HEDIS Jobs

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HEDIS SQL Developer - Remote

Conexess Group

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Remote

Contract

- 100% Remote - Unable to Work C2C - Must Have HEDIS or STARS claims experience Duties: Researches and evaluates alternative solutions and recommends the most efficient and cost effective application programming solution. Develops, documents, and follows standard coding practices. Comprehensively tests, including negative/regression testing for complete quality assurance. Provides comprehensive consultation to business units and IT management and staff at the highest technical level on all
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Posted 3 days ago

Data Analyst, Sr. (HEDIS)

CalOptima

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Remote

Full-time

Data Analyst, Sr. (HEDIS) CalOptima CalOptima Health is seeking a highly motivated an experienced Data Analyst Sr to join our team. The Data Analyst Sr (HEDIS) will provide expertise in business requirements for the organization's Healthcare Effectiveness Data and Information Set (HEDIS) data reporting and analysis in the Quality Analytics department. The incumbent will be responsible for conducting quality assurance on data collection, data processing, data analysis and reporting. In addition,
Posted 10 days ago

Healthcare Technical Lead

GoAhead Solutions

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Remote or Detroit, Michigan, USA

Contract

GoAhead Solutions has a great opportunity in Detroit, MI (Onsite or Remote) for a Healthcare Technical Lead. This would be a Six to Twelve month contract to start out. Must be able to work EST or CST hours. Job Description: -Responsible for leading complex projects and independently executing analyses that support the healthcare value portfolio. -Translates technical results into answers for healthcare business needs and applies a strong understanding of healthcare industry when creating those
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Posted 10 days ago | Updated 18 hours ago

Director of Data Analytics

Kforce Technology Staffing

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San Antonio, Texas, USA

Contract

RESPONSIBILITIES: Kforce has a client in San Antonio, TX that is seeking a Director of Data Analytics. Summary: In this role, the Director of Data Analytics will lead multifaceted data projects, ensuring timely delivery within budget and quality standards. This is a hands-on role, requiring leadership in both project management and data development. Responsibilities include strategic project management, building dimensional tables, performing ETL processes, and using Power BI for data analysis.
Posted 7 days ago | Updated moments ago

Clinical Analyst

Apex Systems

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San Antonio, Texas, USA

Full-time

Job#: 2005092 Job Description: Apex Systems is hiring for a HEDIS Registered Nurse role with our client that is fully remote! The client does require candidates work on Central Standard time zone. If you are interested, please send over an updated copy of your resume to Kayla at Job Title: Clinical Quality Analyst FULLY Remote Opportunity - (The client would provide equipment) Contract Duration: 3 months with a strong potential to extend! Rate: $35/HR Hours: Monday-Friday 8 am - 5 pm CST (Th
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Posted 60+ days ago | Updated 3 hours ago

Medical Informatics Analyst, Consultant

Blue Shield of California

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Oakland, California, USA

Full-time

Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The role of Medical Informatics Analyst - Consultant would report to the Manager of Medical Informatics and would be responsible for supporting the growth and retention of members in the Individual & Family Plan (IFP) Line of Business.
Posted 14 hours ago

Technical Lead - Advanced Data Analytics

Kyyba Inc

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Detroit, Michigan, USA

Contract

Technical Lead - Advanced Data Analytics Duration: 6+ Months Location: : Detroit, MI Engagement Description Responsible for leading complex projects and independently executing analyses that support the healthcare value portfolio. Translates technical results into answers for healthcare business needs and applies a strong understanding of healthcare industry when creating those solutions. Partners effectively outside of the business team to execute work. Works closely with team members to fully
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Posted 9 days ago

Data Reporting and Analytics Consultant III, Clinical Care Delivery and QA

Kaiser Permanente

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Fontana, California, USA

Full-time

Description: Job Summary: In addition to the responsibilities listed below, this position is also responsible for collecting regulatory requirements; translating regulatory requirements to reporting rules that fit with how KP operates and stores data under the guidance of more senior employees; and drafting data reports to influence quality and clinical care decisions. Essential Responsibilities: Pursues self-development and effective relationships with others by proactively providing resour
Posted 35 days ago | Updated 10 hours ago

Healthcare Data Analyst

Sentara

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Remote or Virginia Beach, Virginia, USA

Full-time

Sentara Health is seeking a passionate Data professional to join our team as Healthcare Data Analyst! This position is 100% remote but candidates must have a current residence in one of the follow states or being willing to relocate: AL ,DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NH, ND, NV, OK, OH,PA, SC, NC, SD, TN, TX, WA, VA, WV, WI Job Description The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to
Posted 60+ days ago | Updated moments ago

Cotiviti Technical Specialist

Encora

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Remote

Third Party, Contract

Cotiviti Technical Specialist Location: Remote Duration: 3+ months contract A person who has 1+ years of experience with Cotiviti tool.This experience must be related to using and configuring Cotiviti application and NOT related to the core development.The experience can be related to configuration, set-up, settings or as an end user experience in using the front-end application.The domain knowledge of HEDIS and CMS star measure.Hands-on experience with SQL queries will be good to have but not n
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Posted 16 hours ago | Updated 13 hours ago

Program Manager

CalOptima

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Orange, California, USA

Full-time

Program Manager CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager to join our team. Under the general direction of the Director, the Program Manager (Quality Analytics (CMS Stars)) will collaborate and coordinate with leadership to design, implement and evaluate quality programs for the Centers for Medicare & Medicaid Services (CMS) Star Ratings and other similar quality programs. The incumbent will lead, coordinate, monitor and complete tasks supporting the
Posted 10 days ago

Program Specialist (Behavioral Health)

CalOptima

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Remote

Full-time

Program Specialist (Behavioral Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist (Behavioral Health) to join our team. The Program Specialist (Behavioral Health) will support various projects and initiatives, as well as assist in the coordination of key strategies to effectively enhance the delivery of behavioral health (BH) services. Primary responsibilities include, but are not limited to, participating in and supporting BH workgroups, activitie