Healthcare Data Analyst IV

Centauri Health Solutions; Houston (TX); On-site; USD 60,000 - 100,000; Full time

Job summary

An innovative firm is seeking a detail-oriented analyst to support leadership with operational, financial, and data analysis. This role involves data manipulation, reporting, and engaging with IT to enhance service needs. The ideal candidate will thrive in a dynamic environment, utilizing their SQL proficiency and analytical skills to drive improvements in service delivery. The company offers a rewarding work environment with competitive compensation and benefits, including generous paid time off and development opportunities. If you are passionate about making a difference in healthcare, this position is a perfect fit for you.

Benefits

Generous paid time off

Matching 401(k) program

Tuition reimbursement

Annual salary reviews

Comprehensive health plan

Volunteer activities on company time

Development opportunities

Qualifications

• Proficiency in SQL and strong analytical skills are crucial.
• Bachelor's degree or equivalent experience required.

Responsibilities

• Perform data manipulation, querying, and reporting activities.
• Engage in monitoring and analysis of performance trends.
• Provide client-related support to enhance service outcomes.

Skills

SQL

Project planning

Analytical concepts

Auditing practices

Data-mining principles

Quality tools

Education

Bachelor's degree or equivalent experience

Job description

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500 list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com.

Role Overview:

Provides support to leadership with detailed operational, financial and data analysis for the service line or market. Serves as principal contact for data integration and system development requirements for the service line or market.

Role Responsibilities:

PERFORMS DATA MANIPULATION, QUERYING AND REPORTING ACTIVITIES.

• Defines querying requirements, extracts data and creates reports, as needed, without supervision
• Coordinates with leaders to standardize reporting
• Obtains appropriate data from client required for program-specific qualification efforts
• Manages files provided by customer, converts to required formats, analyzes data, reviews for issues.
• Works with service line leadership to resolve issues with client information
• Prepares data mapping analysis on files received by clients as necessary for appropriate uploading into Human Arc’s information systems.
• Works with IT team to ensure proper upload of data into systems

ENGAGES IN MONITORING AND ANALYSIS

• Assists teams with analyzing data
• Processes weekly/monthly reporting. Identifies issues or concerns based upon the data.
• Reviews, monitors and analyzes performance trends. Identifies issues or concerns.
• Works with appropriate people and entities to establish, verify and update appropriate benchmarks for like teams.
• Analyzes client reports in advance of release to client to identify areas of success or concern
• Analyzes reports to determine if existing processes, procedures, and systems are effective
• Supports the budget development and financial review process

ENGAGES WITH IT AROUND SERVICE NEEDS

• Works with IT to develop appropriately detailed business specifications necessary to create or modify service's business systems.
• Participates in workflow development
• Works with IS to continually improve tools needed by the service line (includes identifying errors/issues and assisting in their resolution)

ENHANCES QA EFFORTS

• Works with leadership to create and implement quality tools
• Analyzes current workflows, forms and processes for efficiencies and accuracy
• Troubleshoots process problems for root cause
• Identifies and supports implementation of operational, process or system enhancements needed to improve process efficiency or quality
• Serves as a key driver of project plans for improving and automating process and quality
• Supplements the work of others in the creation and implementation of QA programs
• Coordinates with leaders to standardize process across service line
• Updates leadership on activities, issues, and concerns

PROVIDES CLIENT-RELATED SUPPORT TO THE SERVICE

• Shares appropriate information with clients to update their data systems based upon Human Arc’s completed qualification efforts
• Analyzes client data looking for opportunities to positively impact total reimbursement results.
• Analyzes global data to determine prospecting target opportunities
• Prepares historical distribution results, analyzes data classifications as well as other reviews necessary to help give clarity to potential opportunities.
• Engages in business development opportunity analysis

CONDUCTS MARKET-FOCUSED REVENUE ANALYSIS

• Re-engineers reimbursement models
• Prepares analysis of historical & future reimbursements based upon model(s) or information provided by the prospective client.
• Prepares projections of the current or projected financial value of services to client and Human Arc
• Prepares client reconciliation analysis

Role Requirements:

• Proficiency in SQL
• Excellent knowledge of Project planning
• Excellent knowledge of Fundamental analytical concepts, practices and procedures
• Excellent knowledge of auditing practices and compliance requirements
• Excellent knowledge of Data-mining products and principles
• Excellent knowledge of appropriate quality tools for the job (i.e. root cause analysis, fishbone diagrams, etc.)
• Bachelor’s degree or equivalent experience

We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan.

Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.

Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.