Healthcare Data Analyst Jobs

FAIR Health, Inc., an independent nonprofit organization, was established in October 2009 with the mission to help assure fairness and transparency in health insurance information. FAIR Health has created a database of over 36 billion de-identified private healthcare claim records?the largest in the country?which receives claims monthly and which serves as the foundation for a variety of data products, custom analytics and consumer tools. FAIR Health has also been certified by CMS as a ?Qualified Entity? and thus holds the entire collection of Medicare Parts A, B and D claims from 2013 to the present, which get routinely refreshed.

Our standard data modules, custom analytics and technological tools serve all participants in the healthcare sector nationwide; they are licensed to payors, third-party administrators, bill review companies, self-insured employers, government agencies, academic researchers and consultants. Our medical and dental data are used to inform statutes and regulations, healthcare cost indices, fee schedules, benefit and provider network design, practice/facility expansion, health systems research and dispute resolution, among other uses. We also offer a suite of consumer-oriented tools and resources available on our consumer website (fairhealthconsumer.org), as well as a mobile application, which can be licensed by other organizations.

Summary of Position

The Healthcare Data Analyst will be responsible for a variety of data analysis, evaluation and reporting solutions. This individual will support the innovation, enhancement and development of analyses of underlying claims data and product methodologies. This includes the design and development of related solutions to accomplish these tasks.

The role will also translate internal business needs into data driven deliverables and products with responsibility for the creation of SQL queries and SAS programs necessary to meet those needs. Working with other analysts and business representatives, this individual will also be able to report and present results and findings to various levels of the organization.

The successful candidate will have an understanding of healthcare claims data and a working knowledge of healthcare coding concepts (ICD, HCPCS, CPT, etc.). This individual should also have a strong analytic and statistical background and be able to extract information from the database and create usable and actionable information. This person will also have a broad knowledge of medical and dental data, healthcare fee schedules and data products, as well as an ability to apply that knowledge to data solutions.

Primary Responsibilities

• Work with database technologies, such as Oracle and statistical analytical toolsets, such as SAS to evaluate datasets and produce analytic result sets, including graphical representations of the data.
• Evaluate and establish validity of FAIR Health data product information to ensure accuracy and completeness of all reporting results.
• Investigate and resolve issues independently related to FAIR Health data products.
• Observe information security policies and HIPAA guidelines of conduct to ensure the privacy and security of nonpublic information.
• Understand and work with all aspects of healthcare claims data to identify trends and other salient information.
• Work with SQL to query, merge and analyze large datasets.
• Work on FAIR Health data products and create reports and analytics that reflect actionable, value-infused information.
• Evaluate analyses to derive informative and well-organized results that can be documented and presented to stakeholders in the form of tables, charts and graphs.
• Utilize healthcare data knowledge to help to craft data analyses to support client analyses and internal products.