More jobs:
HEDIS Analyst/Consultant
Job in
Oklahoma City, Oklahoma County, Oklahoma, 73116, USA
Listed on 2026-10-09
Listing for:
E-Solutions, Inc.
Full Time
position Listed on 2026-10-09
Job specializations:
-
IT/Tech
Data Analyst, Data Warehousing, Data Engineering
Job Description & How to Apply Below
Hi Professionals,
Title:
HEDIS Analyst/Consultant
Locattion:
Remote
JD:
Must-Have:- US Healthcare Payer
- Actuarial
- Underwriting
- HEDIS / Quality
- Claims & Enrollment Data
- PMPM / MLR / IBNR / Risk Adjustment
- SQL & Data Profiling
- Data Lineage / Data Mapping
- Business Rule Discovery
- Reverse Engineering
- Healthcare Analytics / Data Modernization
- Snowflake (Preferred)
- Strong US Healthcare Payer domain expertise
- Experience with Actuarial, Underwriting & HEDIS/Quality
- Knowledge of payer metrics: PMPM, MLR, IBNR, Risk Adjustment, Cost & Utilization
- Hands-on experience with Claims, Membership, Provider, Premium & Clinical data
- Strong SQL, Data Analysis & Data Profiling skills
- Ability to reverse engineer business rules, data flows, lineage & mappings
- Bridge communication between business SMEs and technical teams
- Healthcare analytics, transformation, or data modernization experience preferred
- Exposure to Snowflake, Semantic Modeling, Metadata Management, AI-enabled Analytics is a plus
HEDIS Analyst/Consultant1
HEDIS Analyst/Consultant,US Healthcare Payer Actuarial Underwriting HEDIS / Quality Claims & Enrollment Data PMPM / MLR / IBNR / Risk Adjustment SQL & Data Profiling Data Lineage / Data Mapping Business Rule Discovery Reverse Engineering Healthcare Analytics / Data ModernizaN/AC2CUnited States
To View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
Search for further Jobs Here:
×