Senior Health Data Analyst I

Partnership HealthPlan of California; Fairfield (CA); On-site; USD 107,000 - 139,000; Full time

Job summary

Partnership HealthPlan of California seeks a Senior Healthcare Data Analyst I to develop analytic solutions for utilization management, care coordination, quality improvement and population health. You will analyze patient claims, enrollment, and related data to identify opportunities for improvement across programs and performance metrics.

The role requires deep knowledge of healthcare data and large data set work, with Tableau reporting and SAS/SQL proficiency.

Qualifications

• Bachelor's degree with concentration in health informatics, health administration, public health, computing, epidemiology, statistics or related field.
• Master's degree preferred and four years of data analysis and reporting experience.
• Knowledge of health plan operations: claims processing, membership, provider and benefits.
• Experience with data mining techniques and large datasets; SAS/SQL a plus.

Responsibilities

• Gathers and integrates data from disparate sources with business partners and IT.
• Responds to ad hoc data requests from leadership and business units.
• Designs data collection strategies, aggregation, analysis and reporting to ensure data integrity.
• Participates in data analyses and interprets results for improvement recommendations.
• Helps build and maintain predictive models and automates reporting requirements.
• Keeps thorough documentation of programs used to create reports.

Skills

Inferential statistics

Predictive analytics

Data visualization

Data analysis

SQL

SAS

Tableau

Excel

MS Office

Education

Bachelor’s degree in health informatics or related field

Master’s degree preferred

Tools

SQL

SAS

Tableau

Excel

MS Office

Job description

Overview

The Senior Healthcare Data Analyst I contributes to the overall success of the organization bydeveloping analytic solutions that support activities related to health services utilizationmanagement, care coordination, quality improvement and population health. Through analyzingpatient claims, member enrollment, and other data, the Senior Healthcare Data Analystparticipates in identifying progress, performance and opportunities for improvement onprograms, quality of care, patient experience, and other metrics. This position requires athorough understanding of healthcare data and workflows, combined with an extensiveexperience working with large data sets, conducting data analysis, including standard statisticalsoftware (SAS), and creating reports using Tableau.

Responsibilities

• Works collaboratively with business partners, other analysts, and IT to gather andintegrate data from disparate sources.
• Responds to ad hoc data requests from business units and leadership
• Assists in design and development of data collection strategies, aggregation, analysis,and reporting to ensure data integrity and enhance information value.
• Participates in design and interpretation of data analyses; provides recommendations forimprovement of data quality and reporting.
• Helps build, manage, and/or enhance predictive models
• Assesses reporting and automation requirements and develops appropriate solutions.
• Maintains in-depth knowledge of health plan operations, including claims processing,utilization management, quality improvement activities and pay for performance programs.
• Critically analyzes data, draws conclusions and effectively articulates results.
• Presents data and conclusions to non-technical audience; uses data visualizations andsummaries to highlight key findings.
• Creates and maintains thorough and consistent documentation of programs used tocreate reports.
• Manages and prioritizes workload while meeting deliverables and expectations.
• Works autonomously and collaboratively with report requestors, providing guidance todefine report requirements and validate results.
• Works collaboratively across departments to understand and meet the organization’sanalytic needs.

SECONDARY DUTIES AND RESPONSIBILITIES

• Performs other assigned or needed activities required to assure success of theorganization.
• Participates in special projects as needed.
• Performs other duties as assigned.

General Traits

• Passionate about data, willing to acquire new skills and knowledge, flexible, self-motivated, and very curious.
• Creative problem-solver, critical thinker, independent worker, data-driven mentality.
• Communicates clearly and directly, relates well to others, engages people, provides andseeks feedback, articulates clearly, actively listens.

Qualifications

Education and Experience

Bachelor’s degree with concentration in health informatics, healthadministration, public health, computing, epidemiology, statistics orrelated field, Master’s degree preferred. Minimum four (4) years ofexperience in data analysis and reporting. Knowledge of major healthplan operations: healthcare claims processing, membership, provider,and benefits; or equivalent combination of education and experience.Excellent knowledge of data collection, analysis, statistics and datapresentation with experience in data mining techniques and procedures.Experience using statistical packages for analyzing large data sets, SASand/or SQL a plus. Experience working with administrative data, ideallyhealth care data (Medicaid data a plus).Understanding of health data formats including claims, lab andpharmacy. Knowledge of clinical coding systems (e.g., ICD9, ICD10,CPT).

Special Skills, Licenses and Certifications

Proficiency in inferential and predictive statistical analysis.MS Office, Excel, SQL, SAS, Tableau.Ability to present complex information in an understandable andcompelling manner.

Performance Based Competencies

Ability to quickly acquire in-depth knowledge of various systems relatedto claims processing, membership, provider, and benefits at Partnership. Strong written and oral communication skills with ability to interpret andunderstand technical requirements. Excellent analytical skills totroubleshoot and resolve data issues. Must be highly organized andproficient at multi-tasking. Must be willing and able to provide graciousassistance to users, providers, and other constituents of Partnership.

Work Environment And Physical Demands

More than 50% of work time is spent at a video display terminal.

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$106,667.05 - $138,667.16

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.