HEDIS jobs

Remote Healthcare Senior Business Analyst with EDI and HEDIS exp.

Remote

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5d ago

About Infinite: InfiniteisagloballeaderindigitalengineeringandITservices,withover20yearsofexperiencedrivingdigitaltransformation.WepartnerwithleadingFortune1000companiestodeliverinnovative,scalabletechnologysolutionsthatacceleratebusinessoutcomes. Withdeepexpertiseintelecommunications,healthcare,banking,andfinance,Infinitehelpsorganizationsoptimizeandmodernizetheirtechnologylandscapestoachievelong-termgrowthandefficiency. Job Description: Gather and document business requirements, review and va

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Full-time

Depends on Experience

Medical Assistant - Sun City

Sun City, Arizona

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Today

Become a part of our caring community and help us put health first The Medical Assistant 2 is the first point of contact for patient care. Responsible for administrative duties in addition to patient care. The Medical Assistant 2 performs varied activities and moderately complex administrative, operational, and customer support assignments. Typically works on semi-routine assignments. Location: CenterWell Senior Primary Care office located at: 14813 North Dell Web Boulevard, Sun City, AZ 85351

Full-time

Quality Management Clinical Outreach Specialist (LMSW/LCSW/LMHC)

New York, New York

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2d ago

The OS is responsible for telephonically outreaching members who were recently discharged from Inpatient Care, Emergency Rooms and Outpatient Programs with a principal Behavioral Health diagnosis. The OS will be conducting a bridge visit where they assess the member's current state, review their discharge plan and assist in connecting them to appropriate aftercare services. The OS will also work collaboratively with other teams, such as Behavioral Health Case Management, to ensure the needs of o

Full-time

Quality Management Clinical Outreach Specialist (LMSW/LMHC)

New York, New York

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2d ago

Full-time

Data Analyst II

Remote or Wisconsin

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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 analytical data needs. Handle complex data requests, reports, and predictive data modeling. Analyze health management programs including: data collection, validation and outcom

Full-time

USD 56,200.00 - 101,000.00 per year

HARP Care Manager (with up to $10,000 additional field differential)

New York, New York

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Today

MetroPlusHealthis committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. POSITION OVERVIEW The HARP Care Manager develops, facilitates, and communicates a plan of care in partnership with the member, his/her assigned Health Home, primary caregiver, the primary and attending physicians, and various Be

Full-time

Business Intelligence (BI) Engineer

Remote or Peekskill, New York

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Today

Description Essential Duties and Responsibilities: Responsible for leveraging existing data systems to meet the information management needs of the organization. Responsible for understanding the underlying data structures of the organization, accessing the data and delivering it in understandable and useable formats as it relates to the front end of software & healthcare operations. Conducts assessments of the medical informatics environments, synthesizes pertinent information and creates stan

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Full-time

USD 90,000.00 - 112,000.00 per year

Morgan Health - Health Care Innovation - Vice President of Health Care Analytics Engineering

New York, New York

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Today

Job Description In 2021, JPMorgan Chase launched Morgan Health, a new business unit focused on improving the quality, equity, and affordability of employer-sponsored health care in the United States. Morgan Health pursues this strategy through investments, collaborations with the JPMC Benefits team, engagements with other market leaders, sophisticated data analytics and research, and policy advocacy. Morgan Health is headquartered in Washington, DC, with members of the team based in New York Ci

Full-time

USD 128,250.00 - 205,000.00 per year

Sr. Healthcare Analytics Engineer- Hybrid- MD Live

Remote or Raleigh, North Carolina

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Today

Join MD Live by Evernorth, a leader in virtual healthcare and technology innovation. As a Sr. Healthcare Analytics Engineer, you will help architect and scale our next-generation analytics platform that will power our reporting, advanced analytics, and real-time data insights. You will own and maintain the enterprise analytics data model, ensuring scalability, accuracy, and alignment with business requirements. What you'll do to make a difference: Analytics Architecture: Design and implement ro

Full-time

USD 131,700.00 - 219,500.00 per year

Solution Architect

Houston, 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

Dallas, 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

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

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

RN - Quality and Provider Education

Grand Rapids, Michigan

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Today

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for an RN-Quality and Provider Education for a contract opportunity with one of our largest clients located in Grand Rapids, MI! Title: RN Quality and Provider Education Location: Grand Rapids, MI (Remote/Field) Duration: 12+ Months with extension Role Type: W2 Contract Engagement Pay Rate: up to $40/HR; mileage reimbursement *NOTE Looking for a Registered Nurse in the Grand Rapids or northern M

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Contract

USD40 - USD40

Quality Improvement Specialist

Remote

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6d ago

Immediate need for a talented Quality Improvement Specialist. This is a 03 Months Contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-02505 Pay Range: $18.50 - $19/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Worker would conduct medical

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Contract

18 - 19

Business Analyst Clinical (Practice Management)

Jersey City, New Jersey

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5d ago

Title: Business Analyst Clinical (Practice Management) Location: New Jersey Duration: 6+ Months Interview: 2 Rounds (Final round In-Person) Mandatory Education: Bachelor s degree in Nursing, Medical Assistant (with strong experience), Allied Health, Health Informatics, Healthcare Administration, or related field (Master s preferred) Role Summary: Seeking a Clinical Business Analyst with strong healthcare operations experience to support and optimize clinical workflows across Practice Management

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Contract

Depends on Experience

Business Analyst Clinical (PM) || Must have Bachelor From Any Pharma /healthcare Background

Teaneck, New Jersey

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2d 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: An

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Third Party, Contract

Business Analyst - Clinical (PM)

Hackensack, New Jersey

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5d ago

Job Title: Business Analyst Clinical (PM) Location: Hackensack, NJ (Onsite) W2 only 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 pa

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Contract

Depends on Experience

Technical Project manager

Newark, New Jersey

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17d ago

Role: Technical Project ManagerLocation : Newark, NJ - Local or nearby, who can work from New Jersey office twice a month.Long TermHealth Insurance Payer/ Provider exp is needed.Role SummaryThe IT Project Manager will lead complex, high-visibility data and analytics projects within the Enterprise Data Services division. Projects typically include cloud data platform migrations master data management (MDM) implementations, enterprise data warehouse modernizations, data governance programs, real-

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Contract

55 - 60

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