Derex Technologies Inc
51 - 200 employees
Founded 1996
🏢 Enterprise
☁️ SaaS
Enterprise • SaaS
Derex Technologies Inc. is a global IT services company headquartered in New Jersey, operating since 1996. The company offers a wide range of services including application development, enterprise resource planning (ERP), SAP services, and enterprise content management solutions. Derex specializes in transitioning IT infrastructure from managed services to shared services, data center transformation, and enterprise IT application support. They also provide staff augmentation services. With a strong presence in North America, Canada, Singapore, and India, Derex leverages its extensive industry expertise to help organizations meet their business objectives and solve real-world challenges.
HEDIS Data Analyst
Job not on LinkedIn
🔥 13 hours ago
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Derex Technologies Inc
51 - 200 employees
Founded 1996
🏢 Enterprise
☁️ SaaS
Enterprise • SaaS
Derex Technologies Inc. is a global IT services company headquartered in New Jersey, operating since 1996. The company offers a wide range of services including application development, enterprise resource planning (ERP), SAP services, and enterprise content management solutions. Derex specializes in transitioning IT infrastructure from managed services to shared services, data center transformation, and enterprise IT application support. They also provide staff augmentation services. With a strong presence in North America, Canada, Singapore, and India, Derex leverages its extensive industry expertise to help organizations meet their business objectives and solve real-world challenges.
📋 Description
• Develop/validate HEDIS measures per NCQA specs, analyze claims/eligibility/EHR/pharmacy/lab data, support annual submissions, audits, and dashboards. • Build/optimize SQL queries, ETL pipelines, and data transformations; improve data quality; document lineage and mappings. • Manage provider lists, validate chart abstraction, support outreach for care gaps. • Work with Quality, Clinical, Provider Relations, and Compliance teams; provide guidance on anomalies; present insights to leadership. • Assist with NCQA audit prep, ensure regulatory adherence, maintain audit trails and reporting artifacts.
🎯 Requirements
• Advanced SQL (required) • Experience with healthcare payer datasets (claims, eligibility, provider, EMR, pharmacy, lab) • Knowledge of coding standards (ICD‑10, CPT, HCPCS, LOINC, NDC) • Deep understanding of NCQA HEDIS specs • Experience with hybrid & administrative measures • Familiarity with audit processes, care gap workflows, and CMS Star Ratings
🏖️ Benefits
• All your information will be kept confidential according to EEO guidelines.
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