Lead Healthcare Data Analyst Jobs in San Diego, California

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

Working with management to prioritize business and information needs

Facilitating clear day-to-day communications with customers, contributing to the ClaimReturn experience

Familiarity and experience with reporting packages

Strong analytical skills / aptitude with the ability to collect, organize, analyze, and disseminate significant amounts of information

Interpreting data, analyzing results, using statistical techniques, and providing ongoing reports

Developing and implementing data analytics and other strategies that optimize data integrity

* 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

(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.

5+ years of SQL skills with excellent hands-on exposure to creating complex queries across multiple database schemas

1+ year of experience in at least one programming language for data manipulation (e.g. R, Python, Scala/Spark or Perl, etc.)

Possesses high proficiency in applied statistics skills, such as statistical testing, regression modeling, etc.

3+ years hands-on experience in A/B testing and experimentation with history of arriving at conclusive results

3+ years of experience creating data visualization dashboards in Tableau, Qlik, or equivalent

Excellent communication and presentation skills with the ability to present complex data analysis, insights, and recommendations to senior leadership

1+ years of experience in business/finance including analysis experience with a solid understanding of data storage structures

Proven possessing excellent time management principles to juggle competing priorities

Create and maintain training materials for our end-users benefit

Associate’s Degree in Business, Finance, Health Administration or related field

Experience with Medicaid, Social Security Administration (SSA), and other health data specific to state and federal policies and procedures

Working knowledge of relational databases and database structures

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.

Advanced knowledge of finance and/or accounting budgeting and forecasting concepts

Bachelor's degree Minimum 4 years of total relevant work experience

Highly skilled in both verbal and visual high-profile communications

Exceptional problem-solving, business judgment, and analytical skills

Strong initiative and independence, needing limited oversight and ability to self-manage assigned projects

Experience working on a Business Operations Team for a large technology organization (preferred)

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

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.

Demonstrated project management experience in running corporate wide projects.Knowledge of medical claims data and managed care membership data.

Minimum of three (3) years of experience in leading staff in projects or supervisory/management position preferred.

Develop, implement and maintain Charge Change Control Management Data Analytics.

Demonstrate analytical, planning, problem solving, verbal and written skills to communicate complex ideas

Bachelor’s degree in Business Administration, Economics, Health Care, Finance, Information Systems, Statistics or related field.

Demonstrated experience automating complex reporting processes and developing best practices and reporting standards.

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.

5-7 years of analytics, healthcare experience

PowerInsight, Tableau desktop and Tableau prep experience highly preferred

Works with leadership and analytics teams across the system to help answer key business questions and drive organizational strategies.

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.

Bachelor's Degree in statistics, mathematics, finance, accounting, or related field.

Experience working in a rapid cycle, decision support role, and very dynamic environment.

Advanced analytical skill set, including Excel skills is required, SQL programming is desired.

Experience integrating data sets from different sources and in different formats.

Experience assembling complex financial forecasts and projections, based on differing underlying assumptions.

Ability to work independently and be self-directed in completion of responsibilities.

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.