Healthcare Data Insights Analyst

TechnoPathz; Phoenix (AZ); On-site; USD 70,000 - 100,000; Full time

Job summary

TechnoPathz in Phoenix is seeking a HealthCare Data Analyst to analyze healthcare data, including medical claims and eligibility, using SQL Server, PL/SQL, and TOAD for Oracle. This role focuses on turning raw data into actionable insights for care management.

You will work with MS Access and MS Excel, understand CPT, ICD coding, HCPCS, DRG concepts, and contribute to maintaining a health quality data mart, monitoring data quality, and identifying trends in complex datasets.

Qualifications

• 2-4 years of experience analyzing healthcare data with demonstrated contemporary experience using SQL Server, PL/SQL, TOAD, Oracle, MS Access, MS Excel.
• Demonstrated experience in healthcare analytics, statistical analysis, SQL programming, or HEDIS reporting.
• Additional experience with other major areas of healthcare analytics (risk adjustment, utilization, predictive modelling, etc.).
• 2+ years of HEDIS experience and/or knowledge preferred.

Responsibilities

• Analyze healthcare data, including medical claims and eligibility, using SQL Server, PL/SQL, TOAD for Oracle, MS Access and MS Excel.
• Understanding of key managed care concepts and terms (e.g. PMPM, CPT, ICD coding, HCPCS, DRG etc.).
• Understanding of data structure/integration and relational database design.
• Assist in the population and maintenance of health quality historical data mart.
• Responsible for monitoring and identifying data problem areas and conduct research to determine best course of action.
• Identify, analyze, and interpret trends or patterns in complex data sets.

Skills

Data analysis

Healthcare analytics

HEDIS knowledge

Tools

SQL Server

PL/SQL

TOAD for Oracle

MS Access

MS Excel

Job description

TechnoPathz in Phoenix is seeking a HealthCare Data Analyst to analyze healthcare data, including medical claims and eligibility, using SQL Server, PL/SQL, and TOAD for Oracle. This role focuses on turning raw data into actionable insights for care management.

You will work with MS Access and MS Excel, understand CPT, ICD coding, HCPCS, DRG concepts, and contribute to maintaining a health quality data mart, monitoring data quality, and identifying trends in complex datasets.