HEDIS Data Analyst | Architect - Healthcare Payer

Location: Remote within the United States; applicants must be U.S. Citizens. The role is associated with Chicago, Illinois, and is available as a W2 hourly contract only.

Salary: $60–70 per hour, based on relevant experience.

Company

hirify.global is a consulting organization helping healthcare clients improve operational, digital, and cultural transformation through strategy, expertise, and data-driven solutions.

What you will do

• Support HEDIS measurement, reporting, validation, annual submissions, audits, and documentation reviews.
• Analyze claims, encounters, eligibility, provider, pharmacy, and supplemental clinical data for HEDIS and CMS reporting.
• Translate business requirements into source-to-target mappings, business rules, process flows, functional specifications, and reporting solutions.
• Contribute to solution architecture, data flow design, integration approaches, reporting architecture, data governance, and scalable data models.
• Perform data quality reviews, reconciliations, root cause analysis, UAT support, defect resolution, and deployment validation.
• Collaborate with quality, population health, provider engagement, care management, technical, and client stakeholder teams to improve payer reporting and modernization initiatives.

Requirements

• Bachelor’s degree in healthcare administration, information systems, business, data analytics, public health, or a related field; equivalent relevant experience may be considered.
• 4–6+ years of healthcare payer, health plan, or managed care experience, including Health Plan, Medicare Advantage, Medicaid, or Commercial payer environments.
• Hands-on HEDIS knowledge and experience with CMS regulations, CMS STAR Ratings, quality programs, and regulatory reporting.
• Experience with healthcare data architecture concepts, source-to-target mapping, data lineage, integration design, reporting architecture, and scalable data models.
• Advanced SQL skills for healthcare data analysis and validation, plus experience with data quality reviews, reconciliations, and root cause analysis.
• U.S. citizenship is required. H-1B, C2C, and 1099 candidates cannot be considered.

Culture & Benefits

• Collaborative consulting environment focused on learning, coaching, diversity, inclusion, and innovation.
• Medical, dental, and vision coverage for employees and dependents, subject to eligibility requirements.
• 401(k) plan with employer match and employee stock purchase plan.
• Paid time off, paid parental leave, adoption assistance, wellness programs, health screenings, coaching, and on-site workshops.