HEDIS jobs | Dice.com

Azure Data Engineer with HEDIS - Remote / Telecommute

Cary, North Carolina

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Today

We are looking for Azure Data Engineer with HEDIS - Remote / Telecommute for our client in Cary, NCJob Title: Azure Data Engineer with HEDIS - Remote / Telecommute Job Location: Cary, NC Job Type: Contract Pay Range: $53.00hr - $58.00hr Job Overview: Our client is seeking a Data Engineer with 10+ years of experience to perform deep-dive data analysis, build Databricks/SQL reports, and troubleshoot complex technical and domain data discrepancies. The role requires strong stakeholder collaboration

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Contract, Third Party

Depends on Experience

Clinical Medical Review RN OR LPN (HEDIS)

Hybrid in Columbia, Maryland

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Today

The Clinical Medical Review Specialist (a professional with clinical experience) will report to the Clinical Support Supervisor HEDIS and be part of the Quality Team. The main duties include chart retrieval, using proprietary tools and software to conduct thorough medical record reviews in line with NCQA specifications, retrieval follow-up, and escalating issues as needed. Main duties will be assigned according to experience, knowledge, skills, and abilities. This role requires extensive knowled

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Contract

Depends on Experience

HEDIS Analyst/Consultant

Remote

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20d ago

Hi Professionals, Title: HEDIS Analyst/Consultant Locattion: Remote JD: Must-Have: US Healthcare Payer Actuarial Underwriting HEDIS / Quality Claims & Enrollment Data PMPM / MLR / IBNR / Risk Adjustment SQL & Data Profiling Data Lineage / Data Mapping Business Rule Discovery Reverse Engineering Healthcare Analytics / Data Modernization Snowflake (Preferred) Key Requirements: Strong US Healthcare Payer domain expertise Experience with Actuarial, Underwriting & HEDIS/Quality Knowle

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Contract, Third Party

Depends on Experience

2027 Summer Intern - Data Analytics, HEDIS

Detroit, Michigan

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Today

Job Description The Internship Program at BCBSM is designed to enhance the skills and abilities of young professionals as well as to identify and attract future talent for our organization. Interns will gain practical hands-on work experience as well as a solid understanding of the health insurance industry. Our program is an excellent way for interns to get a good start on their careers by working on meaningful projects, learning valuable skills, and networking with employees throughout our or

Full-time

Clinical Medical Review Nurse

Remote

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23d ago

Clinical Medical ReviewNurse (HEDIS Medical RecordsRetrieving) Columbia, MD (Primarily remote, but hybrid) 6 Months+ PURPOSE: Seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a payer, health insurance, or HEDIS vendor environment. The ideal candidate will understand NCQA healthcare quality metrics and have a proven ability to accurately abstract, interpret, and document medical record data for HEDIS gap closure. This role will support me

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Contract, Third Party

Depends on Experience

Senior Health Plan Medical Director (Physician Role)

Washington, District of Columbia

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Today

Pay: $275,000 ? $300,000 per year Schedule: Full Time, Day Location: MedStar Georgetown - 2233 Wisconsin Ave MedStar Job ID: 171915 Senior Health Plan Medical Director - MedStar Family Choice, Washington DC We are looking for a physician with senior level health plan experience to join MedStar Family Choice, our Medicaid Managed Care Organization, as the Senior Health Plan Medical Director in Washington, DC. Key Position Details This position serves as a key thought partner and advisor to the

Full-time

Compensation information provided in the description

Senior Health Plan Medical Director (Physician Role)

Columbia, Maryland

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Today

Pay: $275,000 ? $300,000 per year Schedule: Full Time, Day Location: MedStar Health - Corporate (Columbia) MedStar Job ID: 170442 Senior Health Plan Medical Director/Medical Officer, Baltimore, MD - MedStar Family Choice We are looking for a physician with senior level health plan experience to join MedStar Family Choice, our Medicaid Managed Care Organization, as the Senior Health Plan Medical Director/Medical Officer in the Baltimore, MD region. Key Position Details This position serves as

Full-time

Compensation information provided in the description

Data Analyst III

Remote or Florida

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Today

Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, work Eastern or Central Time Zone business hours. Knowledge of writing SQL

Full-time

Lead Data Scientist - Aetna Medicare Stars

Hartford, Connecticut

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Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary The Aetna Medicare Stars business is s

