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HEDIS Analyst/Consultant

E-Solutions, Inc.

Remote • Today

Easy Apply

Contract, Third Party

Depends on Experience

Consultant - Payer Services - HEDIS Data Analyst | Architect

Huron

Remote or Chicago, Illinois • Today

Full-time

USD 60.00 - 70.00 per hour

HEDIS Technical Program Manager

TekShapers

Remote • 15d ago

Easy Apply

Third Party, Contract

Depends on Experience

HEDIS Clinical Review Nurse

nTech Solutions

Columbia, Maryland • Today

Easy Apply

Contract

$40 - $41

Clinical Medical Review Nurse HEDIS Retrospective Project

Lumen Solutions Group Inc.

Columbia, Maryland • Today

Easy Apply

Contract

Depends on Experience

Epic Analyst

Synapse Business Systems

Remote • Yesterday

Easy Apply

Contract

Depends on Experience

Clinical Medical Review RN OR LPN (HEDIS)

TalTeam

Hybrid in Columbia, Maryland • Yesterday

Easy Apply

Contract

Depends on Experience

2027 Summer Intern - Data Analytics, HEDIS

Advantasure, Inc.

Detroit, Michigan • Today

Full-time

Remote Sr. Healthcare QA Tester (HEDIS Preferred)

Software Guidance & Assistance

Remote or Jacksonville, Florida • Today

Contract

USD 45.00 - 50.00 per hour

Senior technical consultant- HRSD

HMG America

Remote • Today

Easy Apply

Third Party, Contract

$DOE

Hiring! 2 Openings! Sr. Data Engineer with (HEDIS & Healthcare Domain) & Databricks Architect (Enterprise-Scale)

PropelSys Technologies LLC.

Remote or Texas • Today

Easy Apply

Full-time, Contract, Third Party

Consultant, People Analytics Consulting Insights & Enablement

Visa

Austin, Texas • 4d ago

Full-time

USD 109,800.00 - 175,700.00 per year

FedRAMP Senior Consultant

Baker Tilly

Washington, District of Columbia • Today

Full-time

USD 85,910.00 - 162,890.00 per year

FedRAMP Senior Consultant

Baker Tilly

Washington, District of Columbia • 2d ago

Full-time

USD 85,910.00 - 162,890.00 per year

Data and Analytics Consultant

SEI

Cincinnati, Ohio • 28d ago

Full-time

Data and Analytics Consultant

SEI

Philadelphia, Pennsylvania • 28d ago

Full-time

Data and Analytics Consultant

SEI

Charlotte, North Carolina • 28d ago

Full-time

Data and Analytics Consultant

SEI

Miami, Florida • 28d ago

Full-time

Data and Analytics Consultant

SEI

Atlanta, Georgia • 28d ago

Full-time

Data and Analytics Consultant

SEI

Phoenix, Arizona • 28d ago

Full-time

Data and Analytics Consultant

SEI

Nashville, Tennessee • 28d ago

Full-time

Data and Analytics Consultant

SEI

New York, New York • 28d ago

Full-time

USD 140,000.00 - 190,000.00 per year

Data and Analytics Consultant

SEI

Seattle, Washington • 28d ago

Full-time

USD 120,000.00 - 185,000.00 per year

Data and Analytics Consultant

SEI

Boston, Massachusetts • 28d ago

Full-time

USD 160,000.00 - 190,000.00 per year

Data and Analytics Consultant

SEI

Chicago, Illinois • 28d ago

Full-time

USD 150,000.00 - 190,000.00 per year

Data and Analytics Consultant

SEI

Washington, District of Columbia • 28d ago

Full-time

USD 140,000.00 - 180,000.00 per year

Job Details

Skills

US Healthcare Payer Actuarial Underwriting HEDIS / Quality Claims & Enrollment Data PMPM / MLR / IBNR / Risk Adjustment SQL & Data Profiling Data Lineage / Data Mapping Business Rule Discovery Reverse Engineering Healthcare Analytics / Data Modernization Snowflake (Preferred)

Summary

Hi Professionals,

Title: HEDIS Analyst/Consultant

Locattion: Remote

JD:

Must-Have:

US Healthcare Payer
Actuarial
Underwriting
HEDIS / Quality
Claims & Enrollment Data
PMPM / MLR / IBNR / Risk Adjustment
SQL & Data Profiling
Data Lineage / Data Mapping
Business Rule Discovery
Reverse Engineering
Healthcare Analytics / Data Modernization
Snowflake (Preferred)
Key Requirements:
- Strong US Healthcare Payer domain expertise
- Experience with Actuarial, Underwriting & HEDIS/Quality
- Knowledge of payer metrics: PMPM, MLR, IBNR, Risk Adjustment, Cost & Utilization
- Hands-on experience with Claims, Membership, Provider, Premium & Clinical data
- Strong SQL, Data Analysis & Data Profiling skills
- Ability to reverse engineer business rules, data flows, lineage & mappings
- Bridge communication between business SMEs and technical teams
- Healthcare analytics, transformation, or data modernization experience preferred
- Exposure to Snowflake, Semantic Modeling, Metadata Management, AI-enabled Analytics is a plus

