Senior Healthcare Data Analyst – Remote & 5-Star Focus

SCAN Group; Long Beach (CA); Remote; USD 92,000 - 134,000; Full time

Benefits offered by this job

Annual bonus program

Wellness program

PTO and holidays

401(k) plan with employer match

Tuition reimbursement

Job summary

SCAN is seeking a Healthcare Analyst II to develop, document, and program in support of 5-Star projects and in-house initiatives. You will perform in-depth data analysis, HEDIS reporting, and other related tasks to improve care quality for Medicare Advantage members.

The role involves research and moderate analysis of health data, designing actionable insights, leading QA processes, and collaborating with stakeholders to resolve data issues. Mostly remote with competitive benefits.

Qualifications

• Bachelor's or above degree in Math, Statistics, Biostatistics, Computer Science, or other quantitative disciplines required.
• 5+ years of analytical experience, or 4+ years of analytical experience in a Healthcare, Managed Care environment required.
• Experience with HEDIS is preferred.
• Experience with medical claims / encounters data is preferred.
• MS Office Suite at advanced level required.
• Proficiency with MS SQL (queries) required.
• Snowflake experience is preferred.
• SQL Server Reporting Services and SQL Server Integration Services experience preferred.
• SAS (Statistical Analysis System) experience preferred.
• Power BI tool experience preferred.
• Excellent technical, interpersonal written and oral communication skills required.

Responsibilities

• Responsible for research and moderate analysis of Medicare Advantage and healthcare data specific to membership, provider, claims, authorizations, pharmacy, and financial information.
• Designs and produces timely and meaningful analysis and data interpretation regarding large health care related datasets, related to 5-Star ratings, HEDIS, state specific programs and other initiatives.
• Leads in development, implementation, and QA processes to ensure reported data is accurate and reliable.
• Conducts data management, quality improvement studies, statistical analysis, and report generation; presents findings to Analysts and management.
• Performs moderate to complex analysis and interprets organizational data including data mining, verification, mapping, scrubbing, and scrapping.
• Develops and deliver actionable findings within tight deadlines and changing requirements.
• Investigates root causes, identifies trends, and makes recommendations for action.
• Works with stakeholders to troubleshoot and correct data anomalies.

Skills

Analytical thinking

Communication skills

Problem solving

Team collaboration

Attention to detail

Education

Bachelor's degree or higher in Math/Statistics/CS

Tools

MS SQL

Power BI

Snowflake

SSRS

SSIS

SAS

MS Office

Excel

Job description

SCAN is seeking a Healthcare Analyst II to develop, document, and program in support of 5-Star projects and in-house initiatives. You will perform in-depth data analysis, HEDIS reporting, and other related tasks to improve care quality for Medicare Advantage members.

The role involves research and moderate analysis of health data, designing actionable insights, leading QA processes, and collaborating with stakeholders to resolve data issues. Mostly remote with competitive benefits.