ValueMomentum
HEDIS Data Analyst
⭐ - Featured Role | Apply direct with Data Freelance Hub
This role is for a HEDIS Data Analyst in Newark, NJ, offering a hybrid contract of "X months" at a pay rate of "$X/hour." Key skills include advanced SQL, healthcare payer datasets, and NCQA HEDIS specs experience.
🌎 - Country
United States
💱 - Currency
$ USD
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💰 - Day rate
Unknown
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🗓️ - Date
July 9, 2026
🕒 - Duration
Unknown
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🏝️ - Location
Hybrid
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📄 - Contract
Unknown
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🔒 - Security
Unknown
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📍 - Location detailed
Newark, NJ
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🧠 - Skills detailed
#"ETL (Extract #Transform #Load)" #SQL Queries #Data Quality #Data Analysis #Datasets #Leadership #SQL (Structured Query Language) #Compliance #Data Transformations #Data Engineering #CMS (Content Management System)
Role description
Role: HEDIS Data Analyst
Location: Newark, NJ or nearby (remote, 2–4 days/month onsite)
Key Responsibilities:
· HEDIS Analytics → Develop/validate HEDIS measures per NCQA specs, analyze claims/eligibility/EHR/pharmacy/lab data, support annual submissions, audits, and dashboards.
· Data Engineering → Build/optimize SQL queries, ETL pipelines, and data transformations; improve data quality; document lineage and mappings.
· Chart Review → Manage provider lists, validate chart abstraction, support outreach for care gaps.
· Collaboration → Work with Quality, Clinical, Provider Relations, and Compliance teams; provide guidance on anomalies; present insights to leadership.
· Audit & Compliance → Assist with NCQA audit prep, ensure regulatory adherence, maintain audit trails and reporting artifacts.
Technical Skills:
· Advanced SQL (required)
· Experience with healthcare payer datasets (claims, eligibility, provider, EMR, pharmacy, lab)
· Knowledge of coding standards (ICD‑10, CPT, HCPCS, LOINC, NDC)
Domain Knowledge:
· Deep understanding of NCQA HEDIS specs
· Experience with hybrid & administrative measures
· Familiarity with audit processes, care gap workflows, and CMS Star Ratings
Role: HEDIS Data Analyst
Location: Newark, NJ or nearby (remote, 2–4 days/month onsite)
Key Responsibilities:
· HEDIS Analytics → Develop/validate HEDIS measures per NCQA specs, analyze claims/eligibility/EHR/pharmacy/lab data, support annual submissions, audits, and dashboards.
· Data Engineering → Build/optimize SQL queries, ETL pipelines, and data transformations; improve data quality; document lineage and mappings.
· Chart Review → Manage provider lists, validate chart abstraction, support outreach for care gaps.
· Collaboration → Work with Quality, Clinical, Provider Relations, and Compliance teams; provide guidance on anomalies; present insights to leadership.
· Audit & Compliance → Assist with NCQA audit prep, ensure regulatory adherence, maintain audit trails and reporting artifacts.
Technical Skills:
· Advanced SQL (required)
· Experience with healthcare payer datasets (claims, eligibility, provider, EMR, pharmacy, lab)
· Knowledge of coding standards (ICD‑10, CPT, HCPCS, LOINC, NDC)
Domain Knowledge:
· Deep understanding of NCQA HEDIS specs
· Experience with hybrid & administrative measures
· Familiarity with audit processes, care gap workflows, and CMS Star Ratings
