Healthcare Data Standards Analyst Jobs

Work with various stakeholders and customers to identify reporting and data requirements for the assigned customer;

Develop strong working partnership with client service managers and collaborate with them to satisfy customer reporting needs;

Minimum of 3 years related experience for Data Analyst and 5 years related experience for Sr. Data Analyst;

Full Benefits; Medical, Vision, Dental, and more!

20+ Years of Proven Industry Experience in 4 major markets

Dedicated Engagement Manager who is committed to you and your success

Mandatory Skills and Experience: Healthcare, SQL, Tableau

·Proven experience as a Data Analyst, with a track record of delivering impactful insights and reports.

·Strong knowledge of data visualization tools (e.g., Tableau, Power BI, or similar) to create meaningful visualizations.

·Experience with data modeling, data warehousing, and ETL processes.

·Excellent problem-solving skills and the ability to handle and analyze large datasets.

·Strong communication skills with the ability to present complex findings in a clear and concise manner.

Work with various stakeholders and customers to identify reporting and data requirements for the assigned customer;

Develop strong working partnership with client service managers and collaborate with them to satisfy customer reporting needs;

Minimum of 3 years related experience for Data Analyst and 5 years related experience for Sr. Data Analyst;

Full Benefits; Medical, Vision, Dental, and more!

20+ Years of Proven Industry Experience in 4 major markets

Dedicated Engagement Manager who is committed to you and your success

Collaborate with management and internal teams to implement and evaluate improvements.

Minimum of one (1) Year Healthcare experience with fundamental knowledge of ICD-10 and HCPCS/CPTs codes and their descriptions

2+ years’ experience as a data analyst, business analyst, business intelligence consultant, data scientist, or similar role within healthcare

Thorough knowledge of MS Office Suite

Demonstrated knowledge and application of T-SQL

Experience with data visualization; PowerBI, Tableau, or Advanced Excel

Education, Knowledge, Skills and Abilities Preferred:

Strong technical acumen, project management and communication skills

Manage the development of Epic metrics and measures related to clinical pathways, order sets, medications, labs, and other areas of operations

Collaborate with stakeholders to define and document business requirements for data and analytics projects

Experience working in healthcare environment and familiarity with healthcare data types (e.g., EHR, claims, MAR)

Epic Clarity Data Model Certification

Provides a combination of thought-leadership and hands-on implementation for bespoke client solutions (e.g., measurement) utilizing Goodway and vendor platform capabilities

Manage and resolve ambiguous/uncertain client demands in a positive and forward-looking manner

Leads by example: demonstrates hands-on functional knowledge to develop/mentor new analysts.

Previous analytics-focused experience (4-7 years) is required

Previous experience in digital advertising or ad-tech industry is preferred

Previous client-side (advertiser) and/or agency - engagement experience is preferred

·Excellent communication skills with ability to interact with business teams to elicit business requirements

Barrington – IL – Remote

Job Location: Barrington – IL – Remote

Experience : 8 to 12yrs.

Required Skills : MySQL ,Business Analysis

Nice to have skills : Data Build Tool, Business Reports

Bachelor’s degree (preferably in Information Systems, Computer Science, Statistics, Business Management, or related fields).

Knowledge or experience in health care analytics.

4+ years of experience in SQL scripting and data manipulation languages.

Strong experience in data quality disciplines, documentation, and testing.

Effective communication skills across technical teams.

Experience in healthcare industry data (X12, CPT/HCPCS, ICD-10).

Identifies team knowledge gaps and works with management to address

Leads team members in projects and participation in team goals, including process improvement and other knowledge-sharing activities

Strong knowledge of relational databases and database theories and concepts

Advanced knowledge of healthcare metrics, trends, and complex analytical and financial modeling techniques and methodologies

Excellent verbal and written communication skills

Bachelor’s Degree in health administration, business administration, statistics, finance, business analytics or related field preferred or equivalent

Working knowledge of relational databases and database theories and concepts

Skilled at creating reports and visualizations that meet business needs and tell a story with the data that helps drive decision-making

Able to apply knowledge as appropriate to develop reports and analyses

Solid verbal and written communication skills

Bachelor’s Degree in health administration, business administration, statistics, finance, business analytics or related field preferred or equivalent

2+ years’ experience performing data analysis in a health care claims setting

At least 2 years of proven experience as a Data Analyst, with a strong background in data analysis and SQL querying.

