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

CalOptima

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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
Posted 12 days ago

Senior Data Analyst / HEDIS

Motion Recruitment Partners, LLC

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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
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Posted 7 days ago | Updated moments ago

HEDIS Data Analyst

NTT DATA Americas, Inc

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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
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Posted 8 days ago | Updated moments ago

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

PIH Health

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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
Posted 1 day ago | Updated moments ago

Medicaid Data Specialist-Springfield, IL (Remote)

VASG (Vista Applied Solutions Group)

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Springfield, Illinois, USA

Contract, Third Party

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
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Posted 35 days ago | Updated 12 days ago

Medicaid Data Specialist

Advansys Inc

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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
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Posted 8 days ago | Updated 2 days ago

Data Architect (Non-Clinical)

Kforce Technology Staffing

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New Boston, Texas, USA

Contract, Third Party

RESPONSIBILITIES: Kforce has a client in Boston, MA that is in need of a hands-on, certified Data Architect with deep expertise in population health data and a strong background in value-based care and risk-sharing models. This role is ideal for someone who thrives in complex data environments and is passionate about improving patient care through data-driven insights. Key Responsibilities: * Design and implement advanced data models to support population health initiative * Collaborate with st
Posted 15 days ago | Updated 2 hours ago

Senior Analyst, Network Relations

CVS Health

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Virginia, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 19 days ago | Updated 4 hours ago

Data Analyst IV

Centene Corporation

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Missouri, USA

Full-time

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Fully remote role, candidate may reside anywhere within the Continental US. Preferred candidate has strong background in SQL, Healthcare Data and/or Power BI. Position Purpose: Responsible for analytic data ne
Posted 4 hours ago

Data Analyst - Quality Management (Remote)

S2Tech

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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
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Posted 12 days ago | Updated 12 days ago

Front-End Developer - Cloud (Remote)

S2Tech

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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
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Posted 12 days ago | Updated 12 days ago

Data Analyst - Cloud (Remote)

S2Tech

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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
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Posted 12 days ago | Updated 12 days ago

Data Scientist - Quality Management (Remote)

S2Tech

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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
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Posted 12 days ago | Updated 12 days ago

Technical Solutions Architect - Cloud

S2Tech

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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
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Posted 12 days ago | Updated 12 days ago

Cloud Engineer (Remote)

S2Tech

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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
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Posted 12 days ago | Updated 12 days ago

Medicaid Data Warehouse Specialist

TEKsystems c/o Allegis Group

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Springfield, Illinois, USA

Full-time

Our Enterprise Client is seeking highly experienced and knowledgeable Medicaid Subject Matter Expert (SME) to support a State Enterprise Data Warehouse and the State Medicaid program. This role requires deep expertise in Medicaid Enterprise Systems, data warehousing, and healthcare analytics. The SME will provide strategic guidance and technical direction to ensure the successful implementation, maintenance, and enhancement of Medicaid data systems. Key Responsibilities: Provide strategic dire
Posted 13 days ago | Updated 1 hour ago

Database Administrator - Cloud (Remote)

S2Tech

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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
Easy Apply
Posted 12 days ago | Updated 12 days ago

Backend Developer - Cloud (Remote)

S2Tech

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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
Easy Apply
Posted 12 days ago | Updated 12 days ago

Senior Director of Quality Performance Improvement

MetroPlusHealth

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New York, New York, USA

Full-time

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 products
Posted 36 days ago | Updated 1 day ago

AI/ML Health Data Scientist

Navigant Consulting

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Remote

Full-time

Job Family: Data Science Consulting Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust What You Will Do: Business Development Identify policy and/or business problems and successfully capture from sourcing through award/close.Perform research on key accounts and clients to effectively qualify and scope new business opportunitiesDiscuss and develop solutions with client service teams and existing/new clientsActively engage within target accounts and relevant market(
Posted 8 days ago | Updated 4 hours ago