Senior Medicaid HEDIS Data Analyst

2 weeks ago

Raleigh, North Carolina, United States Humana Full time
Job Summary

We are seeking a highly skilled Senior Medicaid HEDIS Data Professional to join our team at Humana. As a key member of our data analytics team, you will be responsible for generating regular datasets for end-users using system tools and database or data warehouse queries and scripts.

Key Responsibilities
  • Collect, analyze, and validate HEDIS data from various sources
  • Ensure data accuracy and completeness
  • Prepare detailed HEDIS reports and summaries for stakeholders
  • Maintain comprehensive documentation of all HEDIS related processes
  • Develop robust data extraction, transformation, and loading processes to support HEDIS reporting requirements
  • Create and manage complex SQL queries and scripts to extract and manipulate data from various sources
  • Integrate data from multiple sources, including claims, clinical, and provider data, ensuring data integrity and consistency
Requirements
  • Proficiency in HEDIS measures, Medicaid programs, and healthcare quality improvement
  • Proficiency in understanding healthcare-related data
  • Experience analyzing data to solve a wide variety of business problems
  • Comprehensive knowledge of Microsoft Office Applications, including Word, Excel, Access, PowerPoint, and Power BI
  • Experience working with big and complex data sets within large organizations and/or the analysis of healthcare data
  • Proficiency in verbal and written communication
  • Strong organizational skills and ability to manage multiple or competing priorities
Preferred Qualifications
  • Bachelor's degree and 5 or more years of technical experience in data analysis or Master's degree and 3 or more years of experience with a focus on healthcare and HEDIS reporting
  • RN license or 5 years of clinical experience
  • Proven experience with SQL, ETL processes, and data warehousing
  • Proficiency in SQL, Python, or other programming languages
  • Proficiency in database management systems (Oracle, SQL Server, MySQL)
  • Expertise in data mining, forecasting, simulation, and/or predictive modeling
About Humana

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.

Equal Opportunity Employer

Humana is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.

  • HEDIS Review Nurse Specialist

    2 weeks ago

    Raleigh, North Carolina, United States Spectraforce Technologies Full time

    Job Title: HEDIS Review NurseJob Summary:The HEDIS Review Nurse will be responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The successful candidate will review and accurately perform comprehensive review of medical records to abstract relevant clinical data during...

  • HEDIS Specialist

    7 days ago

    Raleigh, North Carolina, United States Spectraforce Technologies Full time

    HEDIS Specialist Job DescriptionWe are seeking a highly skilled HEDIS Specialist to join our team at Spectraforce Technologies. As a HEDIS Specialist, you will be responsible for retrieving medical records with clinical accuracy using remote access to Electronic Medical Record Systems.Key Responsibilities:Retrieve medical records with clinical accuracy using...

  • HEDIS Specialist

    4 days ago

    Raleigh, North Carolina, United States Spectraforce Technologies Full time

    HEDIS Specialist Job DescriptionWe are seeking a highly skilled HEDIS Specialist to join our team at Spectraforce Technologies. As a HEDIS Specialist, you will be responsible for retrieving medical records with clinical accuracy using remote access to Electronic Medical Record Systems.Key Responsibilities:Retrieve medical records with clinical accuracy using...

  • Senior Data Analyst

    1 week ago

    Raleigh, North Carolina, United States Focused HR Solutions Full time

    Job Title: Senior Data AnalystAt Focused HR Solutions, we are seeking a highly skilled Senior Data Analyst to join our team. As a Senior Data Analyst, you will play a key role in providing analysis and leadership on data analysis projects across our enterprise.Job Summary:We are looking for a Senior Data Analyst with expertise in Microsoft Dataverse, SQL...

  • Senior Data Analyst

    3 weeks ago

    Raleigh, North Carolina, United States Focused HR Solutions Full time

    Job Title: Senior Data AnalystWe are seeking a highly skilled Senior Data Analyst to join our team at Focused HR Solutions. As a Senior Data Analyst, you will play a key role in providing analysis and leadership on data analysis projects across our enterprise.Key Responsibilities:Provide insight to data analysts, data architects, and application developers...

  • Senior IT Systems Analyst

    4 weeks ago

    Raleigh, North Carolina, United States Crescens Inc. Full time

    {"Job Title": "Senior IT Systems Analyst", "Job Description": "Job SummaryCrescens Inc. is seeking a highly skilled Senior IT Systems Analyst to join our team. As a key member of our IT department, you will be responsible for performing analytical and technical work related to enhancements and operations of the Managed Care Transformation.Key...

  • Senior IT Systems Analyst

    4 weeks ago

    Raleigh, North Carolina, United States Moten Tate, Inc. Full time

    Job Title: Senior IT Systems AnalystAt Moten Tate, Inc., we are seeking a highly skilled Senior IT Systems Analyst to join our team. As a key member of our team, you will be responsible for performing analytical and technical work related to enhancements and operations of the Managed Care Transformation.Key Responsibilities:Work with multiple vendors,...

  • Senior Data Analyst

    3 weeks ago

    Raleigh, North Carolina, United States Intellibee Inc Full time

    About the RoleWe are seeking a highly skilled Senior SQL Snowflake Data Analyst/Data Visualization Analyst to join our team at Intellibee Inc. This is a unique opportunity to work on complex data analysis projects across the DPI enterprise, focusing on School Business Data.Key ResponsibilitiesProvide analysis and leadership on data analysis projects across...

