Healthcare Analyst III

SCAN; United States; Remote; USD 92,000 - 134,000; Full time

Benefits offered by this job

Mostly Remote

Annual bonus program

Wellness program

PTO

11 paid holidays + floating + birthday

Job summary

SCAN is seeking a Healthcare Analyst III to develop, document, and program analyses for 5-Star projects and in-house initiatives. You will perform in-depth analysis of Medicare Advantage data across membership, provider, claims, and financial information to deliver timely insights and reliable QA for high-stakes reporting.

The role requires a quantitative degree and 5+ years of experience in healthcare analytics, with expertise in MS SQL, Power BI, and SAS.

Qualifications

• Bachelor’s degree in Math, Statistics, Biostatistics, Computer Science, or other quantitative disciplines required.
• 5+ years analytical experience, or 4+ years in Healthcare/Managed Care environment.
• HEDIS experience preferred.
• Experience with medical claims / encounters data preferred.
• MS Office Suite at advanced level required.
• Proficiency with MS SQL (queries) required.
• Snowflake experience preferred.
• Power BI experience preferred.
• Excellent communication skills.

Responsibilities

• Develop, document, and program for 5-Star projects and in-house initiatives.
• Conduct in-depth data analysis, HEDIS reporting, and related tasks.
• Lead data management, QA, and reporting processes to ensure accuracy.
• Perform complex analysis, data mining, mapping, scrubbing, and reporting.
• Collaborate with stakeholders to troubleshoot data anomalies and meet deadlines.
• Provide guidance and training to junior Analysts.

Skills

Power BI

MS SQL

SAS

Snowflake

SSRS

SSIS

MS Office

Education

Bachelor’s degree in Math/Statistics/CS

Tools

SQL Server Reporting Services

SQL Server Integration Services

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.

Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

The Job

The Healthcare Analyst III develops, documents, and programs in support of 5-Star projects and in-house initiatives. In pursuit of high 5-Star ratings, conducts in-depth data analysis and interpretation, HEDIS reporting, and other related tasks. You Will Responsible for research and moderate analysis of Medicare Advantage and healthcare data specific to membership, provider, claims, authorizations, pharmacy, and financial information. Designs and produces timely and meaningful analysis and data interpretation regarding large health care related datasets, related to 5-Star ratings, HEDIS, state specific programs (such as QIP/PIP), programs issued by state agencies (such as DHCS or HSAG) and other associated company initiatives. Leads in development, implementation, and document quality assurance (QA) processes to ensure that reported data is accurate and reliable. Conducts data management, quality improvement studies, statistical analysis, and report generation. Presents findings to higher level Analysts as well as HCI mid and senior management. Performs moderate to complex analysis and interprets organizational data, including but not limited to data mining, data verification, mapping, scrubbing, and scrapping. Develops and deliver actionable and supportable findings within tight deadlines and changing requirements. Conducts investigative research to uncover root causes, interpret results, identify trends, and make recommendations for action. Works directly with internal and external stakeholders to troubleshoot and correct data anomalies. Manages multiple moderate to complex projects concurrently. Completes them accurately within a specified timeline by effectively prioritizing work and communicating workload issues to manage-ment. Leads in training, providing guidance, and supporting lower level Analysts. Serve as a point of contact for internal and external customers and resolves both routine and more complex questions and problems. Escalates only the most complex issues to higher levels as needed. Ensures understanding of business needs by proactively monitoring and clarifying the technical responses to business requirements on all Medicare related projects.

Your Qualifications

Bachelor’s or above degree in Math, Statistics, Biostatistics, Computer Science, or other quantitative disciplines required.

5+ years of analytical experience, or 4+ years of analytical experience in a Healthcare, Managed Care environment required.

Experience with HEDIS is preferred.

Experience with medical claims / encounters data is preferred.

MS Office Suite at advanced level required.

Proficiency with MS SQL (queries) required.

Snowflake experience is preferred.

SQL Server Reporting Services and SQL Server Integration Services experience preferred.

SAS (Statistical Analysis System) experience preferred.

Power BI tool experience preferred.

Excellent technical, interpersonal written and oral communication skills required.

What's in it for you?

• Base Pay Range: $92,400 to $133,671 annually
• Work mode: Mostly Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, 1 floating holiday, and 1 birthday holiday
• 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!

We're always looking for talented people to join our team!

Why consider a career at SCAN?

• A competitive compensation and benefits program
• An annual employee bonus program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year
• Excellent Retirement Savings program
• A work-life balance
• An opportunity to become part of a team that makes a difference to our members and our community every day!

We provide the training, tools and support necessary to do your work. We reward effort and celebrate success. SCAN both develops and attracts people who are leading experts in their respective fields. If the SCAN mission is one you believe in too, we invite you to explore the career opportunities at SCAN.

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Aff…

A background check is required.

#LI-MS1 #LI-Hybrid Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Become part of a mission-driven team that makes a difference in the lives of seniors every day.

SCAN has a long history of finding and investing in ways to meet seniors' needs. This focus is what attracts employees to SCAN. For each and every one of us, the SCAN mission is personal. Keeping Seniors Healthy and Independent is both our mission and our passion. That same commitment carries over to our employees. We provide the training, tools and support necessary to do your work. We reward effort and celebrate success. SCAN both develops and attracts people who are leading experts in their respective fields. If the SCAN mission is one you believe in too, we invite you to explore the career opportunities at SCAN.