Sr Data Analyst - HCS

SCAN Health Insurance

2d

About The Position

The Job As a key member of the Enterprise Analytics team, you will collaborate with internal clients to develop and maintain reports and dashboards that drive healthcare service improvements and mitigate risks. You will manage, transform, and analyze data to ensure compliance, identify performance outliers, detect fraud, and support data-driven decision-making, while leading projects using agile methodologies and project management tools like Azure DevOps. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN’s Vision and Goals. Other duties as assigned.

Requirements

• Bachelor’s degree in information systems-related field, or equivalent work experience, required
• 5+ years of experience in developing complex reports
• 1 to 2 years of Healthcare industry experience is required
• Advanced proficiency in data automation and analytics tools (SQL, Alteryx, R, Python)
• Experience with Snowflake and SQL Server tools (T-SQL, SSRS, SSIS).
• Expertise in data visualization tools (Tableau, Power BI)
• Familiarity with CMS regulations (Part C, Part D, SNP), DHCS, and Medi-Cal
• Knowledge of regulatory compliance, fraud detection, and risk management in healthcare
• Strong analytical, communication, and problem-solving skills
• Proficient in health plan operations, claims, and encounter data
• Ability to mentor and collaborate with cross-functional teams
• Strong technical knowledge in database design and query development
• Knowledge of medical terminology and clinical codes (ICD, CPT)
• Experience with project management methodologies, including agile, and proficiency with project management tools such as Azure DevOps

Nice To Haves

• Master’s degree in an analytic related field preferred
• Experience with machine learning and AI concepts a plus

Responsibilities

• Collaborate with internal clients to develop and maintain reports and dashboards
• Manage, clean, and transform data for analysis and reporting
• Perform complex data analysis to identify performance outliers, fraud, waste, and compliance issues
• Create ad-hoc and routine reports to monitor healthcare service performance and regulatory compliance
• Develop and implement reporting solutions to detect and mitigate risks, including FWA and system deficiencies
• Ensure data quality and audit data processes for accuracy and reliability
• Lead and project manage initiatives using agile methodologies, ensuring projects are completed on time and meet stakeholder expectations
• Mentor junior colleagues to strengthen the team’s analytical capabilities
• Maintain and support compliance reporting, ensuring timely submission to internal and external agencies
• Monitor data analytics activities with vendors and troubleshoot issues as needed
• Stay current with industry regulations and healthcare data standards to ensure effective risk management

Benefits

• Base Pay Range: $92,400 to $133,671 annually
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

What This Job Offers

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