Remote HEDIS Data Analytics Specialist (SQL/Python/AWS)

Contech Systems Inc.; New York (NY); On-site; USD 90,000 - 130,000; Full time

Job summary

Contech Systems Inc. is seeking a HEDIS Data Analytics Consultant to design, develop, and support healthcare data analytics, integration, and reporting solutions for accurate HEDIS reporting.

You will collaborate with Clinical Quality, IT, EHR vendors, data aggregators, and HEDIS software vendors on large datasets and automated workflows. You will interpret NCQA HEDIS specification changes, validate data, support MRR activities, and contribute to audit readiness and quality improvement

Qualifications

• Bachelor's degree in Computer Science, Information Systems, Health Informatics, Data Analytics, or a related field.
• 5+ years of experience in healthcare data analytics.
• 3+ years of hands-on HEDIS reporting experience.
• Advanced SQL development experience, including complex joins, CTEs, window functions, and query optimization.
• Proficiency with AWS, and Microsoft Office. Proficiency with Python and Alteryx preferred.
• Experience working with large-scale healthcare datasets containing millions of records.
• Experience working with healthcare claims, enrollment, provider, pharmacy, EHR, supplemental, and clinical data.
• Experience supporting data integration and collaborating with EHR vendors, data aggregators, and/or HEDIS software vendors.
• Strong analytical, problem-solving, communication, and technical documentation skills.

Responsibilities

• Develop, optimize, and maintain HEDIS reporting solutions, complex SQL queries, and automated data workflows using SQL, Python, Alteryx, AWS, and Microsoft Office.
• Interpret annual NCQA HEDIS technical specification changes and assess their impact on data, reporting, and production processes.
• Support annual HEDIS production and Medical Record Review (MRR) activities, including chart retrieval, supplemental data validation, reconciliation, and issue resolution.
• Provide ongoing analytics and reporting support to Clinical Quality teams between HEDIS seasons, including measure monitoring and quality improvement initiatives.
• Manage large volumes of inbound and outbound healthcare data files from internal systems, EHR vendors, data aggregators, and HEDIS software vendors.
• Validate claims, enrollment, provider, pharmacy, supplemental, EHR, and clinical data in accordance with NCQA HEDIS specifications.
• Develop and maintain automated data ingestion, transformation, validation, and quality assurance processes.
• Investigate data quality, ingestion, and integration issues; perform root cause analysis of HEDIS rate variances; and coordinate corrective actions with IT, vendors, and business stakeholders.
• Collaborate with EHR vendors, data aggregators, and HEDIS software vendors to resolve data issues and support annual HEDIS production.
• Participate in user acceptance testing (UAT), production support, and NCQA audit readiness activities.
• Create and maintain technical documentation, data mappings, validation procedures, and process documentation.

Skills

Advanced SQL

CTEs & Window Functions

Query optimization

AWS

Python

Alteryx

Microsoft Office

Data analytics

Healthcare data analytics

Education

Bachelor's degree in Computer Science, Information Systems, Health Informatics, Data Analytics, or related field

Tools

AWS

Microsoft Office

Job description

Contech Systems Inc. is seeking a HEDIS Data Analytics Consultant to design, develop, and support healthcare data analytics, integration, and reporting solutions for accurate HEDIS reporting.

You will collaborate with Clinical Quality, IT, EHR vendors, data aggregators, and HEDIS software vendors on large datasets and automated workflows. You will interpret NCQA HEDIS specification changes, validate data, support MRR activities, and contribute to audit readiness and quality improvement