hedis jobs in pennsylvania

Remote or Fairfield, California

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Today

RESPONSIBILITIES: Kforce's client in Fairfield, CA is looking for a HEDIS Analyst. The HEDIS team needs additional support for year-round auditing and program management. Responsibilities: * Prepare, analyze, report, and manage data used for both plan-wide and regional decision making for evaluating performance in key quality measures and the effective use of health plan resources on a routine and ad hoc basis * Works collaboratively with departments company-wide to identify data needs, develop

Contract

$50 - $60 hourly

Senior Business Analyst- Health Care (HEDIS)

Hybrid in Philadelphia, Pennsylvania

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5d ago

Lead requirements end to end, independently driving discovery, analysis, and solution definition across business and IT stakeholders. Serve as a subject matter expert on HL7 exchange protocols, including FHIR, CCDs, ADTs, etc. Perform hands on data analysis using SQL, Databricks, and related tools to validate data, troubleshoot issues, and support design decisions. Prior Experience on `HEDIS and Quality process and HEDIS Data is a plus Document business and technical requirements, source to

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Contract

40 - 45

Healthcare Business System Analyst with HEDIS

Remote

•

Today

As an Healthcare Business System Analyst with HEDIS, you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards . Experience: - 10+ Years Location: - Remote / PST Responsibilities: - These individuals will be backfilling for existing BSAs who will support Integration/Affiliation scope, but as required, these BSAs will also support the Affiliation activities in the Provider and Quality domain. In the

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Contract, Third Party

Senior Business Analyst- Health Care (HEDIS)

Hybrid in Philadelphia, Pennsylvania

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6d ago

Easy Apply

Contract

Depends on Experience

Lead Analyst, IT Systems - HEDIS Reporting

Remote or Long Beach, California

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Today

Job Description JOB SUMMARY Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying data analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems

Full-time

USD 72,370.82 - 156,803.45 per year

Data Engineer - Healthcare

Remote or Charleston, South Carolina

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Today

Become a part of our caring community The Data Engineer 2 will develop scalable data processing architectures and solutions that facilitate the efficient transformation of structured and unstructured data into insights across the enterprise. You will work on diverse assignments that require interpretation to determine the most appropriate course of action. You will report to the Lead Data Engineer. You will ingest data from internal and external sources using cloud-native platforms and applies

Full-time

USD 97,900.00 - 133,500.00 per year

Behavioral Health Utilization Management Clinician - Fully Remote LMSW, LCSW, LMHC

Remote or New York, New York

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Today

About NYC Health + Hospitals MetroPlusHealthprovides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's n

Full-time

Senior Data Scientist - Clinical Informatics (Analytics Enablement)

Remote or New York

•

Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary Position Summary CVS Health's Analytic

Full-time

USD 101,970.00 - 203,940.00 per year

Director - Health AI and Data Science

Remote or McLean, Virginia

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Today

Job Family: Data Science Consulting Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust What You Will Do: Guidehouse is seeking a Director in our Health AI and Data Science practice to lead the delivery of data products, AI-enabled solutions, and scientific support that help healthcare leaders make better, faster decisions grounded in data. In this role, you will own end-to-end client delivery across multiple accounts and capabilities - partnering with executives and

Full-time

USD 226,000.00 - 376,000.00 per year

Director, Data Management (EIM / Health Plan Analytics / AI & ML) - REMOTE

Remote or Long Beach, California

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Today

Job Description Director, Data Management (EIM) Job Summary The Director, Data Management is a senior leadership role within Molina Healthcare responsible for enterprise data management strategy, delivery, and modernization across core health plan domains. This role leads the design, integration, and operation of data platforms that support Medicaid, Medicare, Marketplace, and other payer lines of business, with a strong emphasis on Databricks-based lakehouse architecture, AI-enabled data man

Full-time

USD 117,731.00 - 229,576.00 per year

Data Analyst 2

Remote or Montana

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Today

job summary: Enterprise Healthcare client has an immediate opening for a highly motivated Data Analyst 2 to join their dynamic and growing team. All qualified candidates are encouraged to apply! location: Telecommute job type: Contract salary: $58.66 - 68.66 per hour work hours: 8am to 5pm education: Bachelors responsibilities: Responsibilities: Analyze health management programs including: data collection, validation and outcome measurement May include: Financial, pharmacy, claims, pr

