RIT Solutions, Inc. is a healthcare organization focused on improving patient outcomes. The Senior Healthcare Data Analyst will manage the full analytics lifecycle, providing insights to clinical and operational teams while ensuring compliance with regulations.
Responsibilities:
- Supports the Informatics department and develops business processes and systems to ensure integrity of the member data, establishing and maintaining data infrastructure systems of the organization
- Works with clinical and operations teams to identify clinical health status, and economic outcome metrics for measurement and reporting
- Works with the Medical Management and Informatics staff in designing, building, conducting and analyzing clinical and financial outcomes studies
- Works across departmental areas to create formal specifications for both internal and external reports in compliance with state and federal regulations for data exchanges/file feeds
- Conducts health data economic analysis for Operational team, Medical Management, Finance, and Contracting/Network Development Departments. Analyzes provider financial and clinical data to develop and produce physician performance reports
- Prepares state-required and/or departmental reports related to health care quality improvement initiatives including HEDIS and disease management programs
- Manages multiple data related projects to completion across multiple departments
- Works with the Information Systems department to further develop data access tools and analyze the functionality of external products
- Manages databases and data warehouse, develops and supports new business applications, and implements a technical quality assurance process that ensures that all software development is properly specified, documented, tested, implemented, and feedback received for improvements
Requirements:
- Bachelor's Degree in Computer Systems Analysis, Data Processing, Healthcare Informatics, Management Information Systems or closely related discipline required
- Formal informatics training preferred (SQL, SAS)
- 5+ years experience with health care quantitative analysis and the application of advanced statistical techniques experience
- 5+ years of Data Analytics Experience in a healthcare setting
- The ideal candidate would come from CareFirst or a similar health plan as a data analyst