Data Analyst IV Healthcare Analytics, Medical Economics
About The Position
This Data Analyst IV position focuses on analyzing integrated and extensive datasets to extract value that directly impacts and influences business decisions. The role involves collaborating with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce the overall cost of care for members and improve their clinical outcomes. The primary responsibilities include analyzing and running complex reports, understanding financial drivers and cost trends, and applying insights to optimize medical spend while maintaining quality of care. Ideal candidates will possess deep healthcare industry knowledge (claims vs. encounters, DRGs, Medicare/Medicaid/Marketplace), strong technical skills, and the ability to identify trends, root causes, and cost-saving opportunities across the organization.
Requirements
- Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience.
- 5+ years of experience working with large databases, data verification, and data management or 3+ years IT experience.
- Experience with table creation and indexing, query optimization, and utilization of stored procedures.
- Working knowledge of SQL/querying languages.
- Experience with table creation and indexing, query optimization, and utilization of stored procedures.
Nice To Haves
- Master's degree preferred.
- Healthcare analytics experience preferred.
- Preferred knowledge of programmatic coding languages such as Python and R.
- Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred.
- Preferred knowledge of modern business intelligence and visualization tools.
- Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred.
- Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.
Responsibilities
- Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data
- Lead the planning and execution of large-scale projects and new reporting tools, translating business goals into actionable solutions
- Identify and resolve data, process, and technical issues and communicate root-cause with stakeholders as appropriate
- Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners
- Independently engage with business leaders to understand market-specific levers and constraints
- Leverage enterprise reporting tools to rapidly deliver data-driven insights and recommendations
- Research key business problems and proactively identify opportunities for cost and utilization improvements through quantitative analysis
- Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required
- Mentor junior analysts on analytic best practices and business need fulfilment
- Delegate tasks to junior analysts, providing guidance and validation where required
- Performs other duties as assigned
- Complies with all policies and standards
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- a flexible approach to work with remote, hybrid, field or office work schedules
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What This Job Offers
Job Type
Full-time
Career Level
Senior
