Healthcare Data Analyst IV, Clinical Analytics

Role Overview

• Responsible for analytic data needs of the business unit
• Handle complex data projects and acts as a lead for other Data Analysts
• Provide advanced analytical support for business operations in areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting
• Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources
• Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management
• Develop reports and deliverables and make recommendations to management
• Model data using MS Excel, Access, SQL, and/or other data warehouse analytical tools
• Assist management in driving business decisions based on data
• Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis
• Assist with training and mentoring other Data Analysts
• Assist with determining workload and related activities for other Data Analysts

Requirements

• Bachelor’s degree in related field or equivalent experience
• 6+ years of statistical analysis or data analysis experience
• Healthcare experience preferred
• Experience managing projects or heavy involvement in project implementation
• Experience in UM or prior authorization analytics highly preferred

Tech Stack

• SQL

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules