Talent.com
Senior Data Analyst, HEDIS - Denver Health Medical Plan (Must Be A Colorado Resident)
Senior Data Analyst, HEDIS - Denver Health Medical Plan (Must Be A Colorado Resident)Denver Health • Denver, CO, United States
Senior Data Analyst, HEDIS - Denver Health Medical Plan (Must Be A Colorado Resident)

Senior Data Analyst, HEDIS - Denver Health Medical Plan (Must Be A Colorado Resident)

Denver Health • Denver, CO, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

We are recruiting for a motivated Senior Data Analyst, HEDIS - Denver Health Medical Plan (Must Be A Colorado Resident) to join our team!

We are here for life's journey.

Where is your life journey taking you?

Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all :

Humanity in action, Triumph in hardship, Transformation in health.

Department

Managed Care Administration

  • Must Be A Colorado Resident

Job Summary

The Senior HEDIS Data Analyst is responsible for the comprehensive analysis, validation, and reporting of Healthcare Effectiveness Data and Information Set (HEDIS) measures for Denver Health Medical Plan. This position plays a key role in driving performance improvement through rigorous data analytics, identification of trends and opportunities, and the development of actionable insights. The Senior Analyst collaborates with clinical, operational, and technical teams as well as vendors and auditors to ensure accurate and timely reporting, regulatory compliance, and strategic execution of HEDIS initiatives across all product lines.

Essential Functions :

  • Lead end-to-end HEDIS project data support, including data extraction, transformation, validation, and submission in accordance with NCQA technical specifications and regulatory timelines. (0%)
  • Analyze HEDIS measure performance across Medicare, Medicaid, Exchange and Commercial lines of business; identify performance trends and root causes of underperformance. (0%)
  • Present findings and recommended actions to leadership and stakeholder teams (10%)
  • Partner with internal stakeholders, such as Quality Improvement, Population Health, Clinical Operations, HEDIS Team and IT, to support interventions aimed at improving HEDIS outcomes and identifying additional sources to obtain data. (10%)
  • Design and develop dashboards and reports that provide actionable insights to both technical and non-technical audiences. (10%)
  • Develop methods and workflows to improve data mapping and accuracy, generation of performance reports, identification of gaps in care, and methods to identify new data sources, including processes to assist in the transition to FHIR (Fast Healthcare Interoperability Resources) standards. (10%)
  • Serve as primary data liaison external vendors and auditors to ensure completeness and accuracy of medical record review and supplemental data integration to support HSAG, HCPF, CMS, NCQA submissions. (10%)
  • Responsible for timely submission of the Annual NCQA HEDIS ROADMAP, HEDIS Audit, IDSS and related data submissions including the closure of Issue Log items and performing benchmarking of collected data. (10%)
  • Serves as subject matter expert on HEDIS data methodologies, including Hybrid, Administrative and Electronic Clinical Data Systems (ECDS) collection methods. (10%)
  • Work with Denver Health and Hospital Authority to optimize data in structured data fields in Epic EHR to support ECDS (10%)
  • Validate source system data and perform quality assurance checks to ensure data integrity for HEDIS and other quality reporting programs. (10%)
  • Stay current on NCQA guidelines, CMS and state-specific requirements, and industry best practices. (5%)
  • Support the development of standardized analytics tools and processes. (5%)
  • Education :

  • Bachelor's Degree public health, Health Informatics, Statistics, Computer Science, or a related field required
  • Master's degree preferred
  • Work Experience :

  • 4-6 years experience in health care data analytics, with at least 3 years focused specifically on HEDIS or quality measurement reporting in a health plan or similar environment required
  • Licenses :

    Knowledge, Skills and Abilities :

