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Business Analayst-Stars CMS

Royal Cyber Inc

Louisville, Kentucky, USA

Full-time

Knowledge and experience with Azure; this is a key requirement Working understanding of healthcare: Understanding the importance of Provider NPI Define the connectivity between Member ID, Patient ID and Payer CCN (Claim Control Number) Understanding of how payments and adjustments are made, in Encounters, especially the 837 Healthcare Claim Overall understanding of the flow of claims from Provider-to-Payer; adjudication; and from Payer to CMS for Encounters. Working knowledge of how to build Use

Clinical Analyst

Apex Systems

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

Remote ETL QA Test Lead with HEDIS or HIE

Infinite Computer Solutions (ICS)

Remote

Full-time

Job Description: Must HaveAt least 10+ years of work experience in Quality Engineering (Testing) in Data platformsPreferred healthcare domain experienceHEDIS or HIE Mandatory (Any of these)Experience in leading and testing large scale, complex Data Modernization initiativesLed Data Platform migration projects such as from Cognos to PowerBI, etc.Automation first mindsetCoordinating with Data Engineering, Infrastructure, other Technical teams, etc.Experience working in a matrix organizationStakeh

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

Kaiser Permanente

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

Data Reporting and Analytics Consultant III, Clinical Care Delivery and Quality Assurance Clinical Care Delivery and Quality Assurance

Kaiser Permanente

Oakland, 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

Healthcare Data Analyst

Sentara

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

Data and Reporting Analyst Lead

CalOptima

Remote

Full-time

Data and Reporting Analyst Lead CalOptima CalOptima Health is seeking a highly motivated an experienced Data and Reporting Analyst - Lead to join our team. The Data and Reporting Analyst - Lead (HEDIS) will be responsible for developing and maintaining Healthcare Effectiveness Data and Information Set (HEDIS) data reports to support the regulatory requirements from the Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA) and California Department of Hea

Sr. Pega Business Analyst with Healthcare

Chuwa America Corporation

Remote

Contract

Title: Pega Business Analyst with Healthcare exp As a Sr. Pega Business Analyst you will: Work closely with business stakeholders to understand their objectives, challenges, and requirements.Elicit, document, and analyze business requirements, ensuring they are clear, complete, and aligned with the organization's goals.Conduct in-depth analysis of existing business processes, systems, and workflows to identify areas for improvement and optimization.Collaborate with technical teams to translate

Pega Business Analyst / PEGA Analyst (Remote)

Spar Information Systems

US

Full-time, Contract

Hope you are doing good. Role: Pega Business Analyst Location: Remote Duration: Fulltime As a Sr. Pega Business Analyst you will: Work closely with business stakeholders to understand their objectives, challenges, and requirements. Elicit, document, and analyze business requirements, ensuring they are clear, complete, and aligned with the organization's goals. Conduct in-depth analysis of existing business processes, systems, and workflows to identify areas for improvement and optimization.

Power BI Developer (Healthcare/Medical Claims) - BHJOB2052_20645

Visionaire Partners

Remote

Full-time

Power BI Developer Exciting opportunity to join 1st class organization that has excellent benefits including a pension plan. Most of our associates retire from here, which is why this position is open. RESPONSIBILITIES: Design, develop, and thoroughly test applications and reports using tools such as Power BI, MS SQL, MS PRB, SSIS, DAX Studio, and Power AutomateMaintain, update, and ensure the accuracy of the data operations within the CDW and reporting/analytic layer used by Analytics leveragi