Previous exposure to healthcare data and knowledge of industry-specific terminologies and regulations are highly desirable.

Excellent problem-solving skills and the ability to present complex information in a clear and concise manner.

A team player with excellent communication skills and the ability to collaborate effectively in a cross-functional environment.

Bachelor's degree in Computer Science, Statistics, Mathematics, or a related field.

Familiarity with data visualization tools such as Tableau, Power BI, or similar.

* Experience in data science/analytics with a focus on product and user analysis

* Strong communication skills and patience when working with multiple stakeholders simultaneously

* Theoretical Experimentation/AB Testing knowledge as well as its applications in a product and marketing setting

* Prior experience with Business Insight tools such as Tableau, Mode Analytics, Looker, etc.

* 2-3 years of data analysis experience, preferably in the healthcare industry

* SQL experience required; Google Analytics and Python a nice-to-have

3+ years of experience working in a Managed Care (Medicare experience preferred)

Assist in designing an overall suite of analytic capabilities and actionable reports to monitor risk adjustment performance

Develop and maintain customized reports and dashboards for the Finance department using various tools (SQL, Tableau, and SAS).

3+ years of strong experience working with SQL, Tableau and SAS

Perform data analysis to optimize risk adjusted revenue and provide insights to stakeholders

Serve as a subject matter expert for the risk adjustment model, reporting and analysis

Experience with creating user stories / assisting Product owners to define the same for business requirements.

Experience and detailed knowledge SQL, dimensional and OLAP databases and technologies.

5+ years of experience in Healthcare Domain Knowledge.

Strong analytical skills to analyze data sets and identify patterns.

Experience working in Agile environment and methodologies.

Has been a liaison & coordinating between data modeling, data mapping, source system SME, development, testing and business teams.

Develop procedures to enhance healthcare and Medicare data query and reporting capabilities.

Maintain documentation of business specifications pertinent to the business requirements.

Strong Microsoft Excel modeling (or VBA), reporting and analysis experience with an ability to interpret and synthesize complex data sets.

The appropriate individual will have demonstrated experience in the following:

Design and model data extractions that provide comprehensive assessments of trends and data.

Provide fundamental analytical support to the organization by developing and promoting consistent analytical methodologies.

Knowledge of HIPAA, EDI and Healthcare X12 transactions preferred

At least one (1) or more year experience interacting with 270/271 transaction and/or other insurance clearinghouse transaction sets

At least two (2) or more years industry experience in healthcare, life sciences and/or patient services required

Working knowledge of writing and reading SQL queries is preferred

Experience manipulating, analyzing, and researching large amounts of data

Superior troubleshooting, analysis and problem-solving capabilities

(Remote – West Coast only)

· Identify, analyze, and interpret trends or patterns for methods to better benefit the Plan.

· Maintains an up-to-date and thorough knowledge of Client’s policies as related to provider contracting and operations.

· Supports Manager, Provider Network.

· Analytical Skills - Ability to use thinking and reasoning to solve a problem.

· Presentation Skills - Ability to effectively present information publicly.

Excellent multitasking and prioritization skills with a proven ability to manage multiple, simultaneous projects to completion.

Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar

2-5 years’ experience working in health plan or provider analytics, preferably in risk adjustment or quality.

Experience working in PowerBI or Tableau

Direct experience with risk adjustment (Medicare advantage and/or ACA) understanding core metrics such as condition prevalence, HCC scoring, etc. 

Experience pulling data from disparate platforms to create an accurate unified picture used to drive business decisions.