Principal Healthcare Data Analyst *Remote*

Providence Health & Services; Renton (WA); Remote; USD 125,000 - 150,000; Full time

Job summary

A leading healthcare provider is seeking a Risk Adjustment Analytics Principal to enhance its analytics capabilities. This role focuses on mentoring junior staff, providing advanced analytical support, and collaborating across teams. Candidates should have extensive experience in data analysis, preferably in a healthcare context. This position offers remote work opportunities across specific states.

Benefits

Comprehensive benefits package

Remote work options

Opportunities for professional growth

Qualifications

• Minimum of 10 years of data analysis experience or 12 years with a high school diploma.
• Experience in healthcare organization/health insurer preferred.

Responsibilities

• Act as primary technical resource for the Risk Adjustment department.
• Mentor junior staff and collaborate with analytics teams.
• Provide advanced analytical support to leadership related to performance.

Skills

Data analysis at decision-making level

Advanced analytical skills

Education

Bachelor's Degree in a quantitative field

High School Education plus 12 years of experience

Job description

Overview

Description

Providence Health Plan caregivers are valued for their role in patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

The Risk Adjustment Analytics Principal acts as the primary technical resource and business liaison, working directly with the Risk Adjustment department and the broader Data Analytics department to develop tools, metrics, and reports needed to advance the organization's Risk Adjustment strategy. This role provides project management and requires advanced analytical and reporting skills and process improvement methodologies to design and review evaluation plans, ensure data collection across groups, influence and develop analysts for reporting support, lead team meetings, and mentor junior staff.

The Principal also mentors caregivers across the Data Analytics department. The Principal must maintain an understanding of changing health care trends and Risk Adjustment regulations and their impact on the Plan. They must stay current on analytic techniques, data sources, and data available within Providence Health Plan System and other public and proprietary sources, and build relationships with leaders across the organization including Actuarial, Network, Strategic Accounts, Compliance and Regulatory Finance, IS, Pharmacy, and external agencies (the State, CMS).

Essential functions

• Meets regularly with Risk Adjustment leadership and staff to establish reporting and analytics priorities, secure resources, set timelines for delivery, and execute on goals.
• Provides deep understanding of Risk Adjustment processes, models, methodologies, and outcomes; collaborates with analytics team to produce reporting and analysis to support decision making by leadership.
• Provides advanced analytical support to Finance and Risk Adjustment leadership related to performance driving expected payments.
• Organizes, prepares, and distributes complex analyses and operational reports utilizing multiple data systems.

Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:

• Washington
• Oregon
• California

Required qualifications

• Bachelor's Degree in a highly quantitative field (e.g. Statistics, Mathematics, Actuarial Science, Economics, Engineering/Physics, Accounting, or Computer Science) plus a minimum of 10 years of data analysis experience, or High School Education or equivalent plus a minimum of 12 years of data analysis experience.
• Data analysis experience at a decision-making level.

Preferred qualifications

• Master's Degree.
• Coursework/Training in CQI/TQM and statistical process control methodology.
• Healthcare organization/health insurer experience.
• Extensive experience in CQI/TQM and statistical process control methodology.

Salary Range by Location

• California: Humboldt — Min: $54.40, Max: $85.88
• California: All Northern California - Except Humboldt — Min: $61.04, Max: $96.35
• California: All Southern California - Except Bakersfield — Min: $54.40, Max: $85.88
• California: Bakersfield — Min: $52.19, Max: $82.39
• Oregon: Non-Portland Service Area — Min: $48.65, Max: $76.80
• Oregon: Portland Service Area — Min: $52.19, Max: $82.39
• Washington: Western - Except Tukwila — Min: $54.40, Max: $85.88
• Washington: Southwest - Olympia, Centralia & Below — Min: $52.19, Max: $82.39
• Washington: Tukwila — Min: $54.40, Max: $85.88
• Washington: Eastern — Min: $46.44, Max: $73.31
• Washington: Southeastern — Min: $48.65, Max: $76.80

Why Join Providence Health Plan?

Our best-in-class benefits are designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." We are committed to fostering an inclusive workplace where diversity is valued and everyone is essential, heard, and respected. Our 120,000 caregivers serve in over 50 hospitals, over 1,000 clinics, and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas, and Washington. We have a long tradition of serving the poor and vulnerable.

Equity and Benefits

The base pay range is listed; additional compensation may be available, including shift differentials, standby/on-call, overtime, premiums, bonus opportunities, or other incentives. Providence offers a comprehensive benefits package including retirement savings, health coverage, life and disability insurance, paid time off, and more. Learn more at providence.jobs/benefits.

About the Team

Providence Shared Services provides functional and system support services for our organization across multiple states. We are focused on supporting our Mission by delivering services and sharing expertise. Providence is an Equal Opportunity Employer with a commitment to a diverse and inclusive workforce.

Requisition ID: 387087

Company: Providence Jobs

Job Category: Member Services Enrollment & Billing

Job Function: Health Plans Services

Job Schedule: Full time

Job Shift: Day

Career Track: Business Professional

Department: 5018 FINAN FINANCIAL ANALYTICS OR REGION

Address: OR Portland 4400 NE Halsey St

Work Location: Providence Office Park Portland Bldg 1-Portland

Workplace Type: Remote

Pay Range: see posting