Medicare Health Analytics Lead — Data, Dashboards & Insights

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

Job summary

Emergent Holdings in Detroit, MI is seeking a Senior Health Care Analyst to analyze Medicare Part D data, develop dashboards, and support quality and adherence initiatives to improve CMS Star Ratings.

You will translate complex healthcare data into actionable insights for business and clinical partners, manage multiple projects, and collaborate across teams to optimize performance and reporting.

Qualifications

• Experience developing complex SQL queries and analyzing large healthcare datasets.
• Proficient in Python for analytics, reporting, automation, and data quality validation.
• Experience with Spark SQL and Python in Databricks for automation and analytics.
• Familiarity with SAS for data manipulation and reporting.
• Strong Tableau experience for dashboards and self-service analytics.
• Experience monitoring medication adherence and drug trend analyses.
• Ability to investigate data quality issues and validate CMS measure calculations.
• Strong analytical, problem-solving, and communication skills.

Responsibilities

• Support PBM transition tasks and participate in workstream meetings.
• Supports PBM audit and analytics for Medicare pharmacy services.
• Builds and supports reports for executive dashboard.
• Leads in the research, analysis, identification, and evaluation of data to evaluate trends and issues.
• Maintains knowledge of BCBSM business, products, programs, and data structures.
• Manages and monitors multiple projects with defined plans and objectives.
• Develops communications of results to management via reports and presentations.
• Identifies problems and root causes and implements solutions.
• Collaborates with stakeholders to meet corporate objectives and change management needs.
• Defines measurable metrics with pharmacy owners and enables dashboard usage daily.
• Maintains executive dashboard and related platforms.
• Collaborates with analytics/ops to automate dashboard functions.

Skills

SQL

Python

Spark SQL

SAS

Tableau

Pharmacy analytics

Data quality validation

Analytical skills

Education

Bachelor’s degree in Business Administration, Economics, Health Care, Information Systems, Statistics

Master’s degree preferred

Seven years of related experience

Tools

Databricks

Job description

Emergent Holdings in Detroit, MI is seeking a Senior Health Care Analyst to analyze Medicare Part D data, develop dashboards, and support quality and adherence initiatives to improve CMS Star Ratings.

You will translate complex healthcare data into actionable insights for business and clinical partners, manage multiple projects, and collaborate across teams to optimize performance and reporting.