$90K - 120K a year
Serve as SME for clinical quality metrics, support data ingestion and integration for quality metrics, and assist with clinical data submissions to payers.
Experience with clinical data and quality measure calculations, QA testing, strong understanding of HEDIS measures, healthcare data standards knowledge, teamwork, and communication skills.
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 Desired Skills & Experience • 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 Posted By: Jannice Papo
This job posting was last updated on 10/13/2025