hedis Jobs

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

CalOptimaCompany Name - 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

HEDIS Data AnalystJob Title - HEDIS Data Analyst

NTT DATA Americas, IncCompany Name - 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

HEDIS Quality Audit Specialist (SPARK) | Onsite/Hybrid | Chicago | Contract to HireJob Title - HEDIS Quality Audit Specialist (SPARK) | Onsite/Hybrid | Chicago | Contract to Hire

Walker HealthforceCompany Name - Walker Healthforce

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Chicago, Illinois, USA

Contract

HEDIS Quality Audit Specialist (SPARK)| 2+ Years of Experience | Onsite/Hybrid in Chicago, IL | Contract to Hire Walker Healthforce is seeking a HEDIS Quality Audit Specialist (SPARK) with 2+ Years of Experience to support a Healthcare Payor Client based in Chicago, IL. This is a 6 month contract to hire opportunity. START DATE: ASAP HOURS/SCHEDULE:M-F 8am-5pm WORKER TYPE:W-2 CORE REQUIREMENTS:Understanding of NCQA HEDIS quality measures and code value sets.Conducts clinical validation on inc

Medicaid Data Specialist-Springfield, IL (Remote)Job Title - Medicaid Data Specialist-Springfield, IL (Remote)

VASG (Vista Applied Solutions Group)Company Name - 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

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

PIH HealthCompany Name - 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. 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 timeframe may result in removal from the position; however, the employee will be eligible to apply for other

Data Architect (Non-Clinical)Job Title - Data Architect (Non-Clinical)

Kforce Technology StaffingCompany Name - 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

Data Architect with EPIC VBPM & Pop HealthJob Title - Data Architect with EPIC VBPM & Pop Health

Software Technology IncCompany Name - Software Technology Inc

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Massachusetts, USA

Part-time, Contract, Third Party

Title: Data Architect Duration Long Term Remote and occupational travel to client site in Boston, MA. Client will pay travel expenses. Population Health: Experience in Epic Caboodle Received Claims data model Understanding of Patient Care, HEDIS, Engagement, Care Coordination, Value based care, risk sharing models. Expert in EMR data, claims data, public health databases, healthcare coding (ex. ICT), social determinants of health data, Experience or Familiarity with Arcadia analytics platform f

Senior Analyst, Network RelationsJob Title - Senior Analyst, Network Relations

CVS HealthCompany Name - 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

Data Analyst - Quality Management (Remote)Job Title - Data Analyst - Quality Management (Remote)

S2TechCompany Name - 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

Front-End Developer - Cloud (Remote)Job Title - Front-End Developer - Cloud (Remote)

S2TechCompany Name - 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

Data Scientist - Quality Management (Remote)Job Title - Data Scientist - Quality Management (Remote)

S2TechCompany Name - 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

Data Analyst - Cloud (Remote)Job Title - Data Analyst - Cloud (Remote)

S2TechCompany Name - 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

Healthcare Data AnalystJob Title - Healthcare Data Analyst

TrorCompany Name - Tror

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Minnetonka, Minnesota, USA

Contract, Third Party

Job Title: Senior Healthcare Data Analyst EHR/EMR & Interoperability Expert Location: Eden Prairie, Minnesota (Hybrid 3 days onsite) Duration: 6 Months + Note: Need Healthcare Data Analyst Job Description: We are looking for a highly experienced and technically proficient Senior Healthcare Data Analyst with a strong background in EHR/EMR data ecosystems, healthcare interoperability standards, and clinical informatics. The ideal candidate will bring a deep understanding of healthcare data m

Technical Solutions Architect - CloudJob Title - Technical Solutions Architect - Cloud

S2TechCompany Name - 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

Cloud Engineer (Remote)Job Title - Cloud Engineer (Remote)

S2TechCompany Name - 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

Medicaid Data Warehouse SpecialistJob Title - Medicaid Data Warehouse Specialist

TEKsystems c/o Allegis GroupCompany Name - 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

Data Analyst 2 - RemoteJob Title - Data Analyst 2 - Remote

UnitedHealth GroupCompany Name - UnitedHealth Group

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Remote or Eden Prairie, Minnesota, USA

Full-time

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Senior Data Analyst will be responsible for the management and manipulatio

Database Administrator - Cloud (Remote)Job Title - Database Administrator - Cloud (Remote)

S2TechCompany Name - 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

Backend Developer - Cloud (Remote)Job Title - Backend Developer - Cloud (Remote)

S2TechCompany Name - 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

Data Analyst - FULLY REMOTEJob Title - Data Analyst - FULLY REMOTE

Apex SystemsCompany Name - Apex Systems

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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