Healthcare Data Analyst II

Inland Empire Health Plan•Rancho Cucamonga, CA

1d•$91,250 - $120,910•Hybrid

About The Position

Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA) is responsible for leading various data and analysis efforts for the Health Plan’s Clinical and Provider departments, programs, and quality activities. The HDA must have significant experience in designing relational databases, complex query logic and statistical analysis. In addition to technical data concepts, the HDA will utilize sound research methods and statistical concepts in designing reliable studies/analyses, and payment algorithms supporting IEHP’s quality programs. The HDA presents study/analysis results to various audiences throughout the organization, including the leadership team. Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Requirements

Three (3) years of relevant work experience
Demonstrated experience working with large data sets and relational database structures
Master’s degree from an accredited institution required
In lieu of a Master's degree, a minimum of a Bachelor’s degree and two (2) years of additional relevant work experience is required for this position
Understanding of statistical methods and experience applying statistical methods to answer data questions
Working knowledge of data analysis, study methodology, and preparing professional documents
Data analysis, data presentation, spread sheet and database capabilities
Proficient in of Microsoft Access, MS PowerBI, SAS, SQL, or other statistical applications are essential
Excellent interpersonal/ communication skills
Proficiency in Microsoft Excel, Word and Power Point required
Strong attention to detail
Ability to present reports / data analysis findings in group settings
Strong problem-solving capability
Ability to manage multiple projects with time-sensitive deadlines a must

Responsibilities

Serve as technical lead in analysis and reporting efforts that support the Health Plan’s Clinical and Provider teams, programs, and quality activities.
Significant participation in analysis, interpretation, and translating of complex health plan data, issues, trends, and relationships into effective strategies and action plans.
Present findings of analyses to various staff levels including executive team, leadership team and staff levels. Present results in formats that are easy to understand and appropriate to the audience.
Use analytical skills to determine solutions and resolve problems.
Exercises timely and accurate data mining techniques and develops new or modifies existing reports that ensure consistent and congruent conclusions to data analysis.
Applies statistical modeling methodologies when appropriate in the development of health plan, provider, and member analysis.
Develop and prepare reports to support IEHP’s clinical and provider units utilizing available analytics and data mining tools, including but not limited to: Microsoft Applications (including MS Access and MS PowerBI), SAS, SQL, system-specific reporting tools (or other related reporting software).
Responsible for evaluating report requests to determine requestor’s needs and objectives, identifying correct methodology for extracting data including data sources and criteria, and ensuring the delivered report is accurate, timely, and formatted appropriately.
Responsible for understanding the various data sources available within IEHP for reporting and analysis, as well as a clear understanding of IEHP business operations to be able to appropriately guide the development of quality program activities, including analysis and reporting.
Responsible for managing assigned projects and effectively communicating with the QS leadership team any project deadlines that may be in jeopardy of being met, well in advance of the due date.
Document all analysis / reporting projects following established protocols, ensuring replication of results by an independent reviewer.
Designs and enhances databases to support reporting and analysis needs, including testing, validating, and maintaining data integrity and accuracy, across multiple databases.
Demonstrate a commitment to incorporate LEAN principles into daily work.
Establish and maintain effective working relationships with others throughout the organization.