HEDIS Jobs

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HEDIS Data and Reporting Analyst - Direct Hire - Hybrid to Elkridge, MD

Elite Technical

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Elkridge, Maryland, USA

Full-time

HEDIS Data and Reporting Analyst Elite Technical is seeking a Data and Reporting Analyst to support our Healthcare customer. The selected candidate will be responsible for compiling claims and member data, analyzing files for accuracy, and creating reports (via Power BI) for audits and quality performance measurements. The individual will support the Compliance Department and liaison with other departments to complete regulatory compliance documents. Collaborate with departments to design, imple
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Posted 60+ days ago | Updated 7 days ago

Clinical Pharmacist | Remote | Contract

Walker Healthforce

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Remote

Contract

Clinical Pharmacist |2-5 years | Remote | New Jersey | Contract Walker Healthforce is seeking a Clinical Pharmacist with 2-5 years experience to support a healthcare client based out of New Jersey. This is a 6-month contract opportunity. START DATE: ASAP CORE REQUIREMENTS: 2-5 years health plan or Medicare clinical customer service or Retail management position Project management experience and knowledge of health plans or Medicare industry CMS Star/HEDIS measure quality improvement metrics Ba
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Posted 17 hours ago | Updated 17 hours ago

Quality Improvement Nurse (RN)

Pyramid Consulting, Inc.

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Ohio City, Ohio, USA

Contract

Immediate need for a talented Quality Improvement Nurse (RN). This is a 06+months contract opportunity with long-term potential and is located in Ohio(Hybrid). Please review the job description below and contact me ASAP if you are interested. Job ID:25-67754 Pay Range: $31 - $34/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: Looking for a QI Auditor who ca
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Posted 13 days ago | Updated 13 days ago

Azure Data Solution Architect

eCom Solutions, Inc.

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Remote

Contract

Looking for candidates with Healthcare and HEDIS/STARS related data solutions experience. Job Title: Azure Data Solution Architect Duration: Long Term Location: Remote Position Overview: We are seeking a Azure Data Solution Architect with 8 years of experience in end-to-end data warehousing architecture. The ideal candidate will have a solid understanding of modern data architectures and cloud data platforms, including experience with building out Azure Cloud, Databricks, and Snowflake. This
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Posted 16 hours ago | Updated 11 hours ago

Health care Test Lead/Engineer

Talent Groups

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Louisville, Kentucky, USA

Full-time

6+ years of overall QA testing experience in healthcare IT, including at least 3 years in test lead role as Manual & Automation specialist.Strong understanding of Utilization management(referrals, authorization, notifications) and Care management(care plans, assessments, risk stratification, outreach etc) workflowsExperience in planning and managing testing phases in Agile environmentProficient in creating test plans, test cases, and traceability matrices from business and functional requirement
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Posted 7 days ago

Senior Data Scientist, Star Ratings Analytics - Remote

UnitedHealth Group

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Remote or Minnetonka, Minnesota, USA

Full-time

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some toug
Posted 16 days ago | Updated moments ago

Healthcare Lead Technical Data Analyst

Combined Computer Resources

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Burlington, Massachusetts, USA

Contract

Summary Looking for Sr Data Analyst / Tech leads to support teams in US and Nepal. This position is responsible for analyzing, implementing, and maintaining data pipelines into an industry-leading analytics platform. This position requires individuals who will provide leadership and guidance and strategic insights. This role is an excellent opportunity for a senior analyst who wants to take the next step to management by moving from an individual contributing data analyst to a leader within
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Posted 8 days ago

Solutions Architect

Gainwell Technologies LLC

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Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell is a leader in providing technology and business solutions to health and human services clients. Our solutions are ent
Posted 14 days ago | Updated 8 hours ago

Solutions Architect

Gainwell Technologies LLC

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Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell is a leader in providing technology and business solutions to health and human services clients. Our solutions are ent
Posted 14 days ago | Updated 8 hours ago

Solutions Architect

Gainwell Technologies LLC

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Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell is a leader in providing technology and business solutions to health and human services clients. Our solutions are ent
Posted 14 days ago | Updated 8 hours ago

Sr. Manager, Data Engineering

BlueShield Of California

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Oakland, California, USA

Full-time

Job Description Your Role The Data Engineering team is engaged in developing and maintaining data solutions for the enterprise. Responsibilities include interfacing with IT, Portfolio and Program Management, Enterprise Architecture, Enterprise Data Governance, Enterprise Analytics to understand Epics and user stories, manage and support technical data solutions. The Senior Manager, Data Engineering will report to the Director, Data Engineering. In this role you will manage, build and lead our
Posted 1 day ago | Updated 12 hours ago

