Senior Healthcare Data 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.

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

Knowledge of managed care and health care claims

Bachelor’s degree in Business, Finance or Public Health

Minimum of 5 years of financial or analytical experience in healthcare environment

Experience with data analysis, interpretation and reporting of clinical and financial data

Experience with Microsoft Excel, ACCESS, SSMS or SQL

Excellent oral and written communication 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.

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

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

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

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