Hedis Healthcare Analyst with SQL Experience

Hybrid in Philadelphia, PA, US • Posted 1 hour ago • Updated 1 hour ago
Contract Independent
Contract Corp To Corp
Contract W2
6 Months
Hybrid
Depends on Experience
Fitment

Dice Job Match Score™

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Job Details

Skills

  • Technical Business Analyst
  • Business System Analyst
  • Business Analysis
  • Healthcare
  • SQL
  • Hedis

Summary

Technical Skills:

  • Advanced SQL (complex joins, aggregations, data reconciliation, performance tuning)
  • Data profiling and validation techniques (completeness, accuracy, consistency checks)
  • Experience working with large-scale data platforms (e.g., Snowflake, SQL Server)
  • Ability to analyze and validate data transformations and source-to-target mappings
  • Strong troubleshooting skills for data issues across multiple datasets
  • Healthcare Data Experience.
  • Experience working with healthcare claims data (claim header and line-level structures)

Understanding of:

  • Diagnosis codes (ICD)
  • Procedure codes (CPT/HCPCS)
  • Provider data and attributes
  • Familiarity with member/eligibility data and linking to claims
  • Exposure to Medicare and/or Medicaid data preferred
  • HEDIS / Quality Reporting (Strongly Preferred)
  • Understanding of HEDIS data inputs and measure logic
  • Experience supporting quality reporting or regulatory submissions
  • Ability to validate measured outputs and investigate rate variances
  • Data Management & Testing Skills
  • Experience with data mapping and transformation validation
  • Strong data defect triage and root cause analysis

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: 90859492
  • Position Id: 9060307
  • Posted 1 hour ago
Contact the job poster
Kumar Sai

Kumar Sai

Recruiter @ SumasEdge Corporation
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