  • Senior IT Systems Analyst

    3 weeks ago

    Raleigh, North Carolina, United States Cynet Systems Full time

    Job Title: Senior IT Systems AnalystCynet Systems is seeking a highly skilled Senior IT Systems Analyst to join our team. As a key member of our team, you will be responsible for analyzing and designing technical solutions to meet the needs of our clients.Key Responsibilities:Analyze complex healthcare data from various sources to evaluate and define...

  • Senior Data Analyst/Architect

    2 weeks ago

    Raleigh, North Carolina, United States Focused HR Solutions Full time

    Job Title: Senior Data Analyst/ArchitectWe are seeking a highly skilled Senior Data Analyst/Architect to join our team at Focused HR Solutions. As a key member of our data team, you will be responsible for providing analysis and leadership on data analysis projects across our enterprise.Job Summary:The Senior Data Analyst/Architect will provide insight to...

  • Senior IT Systems Analyst

    4 weeks ago

    Raleigh, North Carolina, United States Cynet Systems Full time

    Job Description:The Cynet Systems team is seeking a skilled Senior IT Systems Analyst to drive technical excellence in our Managed Care Transformation initiative. As a key member of our team, you will collaborate with vendors, division staff, and stakeholders to deliver high-quality solutions that meet Federal and State Medicaid requirements.This role...

  • Senior Data Analyst/Architect

    4 weeks ago

    Raleigh, North Carolina, United States Focused HR Solutions Full time

    Job Title: Senior Data Analyst/ArchitectWe are seeking a highly skilled Senior Data Analyst/Architect to join our team at Focused HR Solutions. As a key member of our data analytics team, you will be responsible for providing analysis and leadership on data analysis projects across our enterprise.Key Responsibilities:Provide analysis and leadership on data...

  • Data Business Analyst

    3 weeks ago

    Raleigh, North Carolina, United States Cynet Systems Full time

    Job Description:Cynet Systems is seeking a highly skilled Senior Data Analyst/Architect to lead data analysis projects across our enterprise. The ideal candidate will provide analysis and leadership on data analysis projects, ensuring alignment with our business and technical requirements.The Senior Data Analyst/Architect will work closely with data...

  • Data Business Analyst

    2 weeks ago

    Raleigh, North Carolina, United States Cynet Systems Full time

    Job Description:Cynet Systems is seeking a highly skilled Senior Data Analyst/Architect to lead data analysis projects across our enterprise. The ideal candidate will provide analysis and leadership on data analysis projects, ensuring alignment with our business and technical requirements.The Senior Data Analyst/Architect will work closely with data...

  • Senior Data Analyst

    19 hours ago

    Raleigh, North Carolina, United States Ally Full time

    About the RoleWe are seeking a highly skilled Senior Analyst to join our Data Solutions Support team. As a key member of our team, you will be responsible for leveraging Snowflake, AWS, and Cloudera Hadoop systems to build best-in-class Data Management and Analytical pipelines for Ally's Auto Asset Management team.Key ResponsibilitiesPlay a Data Product...

  • Senior Pharmacy Business Analyst Specialist

    4 weeks ago

    Raleigh, North Carolina, United States Crescens Full time

    Job Title: Senior Pharmacy Business Analyst SpecialistCrescens is seeking a highly skilled Senior Pharmacy Business Analyst Specialist to join our team. As a key member of our team, you will be responsible for implementing and supporting the Medicaid Enterprise System (MES) Pharmacy Benefits Management (PBM) module.About the Role:The PBM Business Analyst...

  • Senior Pharmacy Business Analyst Specialist

    3 weeks ago

    Raleigh, North Carolina, United States Crescens Full time

    Job Title: Senior Pharmacy Business Analyst SpecialistCrescens is seeking a highly skilled Senior Pharmacy Business Analyst Specialist to join our team. As a key member of our team, you will be responsible for implementing and supporting the Medicaid Enterprise System (MES) Pharmacy Benefits Management (PBM) module.About the Role:The PBM Business Analyst...

  • IT Systems Analyst

    4 weeks ago

    Raleigh, North Carolina, United States InterSources Full time

    About the RoleWe are seeking a highly skilled IT Systems Analyst to join our team at InterSources Inc. As a key member of our team, you will be responsible for designing and developing technical solutions to meet the complex healthcare data needs of our clients.Key ResponsibilitiesCollaborate with vendors, division staff, and stakeholders to understand...

  • Senior Data Analyst

    4 weeks ago

    Raleigh, North Carolina, United States HonorVet Technologies Full time

    About the RoleHonorVet Technologies is seeking a highly skilled Senior Data Analyst to join our team. As a Senior Data Analyst, you will be responsible for providing analysis and leadership on data analysis projects across the enterprise, focusing on School Business Data.Key ResponsibilitiesProvide analysis and leadership on data analysis projects across the...

  • Data Analyst

    2 weeks ago

    Raleigh, North Carolina, United States Infojini Consulting Full time

    Job Title: Senior SQL Snowflake Data Analyst/Data Visualization AnalystThe Senior SQL Snowflake Data Analyst/Data Visualization Analyst will provide analysis and leadership on data analysis projects across the DPI enterprise focusing on School Business Data.Key Responsibilities:Provide analysis and leadership on data analysis projects across the DPI...