HEDIS jobs in Rancho Cucamonga, CA

HEDIS Business Analyst with Strong in SQL

Remote

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7d ago

HEDIS Business Analyst with Strong in SQL We are seeking a Business Systems Analyst (BSA) with strong experience in HEDIS, healthcare data, and SQL to bridge business, clinical, and technical teams. The ideal candidate will analyze HEDIS requirements, translate business needs into technical specifications, and perform SQL-based data analysis and validation. Key Responsibilities Gather, analyze, and document business and HEDIS requirements. Interpret NCQA/HEDIS measures, including numerator, de

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Third Party, Contract

Depends on Experience

Hedis Data Analyst

Remote

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3d ago

Job title: Hedis Data Analyst Job Location: Remote Contract Qualifications Required: Needs to be very good at SQL & Python. Prior experience with any ETL tool. Exposure on Alteryx (ETL tool prefered). Strong to understand Healthcare domain Experienced working with large volumes of data (100s of gig tables/files) Exceptionally good communication skills. Hedis Data Analyst1Data AnalysisN/AC2C,W-2,C2H,Contract,W2United States

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Third Party, Contract

Depends on Experience

Hedis Data Analyst- 10+ yrs- Remote. USA

Remote

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4d ago

JD:Must Have QualificationsHe needs to be very good at SQL & Python. He also needs prior experience with anyETL tool. He needs to work on Alteryx (ETL tool in Healthfirst). He needs to understand Healthcare domain He needs to have experience of working with large volumes of data (100s of gig tables/files) Exceptionally good communication skills.

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Contract, Third Party

Depends on Experience

Engineer III - Cybersecurity Risk Analyst

Rancho Cucamonga, California

•

Today

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! The Cybersecurity Risk Analyst is a cybersecurity program and control assessor and advisor in governance, risk, and compliance functions. This position is responsible for the assessing and advancing of IEHP's cybersecurity posture and capability to safeguard its digital assets. The purpose of

Full-time

USD 135,200.00 - 179,129.60 per year

Developer II - Application Development

Rancho Cucamonga, California

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Today

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Reporting to IT Department Leadership, the Developer II - Application Development position is responsible for the development, modification, and implementation of Inland Empire Health Plan's internal/external applications. Commitment to Quality: The IEHP Team is committed to incorporate IEHP'

Full-time

USD 104,041.60 - 137,841.60 per year

Engineer III - EDI

Rancho Cucamonga, California

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Today

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of the Encounters & EDI Leadership Team, the Engineer is responsible for analysis of new DHCS/CMS requirements and providing recommendations for new rules implementation, submissions tracking, remediating submission errors, responding to regulatory changes, and monitoring

Full-time

USD 118,601.60 - 157,144.00 per year

Healthcare Data Analyst II

Rancho Cucamonga, California

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Today

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA) is responsible for leading various data and analysis efforts for the Health Plan's Clinical and Provider departments, programs, and quality activities. The HDA must have significant experience in d

Full-time

USD 91,249.60 - 120,910.40 per year

Database Specialist II

Rancho Cucamonga, California

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Today

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! The Database Specialist II is responsible for tasks listed under the SQL Database Specialist role with additional duties to include Documentation, workload balancing, communications with users, and supervision of the Access and Database Administration projects and tasks. Commitment to Quality

Full-time

USD 104,041.60 - 137,841.60 per year

Health Care Data Analyst

Remote

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2d ago

Health Care Data Analyst Location: - Remote Must Need 8+ Healthcare Data Integration & Validation Analyze, onboard, and validate healthcare data from multiple payer, clinical, and third-party sources. Support data mapping, transformation, reconciliation, and integration activities across healthcare datasets. Perform source-to-target analysis and validate data consistency, completeness, and accuracy. Design and execute data quality checks to identify anomalies, gaps, and inconsistencies. Dis

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Contract

50 - 65

Product Owner – Capitation & Value-Based Care

Remote

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20d ago

Job Title: Product Owner Capitation & Value-Based Care Location: Remote/Hybrid Experience: 712 Years Position Summary We are looking for a Product Owner with deep experience in Capitation, Value-Based Care (VBC), and Provider Reimbursement. This role will own products supporting capitation payments, provider incentives, attribution, quality programs, and population health analytics while partnering with payer and provider stakeholders. Capitation is a payment model where providers receive a fix

