hedis Jobs in boston, ma

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Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE

Molina Healthcare

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Remote or Racine, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those progra
Posted moments ago

Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE

Molina Healthcare

•

Remote or Sterling Heights, Michigan, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those progra
Posted moments ago

Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE

Molina Healthcare

•

Remote or Detroit, Michigan, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those progra
Posted moments ago

Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE

Molina Healthcare

•

Remote or Santa Fe, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those progra
Posted moments ago

Clinical Data Governance Lead - Enterprise Quality & Accreditation - Hybrid

Cigna

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Remote or Bloomfield, Connecticut, USA

Full-time

Role Summary: Effective execution of good data governance principles and practices minimizes risk and ensures the data is available and fit for purpose. As part of The Cigna Group's Enterprise Clinical & Health Organization (ECHO), the Clinical Data Governance Lead is responsible for overseeing the integrity, quality, and governance of data critical to ECHO operations, programs, and strategies. Ideal candidates should have strong background on health care payer Clinical operations / programs an
Posted 54 days ago | Updated 6 hours ago

Data Manager - Healthcare

Benchmark IT- Technology Talent

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Boston, Massachusetts, USA

Full-time

Data Manager Healthcare: Overview: Our direct client, a fast-growing healthcare and data analytics firm based in the Boston area is seeking to bring on an experienced Data Analyst Manager to lead a dynamic, multinational data team. This role offers the opportunity to provide leadership, strategic insight, and hands-on expertise in healthcare data analysis while helping shape the future of data-driven solutions in the healthcare industry. The ideal candidate will bring not only strong technical s
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Posted 25 days ago | Updated 3 days ago

EPIC Certified Professional

Cyma Systems Inc

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Remote

Third Party, Contract

Job role : (EPIC Certified Professional) Location: Remote Job Description: Required Skills: Epic Bridges, Epic Chronicles and SQL Epic Bridges Experience, Preferably EPIC Bridge CertifiedEpic Chronicles Knowledge; should be able to query and do data analysis.Epic Payer Platform (EPP) ExperienceEpic Tapestry Knowledge, Preferably Member enrollment and eligibility module.SQL skillsExcellent Communication Skills - working with both business partners and provider communityStrong Analytical skills Ro
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Posted 3 days ago

EPIC Certified Professional

Cyma Systems Inc

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Remote

Third Party, Contract

Job role : (EPIC Certified Professional)Location: Remote Job Description: Required Skills: Epic Bridges, Epic Chronicles and SQL Epic Bridges Experience, Preferably EPIC Bridge CertifiedEpic Chronicles Knowledge; should be able to query and do data analysis.Epic Payer Platform (EPP) ExperienceEpic Tapestry Knowledge, Preferably Member enrollment and eligibility module.SQL skillsExcellent Communication Skills - working with both business partners and provider communityStrong Analytical skills R
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Posted 3 days ago

Technical Business Data Analyst with Medicare / Remote

DATAMAXIS, Inc

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US

Third Party, Contract

The Business/Data Analyst will perform business and data analysis tasks daily. Functions will include analysis, planning, assisting in managing project deliverables, updating the project plan using Microsoft Project, coordinating between the technical team and the business users. This role will support analysis of two different data structures to support conversion and new data model development of a large-scale data warehouse using complex SQL. This includes providing direction for the solution
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Posted 11 days ago | Updated 1 day ago

Snowflake & IBM Netezza Engineer

CitiusTech

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Remote

Full-time

We are seeking a Senior Solution Architect with deep expertise in Data Warehousing, Cloud Technologies, and Snowflake, along with extensive experience in the Healthcare domain, particularly in Payer and Provider systems. This role requires a combination of technical leadership, solution design, and hands-on expertise to develop scalable and compliant data architectures for enterprise healthcare solutions. Experience with IBM data warehousing technologies, including IBM NPS (Netezza Performance S
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Posted 38 days ago | Updated 2 days ago

Healthcare Integration Architect

ChaTeck Incorporated

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Remote or Bellevue, Washington, USA

Third Party, Contract

Position Title: Healthcare Integration Architect Location: US - Remote (EST hours) Job Type: Full-Time Let's create our future together at The AES Group! About The AES Group: The AES Group is a premier technology consulting company that has been bringing businesses and talent together for over 20 years to deliver the most innovative technology solutions that create the most positive impact on society. AES has helped over 40 business enterprises, including Fortune 500 companies, engage their
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Posted 32 days ago | Updated 3 days ago

