.
