Senior Data Analyst / HEDIS
Posted 4 days ago by 1754042381
Negotiable
Undetermined
Remote
Garner, North Carolina
Summary: The Senior Data Analyst will support the team in generating HEDIS quality metrics and reporting data to payers while assisting in the migration to a new value-based care platform. This role requires expertise in clinical quality data and measures, ensuring accurate data validation in the new system. The analyst will also maintain processes for integrating claims and clinical data to produce quality metrics. The position is fully remote and offers an 18-month contract duration.
Key Responsibilities:
- Serve as a subject matter expert on clinically-based HEDIS metrics.
- Maintain processes that ingest and integrate claims and clinical data to produce quality metrics and associated care gaps.
- Support the submission of clinical data to respective payers.
Key Skills:
- Experience working with clinical data and quality measure calculations.
- Experience with QA testing, including the creation and execution of data-focused test cases.
- Strong understanding of HEDIS measures and how claims and clinical data inform those measures.
- Knowledge of healthcare data formats and standards (e.g., HL7, ICD-10, CPT, LOINC, SNOMED).
- Ability to work well within a cross-departmental team.
- Ability to effectively communicate with non-technical colleagues.
- AWS Redshift experience preferred.
Salary (Rate): £52.50 hourly
City: Garner
Country: United States
Working Arrangements: remote
IR35 Status: undetermined
Seniority Level: Senior
Industry: Other
Our client is looking for a Senior Data Analyst to support the team responsible for generating HEDIS quality metrics/care gaps and reporting data to respective payers.
Client has an existing platform for managing and reporting clinical quality metrics and are beginning the process of migrating to a new value-based care platform. This role will also support the enterprise in the implementation of a new value-based care platform including serving as the subject matter expert around clinical quality data/measures and being able to validate the data reported in the new platform.
Contract Duration: 18 Months
Required Skills & Experience
- Experience working with clinical data and quality measure calculations
- Experience with QA testing, including the creation and execution of data-focused test cases
- Strong understanding of HEDIS measures and how claims and clinical data work to inform those measures
- Knowledge of healthcare data formats and standards (e.g., HL7, ICD-10, CPT, LOINC, SNOMED)
- Ability to work well within a cross-departmental team
- Ability to effectively communicate with non-technical colleagues
- AWS Redshift experience preferred
What You Will Be Doing
Daily Responsibilities
- Serving as a subject matter expert on the analytics team when it comes to clinically-based HEDIS metrics
- Helping to maintain the processes that ingest and integrate claims and clinical data to produce quality metrics and associated care gaps
- Helping support the submission of clinical data to respective payers
You will receive the following benefits:
- Medical Insurance - Four medical plans to choose from for you and your family
- Dental & Orthodontia Benefits
- Vision Benefits
- Health Savings Account (HSA)
- Health and Dependent Care Flexible Spending Accounts
- Voluntary Life Insurance, Long-Term & Short-Term Disability Insurance
- Hospital Indemnity Insurance
- 401(k) including match with pre and post-tax options
- Paid Sick Time Leave
- Legal and Identity Protection Plans
- Pre-tax Commuter Benefit
- 529 College Saver Plan
Motion Recruitment Partners (MRP) is an Equal Opportunity Employer. All applicants must be currently authorized to work on a full-time basis in the country for which they are applying, and no sponsorship is currently available. Employment is subject to the successful completion of a pre-employment screening. Accommodation will be provided in all parts of the hiring process as required under MRP’s Employment Accommodation policy. Applicants need to make their needs known in advance.