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Contract

Depends on Experience

Data Engineer II

Rancho Cucamonga, California

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Today

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! The Data Engineer II assists in the implementation of methods to improve data reliability and quality. This role is responsible for combining raw information from different sources to create consistent and machine-readable formats. The Data Engineer II must also develop and test architectures

Full-time

USD 104,041.60 - 137,841.60 per year

Healthcare Informatics Analyst (Pharmacy OR Medicare Advantage - Fully Remote Contract Role )

Remote

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23d ago

Position 2: Sr. Healthcare Informatics Analyst (Medicare Advantage)Seeking a Senior Healthcare Informatics Analyst! The selected candidate will independently provide analytics in understanding and improving how health care is valued, utilized and provided. This position will develop analytic attributes that pertain to patient level health utilization/outcome, provider performance measures, risk-adjusted revenue optimization, medical cost management, and behavior attributes on patient/provider en

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Contract

75 - 80

Full Stack Developer with Healthcare exp Remote

Remote

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20d ago

- Minimum 2 years of hands-on experience with container-based workloads such as Kubernetes, Nomad, or Azure Container Apps. - Strong full-stack development experience using Angular/React, Node.js and/or Django, REST APIs, SQL Server, and MongoDB. - Good knowledge of Azure cloud environments, CI/CD tools such as Azure DevOps or GitHub Actions, and Terraform-based infrastructure provisioning. - Experience with secure development practices, microservices/distributed systems, observability, and prod

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Contract

Depends on Experience

Clinical Data Audit Consultant

Remote or California

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Today

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Registered Nurse - Must be Licensed in CA Pacific Time Zone Work Hours Position Purpose: The Clinical Data and Audit Consultant is responsible for the clinical content component of all data collection, account impleme

Full-time

USD 33.71 - 60.67 per hour

Director Data Engineering - Remote

Remote or Eden Prairie, Minnesota

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Today

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together. This Director

Full-time

USD 134,600.00 - 230,800.00 per year

Director of Engineering, Data Products

Remote

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Today

At Counterpart Health, we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to our patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions. We're looking for a Director of Engineering to lead our Data Products pillar, serving as the technical engine for Counterpart Health's (CPH) clinical-data fo

Full-time

USD 223,100.00 - 290,000.00 per year

Senior Engineer, Big Data - Claims Reporting Analytics - Remote

Remote

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Today

Job Description Job Summary Responsible for all the aspects of architecture, design and implementation of Data Management solution using Big Data platform on Cloudera or Hortonworks and other areas of enterprise application platforms. Reporting and analytics are very important for this position. Payment integrity is also important. Please update your resume with any relevant previous experience. Knowledge/Skills/Abilities Designs and builds enterprise data solutions on Microsoft Azure (Azure Da

Full-time

USD 79,607.91 - 172,483.80 per year

Director, Model Engineering & Operations

Remote or Dayton, Ohio

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Today

Job Summary: The Director, Model Engineering & Operations is responsible for leading the strategy, development, implementation, and optimization of enterprise AI and machine learning solutions that support core health plan operations and business objectives. This role provides leadership for the design and delivery of scalable, secure, and compliant AI/ML platforms and production systems, while overseeing the end-to-end machine learning lifecycle. The Director leads a team of machine learning e

Full-time

USD 135,600.00 - 237,400.00 per year

Lead Analytics Engineer - Data Modeling & Quality

Remote

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Today

Arcadia is dedicated to happier, healthier days for all. We believe that there is a better healthcare world - one powered by data. Our platform transforms complex, diverse data into a unified foundation for health, helping organizations deliver better care, boost revenue, and lower costs. We're a team of fiercely driven individuals committed to making healthcare more sustainable-and we're looking for passionate people to help us get there. For more information, visit arcadia.io. Why This Role

Full-time

USD 160,000.00 - 185,000.00 per year

AI Technical Project Manager

Remote or Dallas, Texas

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Today

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

Full-time

USD 70.00 - 80.00 per hour

HEDIS jobs in Rancho Cucamonga, CA, USA