Hedis analyst jobs

Remote

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15d ago

Hi Professionals, Title: HEDIS Analyst/Consultant Locattion: Remote JD: Must-Have: US Healthcare Payer Actuarial Underwriting HEDIS / Quality Claims & Enrollment Data PMPM / MLR / IBNR / Risk Adjustment SQL & Data Profiling Data Lineage / Data Mapping Business Rule Discovery Reverse Engineering Healthcare Analytics / Data Modernization Snowflake (Preferred) Key Requirements: Strong US Healthcare Payer domain expertise Experience with Actuarial, Underwriting & HEDIS/Quality Knowle

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Contract, Third Party

Depends on Experience

HEDIS Clinical Review Nurse

Columbia, Maryland

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Today

Candidates MUST BE located in Maryland, Virginia, (or) DC states only! Candidates MUST HAVE an active RN license from Maryland, Virginia, (or) DC states Role: HEDIS Clinical Review Nurse W2 Contract: 5 Months Location: Primarily remote Requires mandatory on-site training in Meriwether, MD, the week of December 14th and occasional travel to provider sites. Pay Rate: $41.49/hour on W2-All inclusive Overview: Work with a leading healthcare organization as a Clinical Medical Review Nurse supporting

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Contract

$40 - $41

Clinical Medical Review RN OR LPN (HEDIS)

Hybrid in Columbia, Maryland

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Today

The Clinical Medical Review Specialist (a professional with clinical experience) will report to the Clinical Support Supervisor HEDIS and be part of the Quality Team. The main duties include chart retrieval, using proprietary tools and software to conduct thorough medical record reviews in line with NCQA specifications, retrieval follow-up, and escalating issues as needed. Main duties will be assigned according to experience, knowledge, skills, and abilities. This role requires extensive knowled

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Contract

Depends on Experience

2027 Summer Intern - Data Analytics, HEDIS

Detroit, Michigan

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Today

Job Description The Internship Program at BCBSM is designed to enhance the skills and abilities of young professionals as well as to identify and attract future talent for our organization. Interns will gain practical hands-on work experience as well as a solid understanding of the health insurance industry. Our program is an excellent way for interns to get a good start on their careers by working on meaningful projects, learning valuable skills, and networking with employees throughout our or

Full-time

Medical Management Data Analyst

New York, New York

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Today

Empower. Unite. Care. MetroPlusHealth is 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. About NYC Health + Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of produc

Full-time

USD 70,000.00 - 80,000.00 per year