Hedis jobs in charleston, sc

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

Epic Healthy Planet/Compass Rose Analyst

Charleston, South Carolina

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Today

Epic Healthy Planet / Compass Rose Analyst Position Title Epic Healthy Planet / Compass Rose Analyst Position Summary We are seeking an experienced Epic Healthy Planet / Compass Rose Analyst to support value-based care, population health, payer integration, and strategic performance initiatives. This role will be responsible for the implementation, enhancement, and optimization of both Epic Healthy Planet and Compass Rose solutions, with a strong focus on payer platform integrations, registr

Full-time

USD 80.00 - 90.00 per hour

Epic Healthy Planet Analyst

Charleston, South Carolina

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Today

Epic Healthy Planet Analyst Position Title Epic Healthy Planet Analyst Position Summary We are seeking an experienced Epic Healthy Planet Analyst to support a growing pipeline of population health initiatives and strategic healthcare transformation projects. This role will be responsible for the design, build, optimization, implementation, and support of Epic Healthy Planet solutions that improve patient outcomes, care gap management, quality performance, and population health programs acros

Full-time

USD 80.00 - 90.00 per hour

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

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

Healthcare Informatics Analyst (Pharmacy) - Fully Remote Contract Role )

Remote

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23d ago

Position 1: Healthcare Informatics Analyst (Pharmacy)Elite Technical is seeking a Senior Healthcare Informatics Analyst to support our client within a Pharmacy centric environment. The selected candidate must know Databricks, SQL and SAS along with Pharmacy Analytics. The selected candidate will independently provide advanced analytics to support understanding and improvement of pharmacy benefit utilization, cost, quality, and clinical outcomes. This role develops analytic attributes related to

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Contract

65 - 75

Applied AI Scientist III

Remote or Dayton, Ohio

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Today

Job Summary: The Applied AI Scientist is responsible for the development and application of cutting-edge advanced analytics solutions using emerging Artificial Intelligence (AI) technologies such as Agentic AI, Retrieval Augmented Generation (RAG), Large Language Models (LLMs), Natural Language Processing (NLP) and Generative AI solutions to enhance healthcare operations, patient care, and overall health plan performance and efficiency. This position requires a highly skilled AI expert capable

Full-time

USD 94,100.00 - 164,800.00 per year

Enterprise Data Modeler Medicare Advantage

Remote

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4d ago

We are looking for a Senior Enterprise Data Modeler with deep healthcare domain expertise to lead the development of enterprise and domain data models for a strategic data transformation program. You will bridge the gap between business stakeholders and technical execution teams to build resilient, enterprise-wide data structures. Key ResponsibilitiesDesign and maintain Enterprise, Logical, Physical, and Canonical Data Models. Translate complex business concepts into robust domain data models. P

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Contract

Depends on Experience

Snowflake Architect -Epic/Claims

Remote

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2d ago

Epic/Snowflake Architect 100% Remote 6-12 months + extensions. MUST HAVE CLAIMS DATA ON THE PROVIDER SIDE. Need Expert level. Project Overview Over the past year, the team rebuilt its data foundation and successfully integrated Milliman MedInsight data.Focus is now shifting from foundational data movement to developing new Population Health data products and analytics capabilities.Team has identified an opportunity to accelerate delivery but lacks the healthcare provider claims expertise needed

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Contract

$90 - $100

Hedis jobs in Charleston, SC, USA