HEDIS jobs

Philadelphia, Pennsylvania

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Today

Job DescriptionLocation: Philadelphia PA 19113(Hybrid) Duration: 3 months contract with possible extension Job Description: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO) with duties including but not limited to the following:Coordination of the medical records ident

Full-time

Epic Healthy Planet Certified Analyst

Eden Prairie, Minnesota

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Today

Genesis10 is seeking a Senior Analyst for a 6-month contract role with our healthcare services client in Eden Prairie, MN. This role is 90% remote with up to 25% travel to New York. Compensation: $75.00 - 83.00 per hour W2, depending on skill and experience level. Description: Epic Healthy Planet Certified analyst to assist with build and implementation Required Skills: Experience with HEDIS validation, Med Adherence, and keep the lights on work for risk-based markets Epic Healthy Planet cert

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Full-time

USD 75.00 - 83.00 per hour

Epic Application Analyst I, II, III, Healthy Planet Value Based Care (100% Onsite)

Whittier, California

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Today

This position will primarily focus on the following Epic applications: Healthy Planet. The Epic Application Analyst, Health Planet is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. Focus on the Value Based Care and Value Based Performance Management. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million

Full-time

USD 97,593.60 - 177,548.80 per year

Data Analyst III

Remote or Kansas

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Today

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for business operations

Full-time

USD 68,700.00 - 123,700.00 per year

Data Analyst III

Remote or Texas

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Today

Full-time

USD 68,700.00 - 123,700.00 per year

Healthcare Solution Architect

Remote

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14d ago

Genzeon, an AI and automation company with deep engineering and data expertise, dedicated to serving the healthcare and retail industries. Our platform solutions including HIP One, CompliancePro Solutions, and Patient Engagement Solutions empower organizations to scale innovation and transform outcomes. Genzeon is a global community of innovators and problem-solvers, with a culture built on inclusion, flexibility, and purpose-driven work. With four global delivery centers, we support providers,

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Full-time

Depends on Experience

Senior Application Development Engineer

Remote or New Mexico

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Today

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Designs, develops, and implements complex enterprise software solutions. Collaborates closely with technical and non-technical roles such as data modelers, architects, business a

Full-time

USD 85,300.00 - 158,100.00 per year

EDW Medicaid Subject Matter Expert or Data Specialist - Remote

Remote or Chicago, Illinois

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Today

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, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health op

Full-time

USD 110,200.00 - 188,800.00 per year

IT Business Systems Analyst

Hybrid in Rancho Cucamonga, California

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Today

Title : IT Business Systems Analyst Location : Rancho Cucamonga,CA(Hybrid)Position Summary IT Business Systems Analyst provides guidance to IT and Business Departments, to resolve technical and project implementation deliverables for medium and complex projects. The IT Business Systems Analyst is responsible for developing system documentation such as requirements specifications, design documents, process flows, use cases, system Integration flows, data flows, project plans, user manuals, and t

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Full-time, Contract

BASED ON EXPERIENCE

Solution Architect

Dallas, Texas

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 150,000.00 - 190,000.00 per year

Solution Architect

Houston, Texas

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Today

Full-time

USD 150,000.00 - 190,000.00 per year

Solution Architect

Austin, Texas

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Today

Full-time

USD 150,000.00 - 190,000.00 per year

Senior Data Scientist

Remote or Illinois

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Today

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

Full-time

USD 83,430.00 per year

Clinical Data Scientist

Seattle, Washington

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Today

Job Summary and Responsibilities This job is responsible for staffing/leading collaborative efforts to design, develop, test, implement and maintain data modeling and analytics solutions for use in clinical, quality and population health improvement. Work includes representing data in contexts to include reports, dashboards, quantitative analytic models and interactive analysis tools. An incumbent will conceptualize and develop analytic solutions to help address Virginia Mason Franciscan Health

Full-time

USD 45.06 - 67.03 per hour

Stars Technology Business Intelligence Lead Product Owner

Remote

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Today

Become a part of our caring community and help us put health first The Lead, Technical Product Owner requires someone known for creative problem solving. This role solves complex business problems and issues using data and custom software from internal and external sources. The role works on problems of diverse scope and complexity ranging from moderate to substantial. It is responsible for leading, defining and delivering on the roadmap of multiple data and business application products. This r

Full-time

USD 117,600.00 - 161,700.00 per year

Medicaid Data Engineer

Remote

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Today

10+ years in IT, including 5+ years supporting State Medicaid agencies(Mandatory) Experience with CMS reporting requirements 2+ years of experience with PERM, T-MSIS, and other federal reporting projects 2+ years of experience with HEDIS, CHIPRA, and healthcare quality metrics Experience with Teradata or similar enterprise databases

Contract

Depends on Experience

Data Architect with Healthcare Payer/PBM experience

Jersey City, New Jersey

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5d ago

Role: Data Architect/Data Modeler - (Healthcare Payer/PBM) Location: Jersey City, NJ/ Philadelphia, PA (100% Onsite) Full time Experience: 15+ Years Domain: Healthcare Payer / PBM Focus: Enterprise Data Modernization, Cloud Migration, Analytics Job Description: Experience: 15+ years in Healthcare Payer / PBM data architecture, with proven leadership of enterprise-scale data modernization and cloud migration programs. Overview Drive strategic growth within our payer accounts by leading enter

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Full-time

Business Analyst Clinical/Medical

Hackensack, New Jersey

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13d ago

Job Title: Business Analyst Clinical (PM) Job Summary: The Business Analyst Clinical will play a key role in supporting and optimizing clinical workflows within our Practice Management (PM) and Electronic Health Record (EHR) systems. This role requires strong clinical domain knowledge, hands-on experience with healthcare operations, and the ability to collaborate with clinical, administrative, and technical teams to improve efficiency, compliance, and patient outcomes. Key Responsibilities: Anal

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Contract

$0 - $80

Opening for Data Analyst IV Medical Economics - Remote

Remote

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6d ago

We have an opening for Data Analyst IV Medical Economics Location - Remote Full time permanent position Job Description Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting Extract, load, model, and reconcile large amounts of data acros

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Full-time

$80,000 - $100,000

Data Architect- Healthcare Payer

Remote

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10d ago

Data Architect- Healthcare Long Term! About the Role: The Data Architect is responsible for designing, building, and maintaining the data infrastructure and solutions that enable efficient and secure collection, storage, and analysis of healthcare data in different data platforms (Data Warehouse & Data Lake). This role involves in working range of stakeholders including business and IT teams to ensure data architecture support business needs while adhering to compliance and security standards.

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Contract

Depends on Experience

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