HEDIS Technical Analyst

Jobtailor; United States; On-site; USD 90,000 - 130,000; Full time

Job summary

Jobtailor is seeking a Healthcare Analytics professional to advance HEDIS measure research and validation using claims, enrollment, pharmacy, and EMR data. You will collaborate with business and clinical stakeholders to design and maintain measurement solutions across multiple HEDIS measures.

The ideal candidate has 3–7 years in healthcare analytics, 2+ years in HEDIS measure research or validation, and a strong understanding of NCQA specifications. US healthcare client experience is preferred.

Qualifications

• 3–7 years of Healthcare Analytics experience.
• 2+ years of HEDIS measure research, validation, or data pipeline experience.
• Experience in HEDIS certification projects preferred.
• Experience working with US healthcare clients.
• Bachelor's degree in Computer Science, Analytics, Statistics, Healthcare Informatics, or a related field.
• Strong understanding of NCQA HEDIS specifications and measures.

Responsibilities

• Support HEDIS-related activities, including measure validation and reporting.
• Design, develop, validate, and maintain HEDIS measurement solutions across multiple measures.
• Work closely with business and clinical stakeholders.
• Support HEDIS certification and measure validation.
• Work with hybrid, digital, administrative, and ECDS measures.
• Use healthcare data sources including claims, enrollment, pharmacy, and EMR data.

Skills

Python

SQL

Data analytics

HEDIS specifications

HEDIS measure validation

US healthcare experience

Education

Bachelor's degree in Computer Science, Analytics, Statistics, Healthcare Informatics, or a related field

Job description

• Support HEDIS-related activities, including measure validation and reporting
• Design, develop, validate, and maintain HEDIS measurement solutions across multiple measures
• Work closely with business and clinical stakeholders
• Support HEDIS certification and measure validation
• Work with hybrid, digital, administrative, and ECDS measures
• Use healthcare data sources including claims, enrollment, pharmacy, and EMR data

Requirements

• 3–7 years of Healthcare Analytics experience
• 2+ years of HEDIS measure research, validation, or data pipeline experience
• Experience in HEDIS certification projects preferred
• Experience working with US healthcare clients
• Bachelor's degree in Computer Science, Analytics, Statistics, Healthcare Informatics, or a related field
• Strong understanding of NCQA HEDIS specifications and measures
• Understanding of hybrid, digital, administrative, and ECDS measures
• Knowledge of healthcare data sources, including claims, enrollment, pharmacy, and EMR data
• Hands-on technical expertise in Python, SQL, and data analytics

Core Competencies

Demonstrates expertise in HEDIS measure validation and reporting, with a strong understanding of NCQA HEDIS specifications. Proficient in utilizing healthcare data sources and analytics tools to support HEDIS certification and measure development.