Medicare Analytics Lead: Health Care Data & Dashboards

Emergent Holdings; Detroit (MI); On-site; USD 83,000 - 139,000; Full time

Job summary

Emergent Holdings is seeking a Senior Health Care Analyst to lead data analysis, reporting, and dashboard development for Medicare Part D quality and adherence initiatives. You will translate complex health data into actionable insights for business and clinical partners and support CMS Star Rating improvement.

The role requires strong SQL, Python, Spark SQL, SAS, and Tableau skills, with a focus on data quality and cross-functional collaboration in a healthcare setting.

Qualifications

• Experience writing complex SQL queries across pharmacy, medical claims, membership and provider data.
• Proficiency in Python for healthcare analytics, reporting, automation and data quality validation.
• Experience in Spark SQL and Python code in Databricks for data analytics and process automation.
• Familiarity with SAS programming for data manipulation, reporting and analytics.
• Strong Tableau experience for interactive dashboards and self-service analytics.
• Experience monitoring medication adherence, drug trend analysis and program evaluations.
• Ability to investigate data quality issues and validate CMS measure calculations.
• Strong analytical, communication and collaboration skills to translate data into actionable insights.

Responsibilities

• Support PBM transition tasks and participate in workstream meetings.
• Support PBM audit and analytics for Medicare pharmacy services.
• Build and maintain business reports for executive dashboards.
• Research, analyze, identify trends, and evaluate data issues and opportunities.
• Understand BCBSM business, products, networks, and organizational structure.
• Manage multiple projects with defined plans and objectives.
• Communicate analysis results to management via reports and presentations; assist in implementing solutions.
• Identify root causes and implement corrective actions.
• Plan and coordinate dashboard maintenance with analytics and operations teams.
• Collaborate with business owners to define measurable metrics and drive dashboard adoption.

Skills

SQL querying

Python analytics

Analytical thinking

Communication & collaboration

Problem solving

Data quality awareness

Education

Bachelor's degree in a related field

Master's degree preferred

Tools

Databricks

Spark SQL

SAS

Tableau

Job description

Emergent Holdings is seeking a Senior Health Care Analyst to lead data analysis, reporting, and dashboard development for Medicare Part D quality and adherence initiatives. You will translate complex health data into actionable insights for business and clinical partners and support CMS Star Rating improvement.

The role requires strong SQL, Python, Spark SQL, SAS, and Tableau skills, with a focus on data quality and cross-functional collaboration in a healthcare setting.