Contract

USD59 - USD69

QA Data Lead - Independent

Philadelphia, Pennsylvania

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Today

Position Title: Data QA Lead Health Care Payer Domain Location: Hybrid, PHL Area Experience Level: 10+ years About the Role Seeking a Data QA Lead with strong experience in the healthcare payer domain to lead data quality assurance initiatives. The ideal candidate will have expertise in HEDIS, CMS Interoperability (FHIR), payer data standards, and hands-on experience with Azure Data Platform (Databricks, SQL, ADF pipelines). The focus is on ensuring data accuracy, reliability, and compliance w

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Contract, Third Party

Depends on Experience

Data Architect Health Care Payer Domain

Hybrid in Philadelphia, Pennsylvania

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Today

Position Title: Data Architect Health Care Payer Domain Location: Philadelphia,PA (Hybrid) Employment Type: Contract to Hire Experience Level: 10+ years About the Role The Data Architect is responsible for designing, building, and maintaining the data infrastructure and solutions that enable efficient and secure collection, storage, and analysis of healthcare data in different data platforms (Data Warehouse & Data Lake). This role involves working with a range of stakeholders, including busines

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Contract, Third Party

$60 - $65

Middleware Engineer

Remote

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28d ago

Role: Middleware EngineerLocation: Remote 100%10+ Years Experience Required Experience: TypeScript, Node.js, OpenAI, Microsoft Azure, Kubernetes, Docker, Terraform, MongoDB, MySQL, Redis, MCP, Python, Pandas, Jupyter notebooks

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Third Party, Contract

Depends on Experience

Full Stack Engineer (AI Platform)

Remote or Texas City, Texas

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19d ago

Full Stack Engineer (AI Platform)Texas (Remote + Occasional Travel) We are hiring a hands-on Full Stack Engineer to build and scale AI-driven platform services. This role involves working across frontend, backend, and cloud systems, with a strong focus on AI agent integrations (LangGraph/LangChain) and production-ready applications. Key ResponsibilitiesBuild modern UI using React / Angular (TypeScript)Develop backend services using Python (FastAPI preferred)Design and maintain REST APIs & WebSo

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Contract

Depends on Experience

Lead Java Developer

Remote or England

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Today

We are seeking a Lead Java Developer to design and implement cloud-native solutions while driving modernization efforts on the Azure cloud. In this role, you will lead development teams, mentor engineers and collaborate with stakeholders to deliver high-quality software aligned with business needs. Req# Responsibilities Design and implement cloud-native microservices and REST APIs using Java and Spring Boot, with front-end integration via Angular Lead modernization efforts by analysis of legacy

Full-time

Network Automation Solutions Consultant

Remote

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20d ago

Our client is looking for a remote Network Automation Solutions Consultant (Python, Django, Rest, Nautobot or equivalent) to join their team! Please not no third part candidates will be considered. This is a remote/full-time/contract position Salary based on experience: Up to $70 - $80HR Overview Our client is seeking a client-facing Solutions Engineer to design, implement, and support a SaaS-based network automation platform centered around Nautobot. This role sits at the intersection of softw

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Contract

$70 - $80

AI Infrastructure-Platform SWE (Python)

Remote

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Today

AI Infrastructure-Platform SWE (Python) W2 Contract Pay Rate: $50 - $60 per hour Location: Austin, TX - Remote Role Job Summary: We are building the foundational platform that powers next-generation AI agents and intelligent systems at scale. This is not a model research or prompt engineering role. The focus is on designing and building highly scalable, reliable backend systems that enable agent-driven applications to operate in production environments. Duties and Responsibilities: Design

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Contract

$50 - $60 per hour

Solution Architect (Twilio Platform)

Remote

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Today

Senior Solution Architect Location: USA, Remote Duration: 12 months Key Skills: Twilio Platform Expertise, .NET (C# / ASP.NET Core), AWS, Healthcare Domain We are seeking a Principal Voice Platform Engineerto serve as our primary subject matter expert (SME) for Twilio-based telephony architecture on enterprise healthcare communication programs. This is a senior individual-contributor and technical leadership role you will not just build systems, you willdefine the architecturethat all migration

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Contract, Third Party

Google Cloud Platform Architect

Remote

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7d ago

Location: Remote in the USAPay Rate: $60-$65/hr.Key Skills: Java, microservices/Spring Boot, Google Cloud Platform, DataFlow, and Splunk. Note: This is a hands-on role as a Java Architect rather than a Google Cloud Platform Architect. Candidate will be involved in hands-on coding in Java on a daily basis and needs to have experience in Google Cloud Platform, Splunk and Dataflow. Job Description Required Qualifications: 10+ years of professional experience in Java development with focus on large

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Contract

$60 - $70

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hedis jobs in Pennsylvania, USA