HEDIS Jobs

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Director, Information Technology (Encounters, EDI, HEDIS/Star) (Director IV)

CalOptima

Orange, California, USA

Full-time

Director, Information Technology (Encounters, EDI, HEDIS/Star) (Director IV) CalOptima CalOptima Health is seeking a highly motivated Director, Information Technology (Encounters, EDI, HEDIS/Star) (Director IV) to join our team. The Director will be accountable for the Information Technology (IT) strategy and execution for Encounters, Electronic Data Interchange (EDI), and Healthcare Effectiveness Data and Information Set (HEDIS)/Star Ratings for CalOptima Health. This position will work closely

Senior Data Analyst / HEDIS

Motion Recruitment Partners, LLC

Garner, North Carolina, USA

Full-time

Our client is looking for a Senior Data Analyst to support the team responsible for generating HEDIS quality metrics/care gaps and reporting data to respective payers. Client has an existing platform for managing and reporting clinical quality metrics and are beginning the process of migrating to a new value-based care platform. This role will also support the enterprise in the implementation of a new value-based care platform including serving as the subject matter expert around clinical qualit

HEDIS Data Analyst

NTT DATA Americas, Inc

Remote or Raleigh, North Carolina, USA

Contract

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading outsourcing s

Administrative Healthcare Coordinator | Hybrid | Albuquerque, NM | Contract

Walker Healthforce

Albuquerque, New Mexico, USA

Contract

Administrative Healthcare Coordinator| 1 Year of Experience| Hybrid | Albuquerque, NM | Contract Walker Healthforce is seeking a Administrative Healthcare Coordinator with 1 Year of Experience to support a healthcare payor clientbased out of Albuquerque, NM. This is a 3 month contract opportunity with the possibility to extend. START DATE: ASAP HOURS/SCHEDULE: This position is mainly Monday through Friday (hours-some flexibility). Some weekend and after hour work may be required to complete pr

Medicaid Data Specialist-Springfield, IL (Remote)

VASG (Vista Applied Solutions Group)

Springfield, Illinois, USA

Third Party, Contract

Medicaid Data Specialist Location : Springfield, IL (Remote) Duration : Long Term Job Type : W2 Position Required Qualifications: More than ten (10) years of experience in information technology with five (5) years of the experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems. Understanding of claims, recipient/eligibility, and provider/enrollment

Epic Healthy Planet Application Analyst I, II, III-(Open to experienced remote in ID, NE, MO, OK, TX)

PIH Health

Remote or Whittier, California, USA

Full-time

Determination for the Epic Application Analyst (I, II or ), Healthy Planet roles will be based on experience and qualifications. Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timefra

Medicaid Data Specialist

Advansys Inc

Remote

Contract, Third Party

Job Title: Medicaid Data Specialist Required Qualifications: More than ten (10) years of experience in information technology with five (5) years of the experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems.Understanding of claims, recipient/eligibility, and provider/enrollment data processes.Able to create and perform data analysis using SQL, Excel

Senior Azure Data Engineer

Raas Infotek LLC

Jersey City, New Jersey, USA

Contract

Senior Azure Data Engineer Location: Jersey City, NJ Experience: 12+ Years W2 Only We re looking for a Senior Azure Data Engineer with deep expertise in Snowflake and healthcare data to lead cloud-based data solutions and drive enterprise-scale data engineering initiatives. Key Skills: Azure Data Factory, Databricks, Synapse, Delta Lake Snowflake (schema design, ETL/ELT, performance tuning) SQL, PySpark, data modeling (star/snowflake schema) Healthcare data (EHR, Claims, HEDIS, HIPAA compliance

MicroStrategy Developer

TalTeam

Remote or Reston, Virginia, USA

Contract

ROLE: Candidate will support the implementation of a Data Integration/Data Warehouse for the Data Product Delivery Team Analyze and assess the quality and integrity of the data including Reference Data Develop and implement complex reports/dashboards using MicroStrategy Understand the meaning/business context of data Acquire data from internal or external data sources and maintain mapping documents of the files, databases/data systems. Evaluate risk from statistical information to determine risk

Data Analyst - Quality Management (Remote)

S2Tech

Remote

Full-time

Data Analyst - Quality Management Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a str

Front-End Developer - Cloud (Remote)

S2Tech

Remote

Full-time

Front-End Developer - Cloud Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a strong

Data Scientist - Quality Management (Remote)

S2Tech

Remote

Full-time

Data Scientist - Quality Management Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a s

Data Analyst - Cloud (Remote)

S2Tech

Remote

Full-time

Data Analyst - Cloud Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a strong reputatio

Technical Solutions Architect - Cloud

S2Tech

Harrisburg, Pennsylvania, USA

Full-time

Technical Solutions Architect - Cloud Location: Harrisburg, PA About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned compan

Cloud Engineer (Remote)

S2Tech

Remote

Full-time

Cloud Engineer Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a strong reputation for

EDW Medicaid Subject Matter Expert - Data Specialist - Remote

UnitedHealth Group

Remote or Belleville, Illinois, USA

Full-time

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

Database Administrator - Cloud (Remote)

S2Tech

Remote

Full-time

Database Administrator - Cloud Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a strong

Backend Developer - Cloud (Remote)

S2Tech

Remote

Full-time

Backend Developer - Cloud Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a strong repu

Care Coordinator II

Pyramid Consulting, Inc.

Remote

Contract

Immediate need for a talented Care Coordinator II. This is a 03+months Contract to Hire opportunity with long-term potential and is located in KY(REMOTE ). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-81194 Pay Range: $22 - $23/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: Hours: Full time - 40 hours per week

Data Analyst - FULLY REMOTE

Apex Systems

Remote or Missouri, USA

Full-time

Job#: 2083495 Job Description: Apex Systems is hiring for a Data Analyst for a major Healthcare company. 6 month contract-to-hire. FULLY REMOTE anywhere in the United States. You must be authorized to work in the United States without sponsorship. About the role: We assess staffing implications of resource allocations, collaborate with stakeholders to gather data on effort, and monitor spend to ensure budget alignment. We identify budget shift opportunities, track KPIs and benefits, provide data