Senior Healthcare Data Analyst - Revenue Analytics

Lucet • ,

3h • $105,000 - $120,000 • Remote

About The Position

The Sr Analyst, Healthcare Data will be a business consultant to the rest of the organization in providing reports and analysis to support Lucet’s clinical and operational performance. In addition, the analyst is responsible for translating evaluation questions into analytic plans, constructing analytic datasets, producing appropriate data summaries, and conducting valid data comparisons and statistical tests, with particular focus on Medicare Advantage and commercial risk adjustment programs, HCC analytics, claims and encounter data, provider documentation insights, and risk score performance.

Requirements

• Bachelor's Degree
• 5+ years of experience in a similar role at healthcare payer or provider organization
• Familiar with common statistical methods including but not limited to regression, propensity matching, and analysis of variance
• Proficiency in database query language (e.g. SQL, SAS). Other experience with the use of software for data analysis, extraction, and manipulation (e.g., Python, R), data visualization (e.g., Tableau, PowerBI) and analytic automation (e.g. scripting, macros)
• Experience with enterprise data warehouse and commercial/Medicare/Medicaid claims data
• Ability to read, analyze and interpret technical materials and financial data
• Must be able to present information in a small group setting with internal and external customers
• Ability to perform complex arithmetic and intermediate algebra to set up spreadsheets and reports
• Creates reports using advance graphical skills which can be quickly understood by the customer
• Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.
• Practical problem-solving abilities, i.e. the ability to formulate hypotheses, test options and move forward in a fast-paced environment.
• Strong analytic and data management skills
• Strong oral and written communication and presentation skills
• Ability to work both independently and as part of a team is essential
• Ability to work well with individuals at all levels within the institution
• Ability to appropriately scope and execute evaluation and analysis work

Responsibilities

• Lead analytics for Medicare Advantage and commercial risk adjustment programs, including HCC opportunity identification, coding gap analysis, suspecting logic, chart review support, and encounter/claims data validation.
• Measure and monitor risk adjustment program performance, providing insights that drive accurate documentation, compliant coding, and improved financial and clinical outcomes.
• Partner with clinical strategy, care management, coding, compliance, provider engagement, and operational teams to identify target populations, define intervention cohorts, and develop actionable reporting and dashboards.
• Serve as a population health consultant, analyzing member populations and recommending strategies, programs, and service offerings that improve health outcomes and care delivery.
• Evaluate the financial impact of proposed contracts, RFPs, RFIs, and other strategic initiatives to support business decisions and organizational planning.
• Analyze and report on operational, clinical, and financial data to help departments achieve objectives, meet deadlines, and support data-driven decision-making.

Benefits

• Annual compensation between $105,000 - $120,000, PLUS an annual performance-based, discretionary incentive.
• Comprehensive health benefit options: Medical, dental, and vision coverage
• 401(k) with competitive employer match
• Company-paid life and disability insurance
• Paid parental leave and wellbeing incentives
• Generous paid time off, including volunteer time
• Flexible spending accounts for healthcare and dependent care
• Professional development opportunities and tuition reimbursement
• Remote work flexibility (role-dependent)

What This Job Offers

• Job Type: Full-time
• Career Level: Senior