hedis Jobs

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HEDIS Data and Reporting Analyst - Direct Hire - Hybrid to Elkridge, MDJob Title - HEDIS Data and Reporting Analyst - Direct Hire - Hybrid to Elkridge, MD

Elite TechnicalCompany Name - Elite Technical

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Elkridge, Maryland, USA

Full-time

HEDIS Data and Reporting Analyst Elite Technical is seeking a Data and Reporting Analyst to support our Healthcare customer. The selected candidate will be responsible for compiling claims and member data, analyzing files for accuracy, and creating reports (via Power BI) for audits and quality performance measurements. The individual will support the Compliance Department and liaison with other departments to complete regulatory compliance documents. Collaborate with departments to design, imple

Sr. Healthcare Data Analyst with IDQ & HEDIS Experience - 100% RemoteJob Title - Sr. Healthcare Data Analyst with IDQ & HEDIS Experience - 100% Remote

Floga technologiesCompany Name - Floga technologies

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Remote

Contract

Role: Sr. Healthcare Data Analyst with IDQ, SQL & HEDIS Experience Location: 100% Remote (USA) Duration: Long Term Mandatory Skills: Healthcare Data Analyst, IDQ, SQL and HEDIS Job Summary: We are seeking a highly skilled Senior Data Analyst with expertise in SQL, US Healthcare data models, HEDIS quality measures, and data quality assessment. The ideal candidate will have hands-on experience in analyzing healthcare data (Claims, Clinical, Labs, Immunizations) and leveraging PySpark, Azure Data F

Quality Improvement Nurse (RN)Job Title - Quality Improvement Nurse (RN)

Pyramid Consulting, Inc.Company Name - Pyramid Consulting, Inc.

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Ohio City, Ohio, USA

Contract

Immediate need for a talented Quality Improvement Nurse (RN). This is a 06+months contract opportunity with long-term potential and is located in Ohio(Hybrid). Please review the job description below and contact me ASAP if you are interested. Job ID:25-67754 Pay Range: $31 - $34/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Looking for a QI Auditor who ca

C++ ArchitectJob Title - C++ Architect

Primesoft Consulting Services IncCompany Name - Primesoft Consulting Services Inc

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Frankfort, Kentucky, USA

Full-time

We have an immediate requirement for C++ Architect@KY Skills Required: Onsite C++ Architect C++ Linux Oracle DB Perf optimization experience NCQA HEDIS HCC measurements

Health care Test Lead/EngineerJob Title - Health care Test Lead/Engineer

Primesoft Consulting Services IncCompany Name - Primesoft Consulting Services Inc

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Frankfort, Kentucky, USA

Full-time

We have an immediate requirement for Health care Test Lead@KY. Skills Required: QA testing experience Manual & Automation specialist. Management(care plans, assessments, risk stratification, outreach etc) Agile environment Azure DevOps User acceptance testing(UAT) Epic Tapestry CMS interoperability mandates NCQA, HEDIS STARS

Health care Test Lead/EngineerJob Title - Health care Test Lead/Engineer

Talent GroupsCompany Name - Talent Groups

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Louisville, Kentucky, USA

Full-time

6+ years of overall QA testing experience in healthcare IT, including at least 3 years in test lead role as Manual & Automation specialist.Strong understanding of Utilization management(referrals, authorization, notifications) and Care management(care plans, assessments, risk stratification, outreach etc) workflowsExperience in planning and managing testing phases in Agile environmentProficient in creating test plans, test cases, and traceability matrices from business and functional requirement

C++ ArchitectJob Title - C++ Architect

SRI Tech SolutionsCompany Name - SRI Tech Solutions

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Remote

Full-time, Third Party

Role : C++ Architect Location : Remote Duration :Permanent Hire (FTE) Lead and guide existing dev team, hands-on.C++LinuxOracle DBPerf optimization experience Must have knowledge on NCQA, HEDIS rules and HCC measurements for internal dev team. Needs to understand and know HEDIS well, else he cannot lead if he doesnt understand it. Healthcare domainAbility to make decisions extremely crucial, take responsibility. Take this seriously as a job, not just a work. Need to know this person can be depen

Senior Data Scientist, Star Ratings Analytics - RemoteJob Title - Senior Data Scientist, Star Ratings Analytics - Remote

