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HEDIS Business Analyst with Strong in SQL

Remote • Posted 17 hours ago • Updated 17 hours ago

Contract Independent

Contract W2

Contract Corp To Corp

12 Months

No Travel Required

Remote

Depends on Experience

Fitment

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Job Details

Skills

HEDIS
SQL
BA OR Business Analyst

Summary

HEDIS Business Analyst with Strong in SQL

We are seeking a Business Systems Analyst (BSA) with strong experience in HEDIS, healthcare data, and SQL to bridge business, clinical, and technical teams. The ideal candidate will analyze HEDIS requirements, translate business needs into technical specifications, and perform SQL-based data analysis and validation.

Key Responsibilities

Gather, analyze, and document business and HEDIS requirements.
Interpret NCQA/HEDIS measures, including numerator, denominator, exclusions, and value sets.
Write and execute SQL queries to analyze claims, enrollment, provider, and clinical data.
Perform data validation, reconciliation, and root-cause analysis for HEDIS results.
Create BRDs, FRDs, user stories, process flows, and acceptance criteria.
Work closely with HEDIS, Quality, Data Engineering, QA, and IT teams.
Support UAT, defect analysis, and implementation of HEDIS-related solutions.
Identify data-quality issues and recommend process/system improvements.

Required Skills

Strong Business Analysis and requirements-gathering experience.
Hands-on knowledge of HEDIS/NCQA healthcare quality measures.
Strong SQL skills, including joins, CTEs, subqueries, aggregations, and window functions.
Experience with healthcare claims, enrollment, clinical, and provider data.
Excellent analytical, documentation, communication, and stakeholder-management skills.
Experience with Jira/Confluence, Excel, and reporting/BI tools is preferred.

HEDIS Business Analyst with Strong in SQL1SQL,Advance SQL,HEDIS,BA OR Business analystN/AC2CUnited States

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10211255
Position Id: 244149-14311-1786879387
Posted 17 hours ago

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