Senior Health Data Analyst I

Partnership HealthPlan of California-posted 2 days ago
Full-time • Mid Level
Fairfield, CA
501-1,000 employees
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The Senior Healthcare Data Analyst I contributes to the overall success of the organization bydeveloping analytic solutions that support activities related to health services utilizationmanagement, care coordination, quality improvement and population health. Through analyzingpatient claims, member enrollment, and other data, the Senior Healthcare Data Analystparticipates in identifying progress, performance and opportunities for improvement onprograms, quality of care, patient experience, and other metrics. This position requires athorough understanding of healthcare data and workflows, combined with an extensiveexperience working with large data sets, conducting data analysis, including standard statisticalsoftware (SAS), and creating reports using Tableau.

  • Works collaboratively with business partners, other analysts, and IT to gather andintegrate data from disparate sources.
  • Responds to ad hoc data requests from business units and leadership
  • Assists in design and development of data collection strategies, aggregation, analysis,and reporting to ensure data integrity and enhance information value.
  • Participates in design and interpretation of data analyses; provides recommendations forimprovement of data quality and reporting.
  • Helps build, manage, and/or enhance predictive models
  • Assesses reporting and automation requirements and develops appropriate solutions.
  • Maintains in-depth knowledge of health plan operations, including claims processing,utilization management, quality improvement activities and pay for performance programs.
  • Critically analyzes data, draws conclusions and effectively articulates results.
  • Presents data and conclusions to non-technical audience; uses data visualizations andsummaries to highlight key findings.
  • Creates and maintains thorough and consistent documentation of programs used tocreate reports.
  • Manages and prioritizes workload while meeting deliverables and expectations.
  • Works autonomously and collaboratively with report requestors, providing guidance todefine report requirements and validate results.
  • Works collaboratively across departments to understand and meet the organization’sanalytic needs.
  • Performs other assigned or needed activities required to assure success of theorganization.
  • Participates in special projects as needed.
  • Performs other duties as assigned.
  • Bachelor’s degree with concentration in health informatics, health administration, public health, computing, epidemiology, statistics or related field, Master’s degree preferred.
  • Minimum four (4) years ofexperience in data analysis and reporting.
  • Knowledge of major health plan operations: healthcare claims processing, membership, provider, and benefits; or equivalent combination of education and experience.
  • Excellent knowledge of data collection, analysis, statistics and data presentation with experience in data mining techniques and procedures.
  • Experience using statistical packages for analyzing large data sets, SAS and/or SQL a plus.
  • Experience working with administrative data, ideally health care data (Medicaid data a plus).
  • Understanding of health data formats including claims, lab and pharmacy.
  • Knowledge of clinical coding systems (e.g., ICD9, ICD10, CPT).
  • Proficiency in inferential and predictive statistical analysis.
  • MS Office, Excel, SQL, SAS, Tableau.
  • Ability to present complex information in an understandable and compelling manner.
  • Ability to quickly acquire in-depth knowledge of various systems related to claims processing, membership, provider, and benefits at Partnership.
  • Strong written and oral communication skills with ability to interpret andunderstand technical requirements.
  • Excellent analytical skills to troubleshoot and resolve data issues.
  • Must be highly organized and proficient at multi-tasking.
  • Must be willing and able to provide gracious assistance to users, providers, and other constituents of Partnership.
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