HEDIS Jobs

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Sr. Tech Business Analyst- A - STARS or HEDIS experience

Precision Technologies Corp

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Louisville, Kentucky, USA

Full-time, Part-time, Third Party, Contract

Sr. Business Analyst- HEDIS and CMS experience Location: Louisville, KY - ONSITE Please do not share resumes with out HEDIS Experience Job Description: HEDIS experience need to know how CMS calculates, how to improve the scope, what did they do to improve. Data mapping - to be able find sources - to lead trigger member outreach. Experience with data queries - know what they are asking for and be able to create simple questions. Thinker not follower Enterprise experience Excellent verbal and wri
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Posted 14 hours ago

Hedis Techno Functional Consultant

Long Finch Technologies

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Remote

Contract, Third Party

Position: Hedis Techno Functional Consultant Location: USA - Remote Qualifications:Bachelor's degree in healthcare administration, information technology, computer science, or a related field. Master's degree preferred.Certified Professional in Healthcare Quality (CPHQ) or similar certification preferred.Proven experience in HEDIS data management, reporting, and analysis within a healthcare organization or consulting firm.Strong technical skills, including proficiency in database management, da
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Posted 3 days ago | Updated 3 days ago

Product Owner (Hybrid/Remote)

Talent Navigation Experts

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Denver, Colorado, USA

Full-time

Product Owner Hyrbid/Remote(50.50 in office/remote Denver Company Pay target is $100K-$120k/yr Our client is dedicated to transforming communities through accessible, quality healthcare services. With a mission to empower individuals and families, our client focuses on delivering affordable care, ensuring improved outcomes and enhanced member experiences. Responsibilities: Collaborate with stakeholders, IT leadership, and vendors to develop and execute product roadmaps in an agile environment
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Posted 15 days ago | Updated 10 days ago

Clinical Analyst

Apex Systems

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San Antonio, Texas, USA

Full-time

Job#: 2005092 Job Description: Apex Systems is hiring for a HEDIS Registered Nurse role with our client that is fully remote! The client does require candidates work on Central Standard time zone. If you are interested, please send over an updated copy of your resume to Kayla at Job Title: Clinical Quality Analyst FULLY Remote Opportunity - (The client would provide equipment) Contract Duration: 3 months with a strong potential to extend! Rate: $35/HR Hours: Monday-Friday 8 am - 5 pm CST (Th
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Posted 60+ days ago | Updated 9 hours ago

Analytics Engineering Developer

Robert Half

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Remote or Las Vegas, Nevada, USA

Full-time

Description Designs, develops, and fully tests applications and reports using tools such as MS SQL, MS PRB, SSIS, DAX Studio, Power Automate, and Power BI. Maintains, updates, and ensures accuracy of the data operations within the CDW and reporting/analytic layer used by Analytics leveraging support from Data Quality as needed. Supports all inbound and outbound data loads that are aligned with the Analytics team (e.g., Medical Claims ingestion, Lab Data ingestion, Milliman input/output, IINT i
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Posted 12 days ago | Updated 18 hours ago

Healthcare Data Analyst

Sentara Healthcare

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Remote or Virginia Beach, Virginia, USA

Full-time

Sentara Health is seeking a passionate Data professional to join our team as Healthcare Data Analyst! This position is 100% remote but candidates must have a current residence in one of the follow states or being willing to relocate: AL ,DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NH, ND, NV, OK, OH,PA, SC, NC, SD, TN, TX, WA, VA, WV, WI Job Description The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to
Posted 60+ days ago | Updated 6 hours ago

Business Intelligence Analyst - Day One Onsite - Dallas, TX

Emergere Technologies

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Dallas, Texas, USA

Contract, Third Party

Job Title: Business Intelligence Analyst Location: Dallas TX (Hybrid- 3days a week ) Duration: 12+ Months Contract Experience with SQL (5+Years)Experience with a scripting language (R and/or Python; 5+ years)Experience with health care data. Specifically, quality measures (NCQA/HEDIS).Strong communication skills and ability to work independently.
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Posted 7 days ago | Updated 15 hours ago

Data and Reporting Analyst Lead

CalOptima

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Orange, California, USA

Full-time

Data and Reporting Analyst Lead CalOptima CalOptima Health is seeking a highly motivated an experienced Data and Reporting Analyst - Lead to join our team. The Data and Reporting Analyst - Lead (HEDIS) will be responsible for developing and maintaining Healthcare Effectiveness Data and Information Set (HEDIS) data reports to support the regulatory requirements from the Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA) and California Department of Hea
Posted 28 days ago

Power BI Developer (Healthcare/Medical Claims) - BHJOB2052_20645

Visionaire Partners

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Remote

Full-time

Power BI Developer Exciting opportunity to join 1st class organization that has excellent benefits including a pension plan. Most of our associates retire from here, which is why this position is open. RESPONSIBILITIES: Design, develop, and thoroughly test applications and reports using tools such as Power BI, MS SQL, MS PRB, SSIS, DAX Studio, and Power AutomateMaintain, update, and ensure the accuracy of the data operations within the CDW and reporting/analytic layer used by Analytics leveragi
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Posted 6 days ago

Program Specialist (BHI)

CalOptima

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Orange, California, USA

Full-time

Program Specialist (BHI) Job Description Department(s): Behavioral Health Integration Reports to: Manager Behavioral Health FLSA status: Non-Exempt Salary Grade: E - $48,000 - $72,292 Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Thursday, March 14, 2024 at 11:59 PM. Applicants are encouraged to apply early. Applicants that apply after the first review are not gua
Posted 24 days ago

Program Specialist (Case Management)

CalOptima

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Orange, California, USA

Full-time

Program Specialist (Case Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist (Case Management) to join our team. The Program Specialist (Case Management) will support various projects and initiatives, as well as assist in the coordination of key strategies to effectively enhance the delivery of Case Management (CM) services. The incumbent will participate in and support CM meetings, activities and projects focused on implementing targeted qualit
Posted 9 days ago

Supervisor, Customer Service (Call Center)

CalOptima

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Orange, California, USA

Full-time

Supervisor, Customer Service (Call Center) Job Description Department(s): Customer Service Reports to: Manager, Customer Service FLSA status: Non-Exempt Salary Grade: I - $29.33 - $47.65 ($61,000 - $99,110) Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Friday, February 16, 2024 at 11:59 PM. Applicants are encouraged to apply early. Applicants that apply after the
Posted 49 days ago | Updated 28 days ago

Program Manager (Quality Initiatives)

CalOptima

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Orange, California, USA

Full-time

Program Manager (Quality Initiatives) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager (Quality Initiatives) to join our team. Under the general direction of the Manager Quality Analytics, the Program Manager (Quality Initiatives) will collaborate and coordinate with leadership to design, implement and evaluate quality programs. The incumbent will coordinate, monitor and complete tasks supporting the development of quality programs and initiatives. The incu