Healthcare Data Standards Analyst Jobs

5+ years experience in Healthcare/business knowledge in member, eligibility, TPL, claims processing, provider, pharmacy claims

Experience in gathering business requirements.

Good/Excellent SQL skills (5+ years)

Work remotely within the United States.

Creates accurate mapping documents according to the mapping process.

Presents analysis and design recommendations to lead MITA teams, customer and/or vendors into the acceptance of the design.

Bachelors or higher in an Informatics or Quantitative field (e.g., Mathematics, Statistics, Economics, Engineering, Computer Science, Information Management)

Report to management team on key KPIs

2+ year of experience in business intelligence, data analysis or research studies. (in a healthcare environment preferred)

Expert level experience with Business Intelligence tools (Quicksight, Sisense)

Strong analytic, critical thinking, and decision-making skills used to identify and solve issues independently

Excellent verbal and written communication skills needed to communicate findings to stakeholders

2 to 5 Years of Experience and knowledge of healthcare data and analytics

Proficiency with basic statistics and management reporting

Knowledge of, and experience with, healthcare claims data and their nomenclatures

Experience with Microsoft Visual Studio

Strong experience with database tools and technologies

Strong SQL, Azure Databricks, Visual Studio experience

Strong time management and organizational skills

5 years of experience in federal contracting, preferably the Department of Health and Human Services

Effective verbal and written communication skills

Experience with multiple data analysis tools

Excellent analytical and technical skills

Exceptional communication, interpersonal, and collaboration skills

Escalates concerns to project management, such as delays or risks of delays as early as possible.

3-5 years Microsoft SQL experience specifically using SQL to build queries, reports and analyze healthcare data. SQL certification preferred

4 years data analysis and business knowledge within a healthcare environment and testing arena

3+ years’ experience with the Microsoft Reporting Tool SSRS

2+ years’ experience with state Medicaid agencies and/or vendors focusing on analysis or provider, member and claims data.

Healthcare experience with Pharmacy - Clinical experience - The role is for an SPBM Program.

Work Experience Required: 2 years experience using Data Analytics tools

Work Experience Preferred: 2 years experience using Data Analytics tools in a clinical setting

Researches, designs, develops, implements, and maintains reporting and analytical facilities in the context of the hospital's clinical and/or financial systems.

Collaborates with clinical and administrative staff to ensure that reports are timely, accurate, meaningful, and interpretable.

Generates reports from a variety of internal and external sources including benchmarking databases e.g. PHIS, PACT, specialty specific registries.

Performs standardized data validation activities to ensure the highest quality information for decision-making.

3. Experience with data collection, data management, and analysis. Experience summarizing trends in written and presentation form.

1. Demonstrated project management skills.

2. 1-3 years related work experience required.

3. Gathers and compiles documentation of metrics and data sources, routine, ad hoc reporting to facilitate replication.

4. Collaborates with Information Systems to obtain and maintain sources and mapping tables.

5. Ensures data integrity and data quality, regularly reviews data for accuracy, identifies trends, and communicates changes.

Experience with Metadata management processes and tools (Glossary, Lineage, Mapping, etc.).

Require excellent organizational and time management skills.

Facilitate review sessions with management, business users and other team members.

Knowledge and experience with Data Governance processes, policies and standards.

Master Data Management processes and platforms such as Initiate, Informatica MDM, IBM MDM, etc.

Directly interacts with more senior level internal and external stakeholders (i.e. Managers, Directors, etc.).

Manage customer /member needs utilizing outstanding customer service skills and program knowledge, striving for optimum customer satisfaction.

Proactively identify issues and opportunities to enhance data management and reporting.

Gather and analyze healthcare and other related data in support of information requests, business cases, and proposed projects.

Identify, analyze, and interpret trends or patterns in complex datasets.

Design, construct, test, and maintain data warehouse and related functionality.

Serve as a member of expert resource team for visual analytics platform.

Utilize healthcare data knowledge to help to craft data analyses to support client analyses and internal products.

Work with SQL to query, merge and analyze large datasets.

Understand and work with all aspects of healthcare claims data to identify trends and other salient information.

Work on FAIR Health data products and create reports and analytics that reflect actionable, value-infused information.

