Data Analyst - Technical - Senior

Intermountain Health • Dayton, OH

5d • Hybrid

About The Position

Lead comprehensive analytics for national quality programs including HEDIS and Stars, overseeing the full lifecycle from technical specification translation, data validation, and rate calculation across both VBC and FFS populations. Maintain in-depth knowledge of HEDIS/Stars measures’ technical specifications, served as the primary point of contact and subject matter expert in Quality Data for providers and operational leaders within the company. Drive strategy and performance improvement for Value-Based Care models, developing reporting logic and incentive tracking for payment programs. Provided analytical insights that directly influenced care model design and provider engagement. Support executive-level payer negotiations by delivering customized analytics for Medicare, Medicaid, and Commercial contracts. Provided data driven intelligence to organization leadership on program performance, risk adjustment, and contract optimization. Lead KPI and performance metric reporting at the enterprise level, with audiences ranging from clinicians to executive stakeholders. Support the integration and use of supplemental clinical data to enhance quality measures reporting, validate performance gaps, and increase data accuracy in alignment with HEDIS specifications and health plan requirements. Support EMR data migration analytics during the transition from iCentra to Epic, ensuring the continuity of quality measure reporting, validating clinical data integrity, and guiding documentation alignment for post-go-live success. Partner with data architecture teams to implement next-generation analytics platforms, including quality measure migration to Snowflake. Conducted QA and validation across systems to ensure functionality replication and metric continuity. Develop and maintain robust SQL-based data pipelines across multi-environment platforms (SQL Server, Oracle, Redshift). Supplement SQL development with R scripts for predictive modeling, data automation, and statistical analysis. Create predictive models to support monthly benchmark tracking and monitor KPI over time, enabling proactive intervention and performance optimization. Lead cross-team data reconciliation projects, coordinating with third-party vendors, payer entities, and internal data engineers to identify and resolve data discrepancies, ensuring consistency and accuracy in claims and quality reporting. Contribute to data governance, documentation, and quality assurance practices to ensure data accuracy and consistency. Mentor junior analysts and lead peer review processes to enforce data quality standards and version control using Git-based tools like Bitbucket. This is a hybrid position requiring three days per week in-office. Position may telecommute within reasonable commuting distance of Salt Lake City, UT.

Requirements

• Bachelor’s degree or equivalent foreign education in Management Information Systems, Analytics, Statistics, Health Informatics, or a closely related field and 5 years of post-degree progressive experience in healthcare data analytics OR Master’s degree or equivalent foreign education in Management Information Systems, Analytics, Statistics, Health Informatics, or a closely related field and 2 years of experience in healthcare data analytics
• Knowledge of healthcare data analytics within a major healthcare delivery organization, including managed care settings.
• Knowledge of conducting end-to-end analysis of HEDIS quality measures, including rate tracking, analytical support and intervention performance evaluation.
• Knowledge of applying data analytics in support of Value-Based Care incentive programs, including familiarity with payment structures, attribution methodology, and payer contract performance.
• Knowledge of EMR systems including iCentra PowerChart.
• Knowledge of supporting healthcare data analytics across multiple payer programs, including Medicaid, Medicare, and Commercial health plans.
• Knowledge of complex SQL querying to support enterprise-level data operations and analytics using Microsoft SQL Server, Oracle, and Amazon Redshift.
• Knowledge of programming in Python and R.
• Knowledge of data visualization tools including Tableau.
• Knowledge of clinical coding systems including ICD-9/10, CPT, LOINC, HCPCS, and NDC.
• Knowledge of quality assurance processes and collaborative analytics development using Git-based tools.
• Applicants will undergo a SQL proficiency test and need to score 65% or higher.
• Upon hire, all applicants will be subject to drug testing/screening and background checks.

Responsibilities

• Lead comprehensive analytics for national quality programs including HEDIS and Stars
• Maintain in-depth knowledge of HEDIS/Stars measures’ technical specifications
• Drive strategy and performance improvement for Value-Based Care models
• Support executive-level payer negotiations by delivering customized analytics for Medicare, Medicaid, and Commercial contracts
• Lead KPI and performance metric reporting at the enterprise level
• Support the integration and use of supplemental clinical data to enhance quality measures reporting
• Support EMR data migration analytics during the transition from iCentra to Epic
• Partner with data architecture teams to implement next-generation analytics platforms
• Develop and maintain robust SQL-based data pipelines across multi-environment platforms (SQL Server, Oracle, Redshift)
• Supplement SQL development with R scripts for predictive modeling, data automation, and statistical analysis
• Create predictive models to support monthly benchmark tracking and monitor KPI over time
• Lead cross-team data reconciliation projects
• Contribute to data governance, documentation, and quality assurance practices
• Mentor junior analysts and lead peer review processes

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees