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H
HEDIS Data Quality Integrity Analyst
Horizon Connect @ Wall BCBSNJ. Serve as technical lead for designing and carrying out HEDIS data quality analytics .
Posted 10/13/2026full-timeRemote • United StatesMid-LevelSenior💰 $109,600 - $149,625 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in HEDIS data quality analytics, including the design and implementation of data quality processes, and the ability to analyze large healthcare datasets to improve clinical quality and cost efficiency. Proficient in SAS, SQL, and Python for data manipulation and reporting, with strong organizational skills to manage multiple projects and vendor relationships.
Highest-signal resume keywords
HEDIS Data Quality AnalyticsSAS ProgrammingSQL ProficiencyHealthcare Data AnalysisData Visualization with Tableau
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalyticsHEDISSASSQLPythonData ManipulationHealthcare DatasetsStatistical AnalysisData Quality AssuranceBusiness Requirements Gathering
Soft Skills
Organizational SkillsAttention to DetailTeam CollaborationIndependent WorkTime Management
Tools & Technologies
TableauMS Excel
Industry Keywords
US Healthcare IndustryHealth Plan BusinessClaims DataClinical DataCoding Practices
Tech Stack
Tools & technologiesPythonSQLTableau
About the role
Key responsibilities & impact- Serve as technical lead for designing and carrying out HEDIS data quality analytics
- Design and implement a structured approach to data quality for accurate HEDIS member health-status data
- Lead quality performance analytics, development, and reporting
- Collect business requirements according to State, CMS, and NCQA specifications
- Translate business requirements into analytics designs and define data and analytics specifications
- Manipulate and analyze large healthcare datasets from various data sources
- Interpret findings to identify opportunities and solutions that improve clinical quality, cost efficiency, and healthcare affordability
- Lead projects designed to improve HEDIS, Stars, accreditation, and State performance
- Own vendor relationships for vendors supporting quality performance
- Build quality assurance criteria and processes to ensure regulatory reporting data is complete and accurate
- Act as analytic liaison for complex clinical analytics projects involving multiple data resources and teams
- Create integrated analytic datasets and summarize findings for business opportunities and questions
- Provide insight and guidance on analytic findings, including root causes and contributing factors
- Socialize analytics designs, results, and interpretations across analytical and business units
- Document methods, specifications, findings, SAS coding comments, and analytic plans/timelines
- Present analytics findings to internal leadership teams
- Provide technical training to junior analysts in analytics design, data, programming, QA, statistics, and documentation
Requirements
What you’ll need- High School Diploma/GED required
- Bachelor degree in Math, Statistics, Data Science, or Public Health preferred or relevant experience in lieu of degree
- Minimum of 5 years of experience in data analytics, HEDIS, SAS or related field
- Minimum of 5 years of experience performing analysis on healthcare data, HEDIS data or relational health care databases, with significant experience analyzing medical, pharmacy and behavioral data
- Extensive knowledge of US healthcare industry, health plan business, claims data, clinical data, and coding practices
- Knowledge and working experience of visualization and BI tools (e.g., Tableau) preferred
- Strongly preferred SAS, SQL and Python experience
- Proficiency with MS Excel for data analysis and reporting
- Solid organizational skills and attention to detail
- Ability to work in a fast-paced, team-oriented environment and manage competing priorities
- Highly motivated and able to work independently
Benefits
Comp & perks- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement