Healthcare Analytics Lead – 5-Star & HEDIS Focus

GRP SCAN Group; City of Long Beach (NY); Teletrabalho; USD 92 000 - 134 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Annual bonus program

Wellness program

Generous PTO

11 paid holidays per year

Resumo da oferta

SCAN Health Plan is seeking a Healthcare Analyst III to develop and program analyses supporting 5-Star projects and in-house initiatives. The role focuses on Medicare Advantage data—member, provider, claims, and financial information—and requires delivering actionable insights under tight deadlines.

The candidate will lead QA, data management, and complex analyses, presenting findings to management while coordinating with internal and external stakeholders. Mostly remote work available.

Qualificações

• 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.

Responsabilidades

• 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, 5-Star ratings, HEDIS, and state programs.
• Lead in development, implementation, and QA processes to ensure data accuracy and reliability.
• Conduct data management, quality improvement studies, statistical analysis, and report generation.
• Present findings to higher level Analysts and HCI management.
• Manage multiple projects concurrently and prioritize effectively.

Conhecimentos

Analytical experience

Healthcare analytics

Data interpretation

MS Excel advanced

Formação académica

Bachelor’s degree in Math/Statistics/Biostatistics/CS

Ferramentas

MS SQL

Snowflake

SSRS/SSIS

SAS

Power BI

Descrição da oferta de emprego

SCAN Health Plan is seeking a Healthcare Analyst III to develop and program analyses supporting 5-Star projects and in-house initiatives. The role focuses on Medicare Advantage data—member, provider, claims, and financial information—and requires delivering actionable insights under tight deadlines.

The candidate will lead QA, data management, and complex analyses, presenting findings to management while coordinating with internal and external stakeholders. Mostly remote work available.