Senior Software Engineer

Motion Recruitment Partners, LLC

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Boston, Massachusetts, USA

Full-time

About Us We're a fast-growing fintech company transforming the way people interact with their finances. Our platform helps users make smarter financial decisions by offering real-time insights, automated tools, and secure integrations with banks and financial institutions. We're backed by top-tier investors and trusted by thousands of users daily. The Role As a Senior Software Engineer, you'll play a critical role in shaping the core product experience. You'll work across the stack using React
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Posted 9 days ago | Updated 1 hour ago

Java Backend Developer

GCS

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Lowell, Massachusetts, USA

Contract

We're Hiring: Java Backend Developer (Principal Engineer) Are you passionate about building scalable, high-performance backend systems? We're looking for a seasoned Java Backend Developer to join our team and help design distributed systems that power next-gen applications. What You'll Do: Design & implement robust features using Java, Spring Boot, Kafka Work on microservices, cloud-native solutions (AWS/Azure), and containerized apps Optimize backend architecture & integrate distributed data s
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Posted 6 days ago

Senior Software Developers

Randstad Digital Manual LLC

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Woburn, Massachusetts, USA

Full-time

Senior Software Developers for Randstad Digital, LLC. Multiple openings. Headquarters: Woburn, MA. Develop standards, best practices, and POC s for engineering IT solutions, and develop, design, code, debug and document projects and programs. Review solutions for business objectives, enterprise IT environment, intangibles. Confer with IT team and industry groups, review software engineering issues, security, requirements. Perform unit and integration testing. Identify problems, analyze client/us
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Posted 2 days ago

Senior Engineer I - DBRE

DigitalOcean

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Boston, Massachusetts, USA

Full-time

We want people who are passionate about building the infrastructure and platforms that will improve the resiliency, scaling, and development speed for cloud services. We are looking for an experienced database engineer with an operations background in building sustainable solutions for data storage and streaming platforms. Our team's mission statement is to "provide tools and expertise to solve common operational problems, accelerating and simplifying product development." As part of the team,
Posted 6 days ago | Updated 6 hours ago

Senior Software Engineers

Randstad Digital Manual LLC

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Woburn, Massachusetts, USA

Full-time

Senior Software Engineers for Randstad Digital, LLC. Multiple openings. Headquarters: Woburn, MA. Develop and design applications and programs, and analyze multifaceted, large-scale, long-term software engineering issues. Evaluate intangibles and unprecedented factors, resolve situations and review functions, policies, procedures, compliance requirements, content management meeting deliverables. Participate in sprints, scrum and backlog grooming, and ingest, stage, delete, fetch, export and retr
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Posted 16 days ago

Senior Full Stack Engineer (C#/React)

Rockstar Games

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Andover, Massachusetts, USA

Full-time

At Rockstar Games, we create world-class entertainment experiences. Become part of a team working on some of the most rewarding, large-scale creative projects to be found in any entertainment medium - all within an inclusive, highly-motivated environment where you can learn and collaborate with some of the most talented people in the industry. Rockstar Games is seeking a talented and experienced Senior Full Stack Engineer to join our online development team. With the rapid growth of Grand Thef
Posted 16 days ago | Updated 6 hours ago

Senior Software Developers

Randstad Digital Manual LLC

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Woburn, Massachusetts, USA

Full-time

Senior Software Developers for Randstad Digital, LLC. Multiple openings. Headquarters: Woburn, MA. Develop and design robotic solutions, automation workflows, strategy plans, software, design documents. Confer with stakeholders, QA, modelers, and PMO regarding process requirements and project reporting. Create and perform scripting, happy path, authentication, error handling, logging, performance tuning, debugging, design reviews, tables, scenarios, functional and regression testing, test harnes
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Posted 60+ days ago | Updated 16 days ago

Senior Software Engineer (SS&C Technologies, Inc., Waltham, MA) - Ref: 00068852

SS&C Technologies Inc

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Waltham, Massachusetts, USA

Full-time

As a leading financial services and healthcare technology company based on revenue, SS&C is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries. Some 20,000 financial services and healthcare organizations, from the world's largest companies to small and mid-market firms, rely on SS&C for expertise, scale, and technology. Job Description Senior Software Engineer (SS&C Technologies, Inc., Waltham, MA): The Senior Software Engineer will take a pivotal role in architec
Posted 6 hours ago

Sr. Software Engineer- Marketing Technology Platforms

Citizens Bank

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Westwood, Massachusetts, USA

Full-time

Job Description At Citizens, we're more than a bank! Here, you'll experience new things, create new opportunities, think beyond your role and make an impact! As a Sr. Software Engineer, you will work alongside and mentor a group of talented engineers as you pursue a broad range of initiatives. By leveraging your technical skills and thirst for innovation, you will produce disruptive technologies that will ensure Citizen's market leadership. As a future leader, you will work on multiple solution
Posted 10 days ago | Updated 6 hours ago