Healthcare Analytics Analyst

Pediatric Associates Family of Companies

United States

Remote

USD 70,000 - 85,000

Full time

14 days+
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Benefits offered by this job

Medical insurance
Vision insurance
401(k)

Job summary

An innovative healthcare provider is seeking a Healthcare Analytics Analyst to enhance decision-making through data insights. This role involves developing metrics, analyzing healthcare data, and collaborating cross-functionally to drive operational improvements. The ideal candidate will possess a Bachelor's Degree in a relevant field and experience in healthcare analytics. Strong analytical and communication skills are essential for success in this position.

Qualifications

  • Bachelor's Degree required in relevant fields.
  • Minimum 2 years of healthcare analytic experience.
  • Proficiency in data analysis tools required.

Responsibilities

  • Gather and analyze healthcare data to identify trends.
  • Prepare and present insights to stakeholders.
  • Collaborate with teams to translate business needs into data projects.

Skills

Analytical skills
Problem-solving skills
Data mining
Statistical analysis
Data visualization
Communication skills

Education

Bachelor’s Degree in Statistics
Bachelor’s Degree in Healthcare Economics
Bachelor’s Degree in Business
Bachelor’s Degree in Healthcare Administration

Tools

SQL
SAS
R

Job description

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Join to apply for the Healthcare Analytics Analyst role at Pediatric Associates Family of Companies

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Pediatric Associates Family of Companies provided pay range

This range is provided by Pediatric Associates Family of Companies. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$70,000.00/yr - $85,000.00/yr

PRIMARY FUNCTION

The Analyst, Healthcare Analytics is responsible for developing membership, panel management, quality metric, cost and utilization reports. This role will require collaboration with cross-functional teams, including clinical, FP&A, managed care, and operations, to provide insights into underlying trends, support sizing operational improvements, and measuring the financial return.

ESSENTIAL DUTIES AND RESPONSIBILITIES

This list may not include all of the duties that may be assigned.

  • Gather and process attributed member, patient, quality metric, cost and utilization data from various sources including from payers and from Pediatric Associates internal data sets.
  • Analyze attributed membership, patient, quality metric, cost and utilization data at various reporting grains to identify trends, patterns, and areas for improvement in overall panel and contract management.
  • Review and interpret contract language to ensure that the corresponding financial terms are applied correctly for reporting and analysis.
  • Prepare and present reports and visualizations to communicate findings and insights to stakeholders.
  • Collaborate with cross-functional teams to understand business needs and translate needs into data analysis projects.
  • Prioritize requests and execute assigned projects, ensuring timely completion and accurate results.
  • Partner with data organization to ensure data is available to enable analysis and reporting, identification of trends and underlying drivers.

QUALIFICATIONS

EDUCATION: Bachelor’s Degree in Statistics, Healthcare Economics, Business, Healthcare Administration, or equivalent combination of education and work experience required.

EXPERIENCE:

  • A minimum of 2 years of healthcare analytic professional experience required.
  • 4 years of experience in healthcare analytics preferred.
  • Experience integrating clinical data (EMR) with payor data preferred.
  • Experience using healthcare eligibility, quality and claims data sets and how those data sets join preferred.
  • Experience reviewing and interpreting contract language and connecting contract language to healthcare data sets preferred.
  • Experience in Managed Medicaid preferred.

KNOWLEDGE, SKILLS AND ABILITIES

Required qualifications:

  • Analytical and problem-solving skills with expertise in data mining, statistical analysis, and data visualization tools.
  • Proficiency in data analysis tools (e.g., SQL, SAS, R) and database management systems.
  • Ability to prioritize projects and tasks to meet deadlines.
  • Understanding of business processes and how data can be used to drive decision-making and improve performance.
  • Written and verbal communication skills to effectively convey findings and recommendations to both technical and non-technical audiences.

TYPICAL WORKING CONDITIONS

  • Full time remote
  • Job must be U.S. based

OTHER PHYSICAL REQUIREMENTS

  • Vision
  • Hearing
  • Sense of Touch
  • Manual Dexterity to operate a computer

PERFORMANCE REQUIREMENTS

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI (Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations.

Seniority level
  • Seniority level
    Mid-Senior level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Analyst
  • Industries
    Hospitals and Health Care

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Medical insurance

Vision insurance

401(k)

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