Full-time

USD 130,295.00 - 260,590.00 per year

Clinical Data Audit Consultant

Remote or California

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Today

Position Purpose: The Clinical Data and Audit Consultant is responsible for the clinical content component of all data collection, account implementations, and audit activities for Clinical Operations to ensure high-quality tracking and performance of the service teams. Key Details: Registered Nurse - Must be currently licensed in CA. Pacific Time Zone Work Hours The Consultant gathers and analyzes data, creates workflows, coordinates internal and external audits, and analyzes and documents bu

Full-time

USD 33.71 - 60.67 per hour

Information Technology - Director of Product 130-7002

Tulsa, Oklahoma

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Today

JOB SUMMARY: The Director of Product is responsible for scaling product management capability across core health plan value streams. This role will oversee product strategy, strengthen Product Owner capability, and ensure product investments are clearly connected to business, regulatory, member, provider, and operational outcomes. KEY RESPONSIBILITIES: Oversee the Product Owner community across value streams by establishing product management standards, building product capabilities and drivin

Full-time

Healthcare Data Engineer

Remote

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Today

Data Engineer - Healthcare Analytics Remote This is a Remote role. Compensation: $65 - $85 per hour Contract Length: Up to 12 months Hours: 8am-5pm MST, M-F Start Date: ASAP, 10/5/2026 ABOUT THE ROLE Join a mission-driven healthcare analytics team supporting a nonprofit health insurance provider serving over 1 million members across the Mountain West region. As a Data Engineer, you will play a key role in building the data foundation for value-based care initiatives, including risk adjustment,

Contract

$65.00 - $85.00

Healthcare Claims Functional Analyst-Excel -Contract-to-Hire !

Baltimore, Maryland

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21d ago

Absolutely no third parties please ! COMPENSATION$ 33.00 per hour on a W2, then convert to full-time after 1 year at $ 65,900 plus benefits. LOCATION 100% onsite - 1501 South Clinton St. Baltimore MD 21224 Training: 3 weeks. Then chairside training an addtl 3 weeks alongside another Functional Analyst. The schedule during Training is 8 to 4:30. After training the resource can start as early as 7am 9am. PLEASE NOTE - Must have a laptop during the contracting phase - once converted to FTE status

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Contract

Sr Data Engineer

Eden Prairie, Minnesota

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Today

Our Company Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, and data they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us

Full-time

USD 91,700.00 - 163,700.00 per year

Senior Data Systems Analyst

Chicago, Illinois

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Today

Software Guidance & Assistance, Inc., (SGA), is searching for a Senior Data Systems Analyst for a remote opportunity with one of our premier clients in the Healthcare industry. Multiple rounds of interviews - final round onsite required (multiple office options) The Senior Data Systems Analyst leads the integration of healthcare payer data and internal enterprise systems into Client's enterprise data platforms. This role is responsible for analyzing, mapping, validating, and standardizing comple

Contract

USD 65.00 - 80.00 per hour

Associate Director - QOI Supplemental Data Operations - Remote CST or EST

Remote or Minnetonka, Minnesota

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Today

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together. The Associate Director,

Full-time

USD 112,700.00 - 193,200.00 per year

Data Systems Analyst

Chicago, Illinois

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Today

Software Guidance & Assistance, Inc., (SGA), is searching for a Data Systems Analyst for a remote opportunity with one of our premier clients in the Healthcare industry. The Data Systems Analyst leads the integration of healthcare payer and internal enterprise data into the organization's enterprise data platforms. This role is responsible for analyzing, mapping, validating, and standardizing payer data-including eligibility, claims, quality, and risk adjustment feeds-as well as data from intern

Contract

USD 50.00 - 60.00 per hour

Medical Informatics Analyst - EMR Data Integration, Operations & Analytics

Detroit, Michigan

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Today

Job Description Provides technical, data and analytical support to customer departments such as Quality, Value Partnerships, Hospital Contracting, Care Management, Risk Adjustment and HCV. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Leads or participates, with some direction, in projects where data solutions are necessary.Provides programming and data expertise for simple and moderately complex projects and ad-hoc requests.Presents data and solut

Full-time

Senior Data Engineer - Remote

Remote or Eden Prairie, Minnesota

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Today

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together. The Optum Hea

Full-time

USD 91,700.00 - 163,700.00 per year

Power BI/ SQL Developer

Maryland

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Today

Description AVER is seeking a Power BI / SQL Developer to support healthcare data analytics, business intelligence, and reporting solutions. This role combines hands-on Power BI development with strong SQL data analysis and reporting capabilities. The Developer will design and enhance Power BI reports and dashboards, develop semantic data models, write complex SQL queries and scripts, and analyze healthcare data from multiple sources to support operational, clinical, and management decision-mak

Full-time

USD 65,000.00 - 78,000.00 per year