UnitedHealth GroupCompany Name - UnitedHealth Group

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Remote or Minnetonka, Minnesota, USA

Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some toug

Data ArchitectJob Title - Data Architect

Pinnacle Software SolutionsCompany Name - Pinnacle Software Solutions

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Remote

Contract

POSITION Data Architect LOCATION REMOTE- travel once a quarter to Mass -EST DURATION 6 Months INTERVIEW TYPE VISA RESTRICTIONS Must be able to convert perm without sponsorship REQUIRED SKILLS Data Architect EPIC VBPM and Population Health Population Health qualifications: 1. Experience in Epic Caboodle Received Claims data model 2. Strong healthcare industry Understanding of Patient Care, HEDIS, Engagement, Care Coordination, Value based care, risk sharing models. 3. Expert in EMR data, claim

Data Architect (Remote)Job Title - Data Architect (Remote)

Pinnacle Software SolutionsCompany Name - Pinnacle Software Solutions

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Remote

Contract

Job Title: Data ArchitectLocation: Remote (Quarterly travel to Massachusetts | EST Hours)Duration: 6 Months Contract Job Description:We are seeking an experienced Data Architect with a strong background in EPIC VBPM and Population Health to join our healthcare analytics team. The ideal candidate will have hands-on experience with healthcare data systems, EMR platforms, and analytics tools with a strong understanding of patient care and value-based care models. Key Responsibilities:Design, model

Data Analyst III (SQL, Snowflake)Job Title - Data Analyst III (SQL, Snowflake)

Centene CorporationCompany Name - Centene Corporation

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Texas, USA

Full-time

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for b

Data Analyst III (SQL, Power BI)Job Title - Data Analyst III (SQL, Power BI)

Centene CorporationCompany Name - Centene Corporation

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Florida, USA

Full-time

Data Analyst IIJob Title - Data Analyst II

Centene CorporationCompany Name - Centene Corporation

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Florida, USA

Full-time

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for analytical data needs. Handle complex data requests, reports, and predictive data modeling. Analyze health management programs including: data collection, validation and outcom

Data Analyst II ( SQL, Excel, Python)Job Title - Data Analyst II ( SQL, Excel, Python)

Centene CorporationCompany Name - Centene Corporation

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Florida, USA

Full-time

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote FL. Position Purpose: Responsible for analytical data needs. Handle complex data requests, reports, and predictive data modeling. Analyze health management programs including: data collection, validati

Healthcare Lead Technical Data AnalystJob Title - Healthcare Lead Technical Data Analyst

Combined Computer ResourcesCompany Name - Combined Computer Resources

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Burlington, Massachusetts, USA

Contract

Summary Looking for Sr Data Analyst / Tech leads to support teams in US and Nepal. This position is responsible for analyzing, implementing, and maintaining data pipelines into an industry-leading analytics platform. This position requires individuals who will provide leadership and guidance and strategic insights. This role is an excellent opportunity for a senior analyst who wants to take the next step to management by moving from an individual contributing data analyst to a leader within

Solutions ArchitectJob Title - Solutions Architect

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell is a leader in providing technology and business solutions to health and human services clients. Our solutions are ent

Solutions ArchitectJob Title - Solutions Architect

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Houston, Texas, USA

Full-time

Solutions ArchitectJob Title - Solutions Architect

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Austin, Texas, USA

Full-time

Epic Regulatory and Quality AnalystJob Title - Epic Regulatory and Quality Analyst

Apex SystemsCompany Name - Apex Systems

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San Francisco, California, USA

Full-time

Job#: 2071332 Job Description: Job Description from Manager at UCSF: What are the shift times/shift hours for this position? anywhere between 7am-6pm pacificWhat are the workdays for this position? Monday - FridayWill this position be onsite, hybrid or remote? RemoteIf onsite, location:If hybrid, please confirm how much time will be spent onsite and the location:What specific experience, background, and/or qualifications are you looking for in candidates for this position? Technical Skills and

Clinical Data Governance Lead - Enterprise Quality & Accreditation - HybridJob Title - Clinical Data Governance Lead - Enterprise Quality & Accreditation - Hybrid

CignaCompany Name - 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