  • Strong knowledge of NCQA HEDIS specifications, CMS Star Ratings, and regulatory reporting to State and Federal programs.
  • In-depth knowledge of HEDIS lifecycle, including NCQA IDSS tool usage.
  • Familiarity with data from clinical systems (e.g., EMR / EHR), claims, encounters, and supplemental data sources.
  • Excellent problem-solving, communication, multi-disciplinary collaboration and project management skills.
  • Proficiency in Microsoft Office (Excel, PowerPoint, Word).
  • Accuracy and attention to detail in data analysis and reporting.
  • Proven ability to meet deadlines and manage deliverables.
  • Ability to work independently and manage multiple competing priorities in a fast-paced environment.
  • Experience with HEDIS software tools (e.g., Inovalon QSI-XL, Cotiviti, OnPoint, or other vendors), preferred
  • Experience working with Medicaid, Exchange, Medicare Advantage, or Dual Eligible populations, preferred
  • Knowledge of risk adjustment, care gaps, or other quality-related initiatives such as CAHPS or Health Outcomes Survey (HOS), preferred
  • Advanced proficiency with SQL (Oracle, SQL Server, or similar), with experience writing complex queries and optimizing data pipelines, preferred
  • Experience using reporting and data visualization tools (e.g., Tableau, Power BI, SAS, R, Python), preferred
  • CPHQ (Certified Professional in Healthcare Quality) certification, preferred
  • This is a hybrid role, with a requirement of being in the office 1-2 days per week.
  • Shift

    Days (United States of America)

    Work Type

    Regular

    Salary

    $84,000.00 - $130,200.00 / yr

    Benefits

    Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

    Free RTD EcoPass (public transportation)

    On-site employee fitness center and wellness classes

    Childcare discount programs & exclusive perks on large brands, travel, and more

    Tuition reimbursement & assistance

    Education & development opportunities including career pathways and coaching

    Professional clinical advancement program & shared governance

    Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

    National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

    Our Values

    Respect

    Belonging

    Accountability

    Transparency

    All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

    Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

    As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

    Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

    Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.

    Applicants will be considered until the position is filled.

    serp_jobs.job_alerts.create_a_job

    Senior Data Analyst • Denver, CO, United States

    Job_description.internal_linking.related_jobs
    Contract Analyst

    Contract Analyst

    Amyx • Aurora, CO, US
    serp_jobs.job_card.full_time
    Amyx is seeking to hire a Contract Analyst to support our Defense Health Agency (DHA) team in Aurora, CO.The Defense Health Agency (DHA) is responsible for the effective execution and operation of ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Data Analyst

    Data Analyst

    TrueVantage Solutions • Denver, CO, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    We’re seeking a sharp and detail-oriented Data Analyst to turn data into information, information into insight, and insight into business decisions. You’ll work closely with cross-functi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Housing Analyst - City of Springfield

    Housing Analyst - City of Springfield

    IAP2 USA • Brighton, CO, US
    serp_jobs.job_card.full_time
    Housing Analyst position working closely with the Community Development Analyst to identify housing needs and opportunities, conduct research, and outreach to local agencies and the general public....serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Contract Data Analyst

    Contract Data Analyst

    JST • Aurora, CO, US
    serp_jobs.job_card.full_time
    JST is currently seeking a Contract (Data) Analyst (HCA function) to join our team.This is a full-time Onsite position with potential hybrid / remote work at Defense Health Agency (DHA) in Aurora, CO...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Senior Analyst | Site Lead

    Senior Analyst | Site Lead

    Grey Matters Defense Solutions • 80011, CO, US
    serp_jobs.job_card.full_time
    Grey Matters Defense Solutions stands at the forefront of developing advanced software solutions tailored to support the mission of the U. With a commitment to excellence, we foster a culture ground...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Regional Director Clinical Operations needed for Physical Therapy group in the outskirts of Denver (

    Regional Director Clinical Operations needed for Physical Therapy group in the outskirts of Denver (

    HealthPlus Staffing • Broomfield, CO, US
    serp_jobs.job_card.full_time
    Hours : 24-32 hours / week administrative and 8-16hours of patient care.Duties : Day to day oversight / management of Clinical Operations. Overall responsibility of company growth and profitability.Job ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Area Health Information Specialist I

