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Senior HEDIS Technical Analyst @Martin's Point Health Care

[Hiring] Senior HEDIS Technical Analyst @Martin's Point Health Care

Mar 27, 2025 - Martin's Point Health Care is hiring a remote Senior HEDIS Technical Analyst. 💸 Salary: unspecified. 📍Location: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Senior HEDIS Technical Analyst serves as a critical bridge between HEDIS technical specifications, data infrastructure, and business stakeholders. This role is responsible for translating complex HEDIS measure requirements into actionable data strategies, writing T-SQL queries to ensure accurate and efficient data extraction and transformations, and reporting.

  • Collaborates with data engineers, architects, analysts, and quality teams to optimize data builds, validate measure calculations, and support regulatory compliance.
  • Interprets NCQA technical specifications and troubleshoots data discrepancies.
  • Enhances automation processes and provides technical guidance on HEDIS-related data workflows.
  • Drives data integrity and operational excellence in HEDIS reporting, supporting quality improvement initiatives and value-based care success.

Qualifications

  • Bachelor’s degree in health sciences; Master’s degree preferred.
  • 5+ years of experience in the health care industry, in HEDIS and/or quality improvement.
  • Experience in managed care health services environment.
  • Experience programming HEDIS or HEDIS-like measures.
  • NCQA and HEDIS Experience.

Requirements

  • Certified Professional in Healthcare Quality, preferred.
  • Demonstrated knowledge of data collection, transformation, and quality assurance.
  • Ability to extract, cleanse, integrate medical and pharmacy claims and membership data from various platforms and sources.
  • Excellent communication, organization, and writing skills.
  • Ability to effectively prioritize work, multi-task, and achieve goals on time; work independently and self-motivate.
  • Excellent critical thinking skills and keen attention to detail.
  • Ability to work effectively and collaboratively with internal and external stakeholders.
  • Strong knowledge of medical terminology and clinical knowledge.
  • Proficient use of MS Office with a focus on Excel and report writing software.
  • Proficiency in use of electronic medical records and computer applications.
  • Ability to use data to make decisions.

Company Description

Martin’s Point Health Care is a progressive, not-for-profit organization providing care and coverage to the people of Maine and beyond. The organization operates six primary care health care centers in Maine and New Hampshire, accepting most major insurance plans.

  • Administers two health plans: Generations Advantage (Medicare Advantage plans available throughout Maine and New Hampshire).
  • Offers the US Family Health Plan (TRICARE Prime® plan for active-duty and retired military families in northern New England, upstate New York, and western Pennsylvania).

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📍 Be aware of the location restriction for this remote position: USA
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Senior HEDIS Technical Analyst @Martin's Point Health Care
Data Analysis
Salary 💸 unspecified
Remote Location
USA
Job Type full-time
Posted Mar 27, 2025
Apply for this position Unlock 54,876 Remote Jobs
📍 Be aware of the location restriction for this remote position: USA
Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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