Epic Regulatory and Quality Analyst

Apex Systems

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San Francisco, California, USA

Full-time

Job#: 2071332 Job Description: Job Description from Manager at UCSF: What are the shift times/shift hours for this position? anywhere between 7am-6pm pacificWhat are the workdays for this position? Monday - FridayWill this position be onsite, hybrid or remote? RemoteIf onsite, location:If hybrid, please confirm how much time will be spent onsite and the location:What specific experience, background, and/or qualifications are you looking for in candidates for this position? Technical Skills and
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Posted 6 days ago | Updated moments ago

Engineer, Business Intelligence ETL

Concentra

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Addison, Texas, USA

Full-time

With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. Results-driven Senior Data Engineer with over 7 years of experience designing, developing, and optimizing robust ETL pipelines and large-scale data integration solutions. Adept at transfo
Posted 22 days ago | Updated 9 hours ago

Sr. Healthcare Data Analyst

Mass General Brigham

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Remote or Somerville, Massachusetts, USA

Full-time

Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience wh
Posted 60+ days ago | Updated 12 hours ago

Clinical - Senior LTSS Service Care Manager (RN)

Pyramid Consulting, Inc.

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Brownsville, Texas, USA

Contract

Immediate need for a talented Clinical - Senior LTSS Service Care Manager (RN). This is a 06+ Months Contract opportunity with long-term potential and is located in Hidalgo and Brownsville TX (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID:25-68389 Pay Range: $40 - $45/hour. + Mileage(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
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Posted 8 days ago

Data Manager - Healthcare

Benchmark IT- Technology Talent

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Boston, Massachusetts, USA

Full-time

Data Manager Healthcare: Overview: Our direct client, a fast-growing healthcare and data analytics firm based in the Boston area is seeking to bring on an experienced Data Analyst Manager to lead a dynamic, multinational data team. This role offers the opportunity to provide leadership, strategic insight, and hands-on expertise in healthcare data analysis while helping shape the future of data-driven solutions in the healthcare industry. The ideal candidate will bring not only strong technical s
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Posted 7 days ago | Updated 2 days ago

Data Analyst Sr

CalOptima

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Orange, California, USA

Full-time

Data Analyst Sr (Quality Analytics) CalOptima CalOptima Health is seeking a highly motivated an experienced Data Analyst Sr (Quality Analytics) to join our team. The Data Analyst Sr (Quality Analytics) will provide expertise in quality reporting and analysis requirements for the Quality Analytics department. The incumbent will be responsible for executing data collection, data processing, data analysis, reporting and quality assurance of data integrity based on business needs and presenting resu
Posted 12 days ago

Snowflake & IBM Netezza Engineer

CitiusTech

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Remote

Full-time

We are seeking a Senior Solution Architect with deep expertise in Data Warehousing, Cloud Technologies, and Snowflake, along with extensive experience in the Healthcare domain, particularly in Payer and Provider systems. This role requires a combination of technical leadership, solution design, and hands-on expertise to develop scalable and compliant data architectures for enterprise healthcare solutions. Experience with IBM data warehousing technologies, including IBM NPS (Netezza Performance S
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Posted 20 days ago | Updated 8 days ago

Healthcare Integration Architect

ChaTeck Incorporated

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Remote or Bellevue, Washington, USA

Third Party, Contract

Position Title: Healthcare Integration Architect Location: US - Remote (EST hours) Job Type: Full-Time Let's create our future together at The AES Group! About The AES Group: The AES Group is a premier technology consulting company that has been bringing businesses and talent together for over 20 years to deliver the most innovative technology solutions that create the most positive impact on society. AES has helped over 40 business enterprises, including Fortune 500 companies, engage their
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Posted 14 days ago | Updated 12 days ago

Enterprise Analytics Manager

CalOptima

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Orange, California, USA

Full-time

Enterprise Analytics Manager CalOptima CalOptima Health is seeking a highly motivated an experienced Principal Business Intelligence Analyst - Tableau (Enterprise Analytics Manager) to join our team. The Enterprise Analytics Manager (Principal Business Intelligence Analyst - Tableau) will provide a "one-stop shop" for analysis, visualization, reporting, guidance and expert knowledge on health care analytics for various departments within CalOptima Health. The incumbent will work independently an
Posted 21 days ago