Data Analyst (Healthcare)

Providence; United States; Remote; USD 100,000 - 130,000; Full time

Job summary

A healthcare organization is seeking a Risk Adjustment Analytics Principal to lead data analysis and reporting efforts. This remote position requires strong analytics, project management, and communication skills, with a Bachelor's Degree in a quantitative field and significant experience. The role involves developing analytics tools, mentoring staff, and collaborating closely with various departments. Competitive benefits and a supportive work culture are included.

Benefits

Comprehensive health care benefits

Retirement savings plan with employer matching

Paid time off

Disability and life insurance

Professional development opportunities

Flexible remote work arrangements

Qualifications

• Minimum of 10 years of experience in data analysis at a decision-making level.
• Formal training in Continuous Quality Improvement or similar is advantageous.
• Experience within healthcare organizations preferred.

Responsibilities

• Develop and implement advanced analytics tools and reports.
• Provide analytical support to Finance and Risk Adjustment leadership.
• Ensure data quality and compliance across analytics activities.

Skills

Data analysis

Project management

Communication skills

Education

Bachelor’s Degree in a quantitative field

Tools

Analytics tools

Job description

About The Company

Providence Health Plan is a leading healthcare organization committed to delivering compassionate, patient-centered care across multiple states. With a rich history spanning over a century, Providence is dedicated to serving diverse communities by providing high-quality health services, innovative programs, and support for vulnerable populations. Our mission revolves around “Knowing me, caring for me, easing my way,” emphasizing personalized care and mutual respect. We foster an inclusive and collaborative environment where our caregivers and staff are valued and empowered to make a meaningful difference in the lives of those we serve. As part of Providence, our team benefits from comprehensive support, ongoing professional development, and a culture rooted in integrity, compassion, and excellence.

About The Role

The Risk Adjustment Analytics Principal plays a pivotal role within Providence Health Plan, serving as the primary technical resource and strategic business partner for the Risk Adjustment department. This leadership position involves developing advanced analytical tools, metrics, and reports to enhance the organization’s Risk Adjustment strategies. The role requires a blend of technical expertise, project management skills, and strategic insight to support decision-making processes and optimize financial performance. The Principal collaborates closely with various departments including Data Analytics, Actuarial, Compliance, and Finance, ensuring data integrity, regulatory compliance, and continuous process improvement. Additionally, the role involves mentoring junior staff and fostering a culture of analytical excellence across the organization. The successful candidate will stay abreast of healthcare trends, Risk Adjustment regulations, and emerging analytics methodologies to maintain Providence’s competitive edge and compliance standards. This remote position offers flexibility for applicants residing in Washington, Oregon, or California, with the opportunity to impact healthcare delivery positively through data-driven insights.

Qualifications

• Bachelor’s Degree in Statistics, Mathematics, Actuarial Science, Economics, Engineering/Physics, Accounting, Computer Science, or a related highly quantitative field.
• Minimum of 10 years of experience in data analysis at a decision-making level, or High School Education/equivalent with at least 12 years of relevant experience.
• Proven expertise in data analysis, reporting, and analytics techniques.
• Experience working within healthcare organizations or health insurance sectors preferred.
• Formal training or coursework in Continuous Quality Improvement (CQI), Total Quality Management (TQM), and statistical process control methodologies is advantageous.
• Strong project management skills, with the ability to lead cross-functional initiatives and mentor team members.
• Excellent communication skills to effectively collaborate with diverse stakeholders and present complex data insights clearly.
• Ability to stay current with healthcare trends, Risk Adjustment regulations, and advanced analytics techniques.

Responsibilities

• Establish and maintain regular communication with Risk Adjustment leadership to prioritize reporting and analytics initiatives aligned with organizational goals.
• Develop and implement advanced analytics tools, metrics, and reports to support Risk Adjustment strategies and performance optimization.
• Provide expert-level analytical support to Finance and Risk Adjustment leadership to drive performance and revenue outcomes.
• Organize, prepare, and distribute complex analyses and operational reports utilizing multiple data systems and sources.
• Ensure data quality, integrity, and compliance with regulatory standards across all analytics activities.
• Lead process improvement initiatives to enhance data collection, reporting efficiency, and analytic methodologies.
• Mentor junior analysts and foster a culture of continuous learning and analytical excellence within the Data Analytics team.
• Build and maintain collaborative relationships with internal departments such as Actuarial, Network, Compliance, and external agencies including CMS and state regulators.
• Stay informed on healthcare trends, regulatory changes, and emerging analytics technologies to adapt strategies accordingly.

Benefits

• Comprehensive health care benefits including medical, dental, and vision coverage.
• Retirement savings plan with employer matching contributions.
• Paid time off including vacation, holidays, and parental leave.
• Disability and life insurance coverage.
• Well-being resources and employee assistance programs.
• Opportunities for professional development and career advancement.
• Flexible remote work arrangements in eligible states.

Equal Opportunity

Providence Health Plan is an equal opportunity employer committed to fostering an inclusive workplace. We celebrate diversity and do not discriminate based on race, color, gender, disability, veteran or military status, religion, age, sexual orientation, gender identity, marital status, genetic information, or any other protected characteristic.