HEDIS Analyst/Consultant1HEDIS Analyst/Consultant,US Healthcare Payer Actuarial Underwriting HEDIS / Quality Claims & Enrollment Data PMPM / MLR / IBNR / Risk Adjustment SQL & Data Profiling Data Lineage / Data Mapping Business Rule Discovery Reverse Engineering Healthcare Analytics / Data ModernizaN/AC2CUnited States

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10211255
Position Id: 247883-14311-1790901267
Posted 23 hours ago

Fitment

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Similar Jobs

HEDIS Technical Program Manager

Remote

•

15d ago

HEDIS Technical Program Manager Location: Remote Duration : Long Term Job Description We are looking for a Senior Technical Program Manager with HEDIS (Healthcare Effectiveness Data and Information Set) experience to lead our annual HEDIS reporting programs. You will lead complex, cross-functional technical programs spanning data engineering, clinical/quality teams, and compliance from planning through NCQA submission, and you will be the person who keeps the HEDIS reporting cycle

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Consultant - Payer Services - HEDIS Data Analyst | Architect

Remote or Chicago, Illinois

•

Today

The Opportunity At Huron, we're redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client's challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great worktogether. Are you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron. Whether you have years

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Senior Data Engineer

Remote

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6d ago

looking for a Senior Data Engineer with hands-on HEDIS (Healthcare Effectiveness Data and Information Set) experience. You will design, build, and maintain the pipelines and platforms that power HEDIS measure calculation, quality reporting, and regulatory submissions across the company. This role is for someone who understands the technical and clinical nuances of HEDIS data supplemental data, hybrid measures, NCQA specifications and can translate that into reliable, well-documented data pipel

Easy Apply

Third Party, Contract

Depends on Experience

Clinical Medical Review Nurse

Remote

•

3d ago

Clinical Medical ReviewNurse (HEDIS Medical RecordsRetrieving) Columbia, MD (Primarily remote, but hybrid) 6 Months+ PURPOSE: Seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a payer, health insurance, or HEDIS vendor environment. The ideal candidate will understand NCQA healthcare quality metrics and have a proven ability to accurately abstract, interpret, and document medical record data for HEDIS gap closure. This role will support me

Easy Apply

Contract, Third Party

Depends on Experience

Job Details

Skills

US Healthcare Payer Actuarial Underwriting HEDIS / Quality Claims & Enrollment Data PMPM / MLR / IBNR / Risk Adjustment SQL & Data Profiling Data Lineage / Data Mapping Business Rule Discovery Reverse Engineering Healthcare Analytics / Data Modernization Snowflake (Preferred)

Summary

Hi Professionals,

Title: HEDIS Analyst/Consultant

Locattion: Remote

JD:

Must-Have:

US Healthcare Payer
Actuarial
Underwriting
HEDIS / Quality
Claims & Enrollment Data
PMPM / MLR / IBNR / Risk Adjustment
SQL & Data Profiling
Data Lineage / Data Mapping
Business Rule Discovery
Reverse Engineering
Healthcare Analytics / Data Modernization
Snowflake (Preferred)
Key Requirements:
- Strong US Healthcare Payer domain expertise
- Experience with Actuarial, Underwriting & HEDIS/Quality
- Knowledge of payer metrics: PMPM, MLR, IBNR, Risk Adjustment, Cost & Utilization
- Hands-on experience with Claims, Membership, Provider, Premium & Clinical data
- Strong SQL, Data Analysis & Data Profiling skills
- Ability to reverse engineer business rules, data flows, lineage & mappings
- Bridge communication between business SMEs and technical teams
- Healthcare analytics, transformation, or data modernization experience preferred
- Exposure to Snowflake, Semantic Modeling, Metadata Management, AI-enabled Analytics is a plus

Dice Id: 10211255
Position Id: 247883-14311-1790901267
Posted 23 hours ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

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Similar Jobs

HEDIS Technical Program Manager

Remote

•

15d ago

Easy Apply

Third Party, Contract

Depends on Experience

Consultant - Payer Services - HEDIS Data Analyst | Architect

Remote or Chicago, Illinois

•

Today

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USD 60.00 - 70.00 per hour

Senior Data Engineer

Remote

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6d ago

Easy Apply

Third Party, Contract

Depends on Experience

Clinical Medical Review Nurse

Remote

•

3d ago

Easy Apply

Contract, Third Party

Depends on Experience