    Area Health Information Specialist I

    Datavant • Denver, CO, US
    serp_jobs.job_card.full_time
    Datavant is a data platform company and the world's leader in health data exchange.Our vision is that every healthcare decision is powered by the right data, at the right time, in the right for...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Sr Clinical Data Engineer

    Sr Clinical Data Engineer

    Medtronic • Lafayette, CO, US
    serp_jobs.job_card.full_time
    We anticipate the application window for this opening will close on - 10 Oct 2025.At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare acce...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Senior Analyst, Development Operations

    Senior Analyst, Development Operations

    AES • Boulder, CO, US
    serp_jobs.job_card.full_time
    Are you ready to be part of a company that's not just talking about the future, but actively shaping it? Join The AES Corporation (NYSE : AES), a Fortune 500 company that's leading the charge in the...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Master Data Specialist

    Master Data Specialist

    REP Fitness • Westminster, CO, US
    serp_jobs.job_card.full_time
    Job Title : Master Data Specialist.REP designs world-class, innovative gym equipment and is expanding into apparel, supplements, athletes, and events. We are a fast-growing company with a strong emph...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Product Analyst

    Product Analyst

    LightPath • Golden, CO, United States
    serp_jobs.job_card.full_time
    Lightpath is one of the largest competitive local exchange carriers in the tri-state area.With a strong portfolio of cutting edge solutions for Internet, WAN, Voice, SD-WAN, Security & Cloud servic...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Sr Analyst, Technical

    Sr Analyst, Technical

    Tech Cratic • Aurora, CO, US
    serp_jobs.job_card.full_time
    Experience with NoSQL databases (e.serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Data Analyst and Report Developer

    Data Analyst and Report Developer

    LONG Building Technologies • Littleton, CO, US
    serp_jobs.job_card.full_time
    The D365 CE / F&O Report Developer is responsible for creating, enhancing, and supporting business intelligence and operational reports across Microsoft Dynamics 365 Finance and Operations (D365 ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    SENIOR HEALTH ECONOMICS ANALYST

    SENIOR HEALTH ECONOMICS ANALYST

    IVI America • Littleton, CO, US
    serp_jobs.job_card.full_time
    Senior Health Economics Analyst.Director, Performance Reliability.The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and analytical support to se...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Data Analyst

    Data Analyst

    Second Chance Center Inc • 80011, CO, US
    serp_jobs.job_card.full_time
    This is an on-site position in Colorado.Reports to : Director of Finance.Effective Date : January 1, 2024.The Data Analyst will interpret data, analyze results using statistical techniques, and provi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Senior Data Science Specialist

    Senior Data Science Specialist

    Sloboda studio • Aurora, CO, US
    serp_jobs.job_card.part_time
    We are looking for a Senior Data Science Specialist to join an international team on a long-term project.The role is remote and requires strong expertise in Python and AI development.Language : Uppe...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Senior Contract Data Analyst

    Senior Contract Data Analyst

    JST • Aurora, CO, USA
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    JST is currently seeking a Senior Contract (Data) Analyst (HCA function) to join our team.This is a full-time Onsite position with potential hybrid / remote work at Defense Health Agency (DHA) in Aur...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Senior Contract Analyst

    Senior Contract Analyst

    Amyx • Aurora, CO, US
    serp_jobs.job_card.full_time
    Amyx is seeking to hire a Senior Contract Analyst to support our Defense Health Agency (DHA) Team in Aurora, CO.The Defense Health Agency (DHA) is responsible for the effective execution and operat...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Senior SQL Developer

    Senior SQL Developer

    22nd Century Technologies Inc. • Brighton, CO, US
    serp_jobs.job_card.full_time
    Century Technologies is a Government Software integrator working with DoD and civilian space, and is a fast-growing company in the DoD sector with clients like US Air Force, US Navy, and Army.Centu...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Sr. Sales Analyst

    Sr. Sales Analyst

    Medtronic Plc • Lafayette, CO, US
    serp_jobs.job_card.full_time
    Sales Analyst for Medtronic, Inc.Responsible for incorporating contract management system into capital program across Surgical Innovation and Cardiovascular business unit to streamline operations a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted