Medical Informatics Analyst, Consultant
About The Position
The Medical Informatics Population Health Analyst, Consultant works on the Healthcare Quality Affordability Analytics team, using large healthcare datasets to support smarter decisions, improve customer service, and contain healthcare costs. Reporting to the Principal Medical Informatics Population Health Analyst, this role leads complex population health analytics and reporting solutions with minimal supervision, translates analytic results into recommendations and decision points, and supports investments and improvements in outcomes, equity, utilization, and affordability across lines of business. The position develops analytical methods and reporting workflows, evaluates population health programs, and advises business partners with clear, executive-ready findings. It also mentors team members, supports regulatory, accreditation, and contractual requirements, and contributes to multidisciplinary population health improvement forums. This is a hybrid office role. Most teams work in the office two days per week; employees more than 50 miles from an office location coordinate in-office time with their manager based on business needs. The work takes place in an office or home-office/deskwork environment and is sedentary for most of the workday.
Requirements
- Bachelor’s degree, or a high school diploma/GED plus 4 years of additional relevant experience in lieu of a degree.
- 7 years of relevant experience delivering healthcare analytics, including cost, quality, utilization, and/or outcomes analytics.
- Experience leading high-complexity analyses using 5 or more data sources and multivariate methods, and coordinating analytical approaches across departments.
- Demonstrated proficiency in 6 or more domains, including 2 or more clinical or health domains, such as clinical coding/treatment, health databases, epidemiology/health services, econometrics, quality measurement, modeling, statistical graphics, or health insurance/finance.
- Experience developing and maintaining production code using SQL/PL-SQL and SAS Base, Stat, or Graph, and creating repeatable reporting outputs in Excel and Access with minimal supervision.
- Experience building reusable SAS Macro and PL/SQL programs for routine reporting.
- Experience using R Studio, Python, SAS, or other relevant statistical software for multivariate statistics, complex statistical graphics, and applied clinical study designs such as risk adjustment or provider profiling.
- Ability to function independently and produce results meeting quality, timeliness, and acceptability standards.
- Ability to thrive in ambiguous situations and balance analytical problem-solving with practical business judgment.
- Excellent verbal and written communication skills, including professional interaction with executives, directors, managers, and subject matter experts.
- Ability to establish and maintain effective, collaborative relationships with key stakeholders.
- Advanced skills using Microsoft Excel, Word, Visio, and PowerPoint to prepare materials and present to various levels of management.
- Extensive knowledge of CPT, HCPCS, ICD-10, and other related industry codes.
Responsibilities
- Lead complex analyses and reporting solutions for population health priorities with minimal supervision.
- Design reusable analytical methods and frameworks for population segmentation, risk stratification, program evaluation, and targeted outreach.
- Build and enhance data systems, reporting processes, and analytic workflows to meet complex business and population health reporting requirements.
- Analyze healthcare claims, enrollment, pharmacy, demographic, and community-level data to identify trends, risks, disparities, and opportunities at scale.
- Develop member archetypes, clusters, and predictive insights to support targeted interventions, care management, and outreach strategies.
- Integrate health equity and social drivers of health into analytical approaches to help identify and address disparities and underserved populations.
- Establish evaluation strategies to assess the effectiveness, ROI, and equity impact of population health programs and interventions.
- Advise business partners by interpreting results, developing executive-ready narratives, and recommending actions and decision points.
- Mentor and train team members and provide consultative guidance on analytic standards and best practices.
- Mitigate business and analytical risk through peer review, quality controls, stakeholder communication, and clear documentation of methods and assumptions.
- Support regulatory, accreditation, and contractual population health requirements through evidence-based measurement.
- Contribute to multidisciplinary workgroups and governance forums focused on population health improvement.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