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.

Develop data reports, statistical models, and analytics for management using visualization and statistics to understand and solve complex business problems.

Strong knowledge and experience with reporting packages, databases, and programming.

Advanced knowledge of statistics and mathematical methods and experience using statistical packages for analyzing datasets.

Working knowledge of medical terminology, medical coding and billing, claims processing procedures and considerations, and clinical data and data requirements.

Knowledge of data requirements associated with PPI.

Peer review work done by other analysts. Share knowledge of analytics and data in area of specialty.

Develop data reports, statistical models, and analytics for management using visualization and statistics to understand and solve complex business problems.

Strong knowledge and experience with reporting packages, databases, and programming.

Advanced knowledge of statistics and mathematical methods and experience using statistical packages for analyzing datasets.

Working knowledge of medical terminology, medical coding and billing, claims processing procedures and considerations, and clinical data and data requirements.

Knowledge of data requirements associated with PPI.

Peer review work done by other analysts. Share knowledge of analytics and data in area of specialty.

Strong communication skills, experience interfacing with technical and nontechnical stakeholders

Strong data skills with SQL, ability to profile data and perform other data discoveryactivities

Experience building cloud based solutions

Experience using Big Data tools like Spark, Hive, Hadoop or similar

Strong ability to write scripts using Python

Familiarity working with the healthcare domain

Experience in Workforce Management/Business Planning is a plus.

Bachelor’s degree in mathematics, economics, computer science, management information systems, or related field, or equivalent experience.

Remote Login: Work from the comfort of your home.

3-5 years of data analyst or related experience, including proficiency with analytical software.

Advanced Excel skills, including pivot tables, data connections, VBA, etc.

Handle production reporting for 1200 team members and manage employee scorecards and incentives.

Work Experience Required: 2 years experience using Data Analytics tools

Work Experience Preferred: 2 years experience using Data Analytics tools in a clinical setting

Researches, designs, develops, implements, and maintains reporting and analytical facilities in the context of the hospital's clinical and/or financial systems.

Collaborates with clinical and administrative staff to ensure that reports are timely, accurate, meaningful, and interpretable.

Generates reports from a variety of internal and external sources including benchmarking databases e.g. PHIS, PACT, specialty specific registries.

Performs standardized data validation activities to ensure the highest quality information for decision-making.

Develops and conducts analysis and modeling to supports negotiation and management of alternative payment arrangements.

Works with internal and cross-departmental teams to develop actionable reporting for the management of total medical expense.

Significant Excel knowledge and experience working with large datasets, and advanced proficiency in SQL, SPSS, SAS or VBA.

Bachelor’s Degree in Business, Computer Science, Managed Care Health Care Administration or relevant discipline.

Five years related experience of health care data analysis.

Knowledge of healthcare terms and reimbursement methodologies is required.

Collaborate closely with a team of Product Managers, Data Operations, and Developers to ensure data is built and delivered with quality

4+ years of industry experience working with big healthcare datasets (prescription and medical claims)

Knowledge of industry-standard billing codes such as ICD, CPT/HCPCS, NDC

Understand how relational databases work, and experience designing transformations, mappings, and working with reference tables

Experience investigating data issues and working with a cross-functional team for addressing

Experience with visualization tools such as Tableau or Spotfire

Support development of analytics offerings through combining various sources of healthcare industry data (claims, sales/purchasing, etc.)

Bachelor's degree from an accredited college/university with a preference for majors in Economics, Econometrics, Statistics, Finance, or related field

1+ years of experience working with large panel data, with a focus in the MedTech or healthcare space a plus

Analytical mindset with technical skills to match

Strong verbal/written communication skills to non-technical audiences

Commuter benefits and corporate discounts

Other duties and responsibilities as assigned.

Strong analytical and problem-solving skills are required.

Data will be extracted from multiple legacy systems, stored in an enterprise data warehouse, and imported into the new platform.

The candidate must be familiar with SQL, and relational databases such as MySQL/Oracle/SQL Server, ETL pipelines, REST/SOAP APIs, and FTP.

This is the pay range that BAHAMA Consulting reasonably expects to pay someone for this position.