Sr. Healthcare Data Analyst

Mass General Brigham Health Plan; Somerville (MA); Hybrid; USD 80,000 - 110,000; Full time

Job summary

An established industry player in healthcare is seeking a Senior Healthcare Data Analyst II to join their Clinical Operations Team. This role offers the opportunity to lead data analysis projects that directly impact the quality of care for members. You will work collaboratively across departments, utilizing advanced SQL and SAS skills to drive improvements in healthcare programs. The ideal candidate will thrive in a supportive environment that values diverse backgrounds and innovative ideas, making a meaningful difference in the lives of patients. Join a team committed to excellence and be part of a transformative journey in healthcare.

Benefits

Flexible work options

Career growth opportunities

Competitive salaries

Comprehensive benefits package

Qualifications

• 5-7 years of experience in data analysis, especially in healthcare.
• Expertise in SQL, SAS, and advanced Excel for data management.

Responsibilities

• Conduct research and analysis to support decision-making processes.
• Provide analytic support for clinical programs and quality reporting.

Skills

SQL

SAS

Excel

Statistical Modeling

Analytical Skills

Communication Skills

Education

Bachelor's Degree in Analysis or related field

Master's degree in statistics, computer science, or related field

Tools

Data Warehouse

Predictive Modeling Tools

Electronic Medical Records (EPIC, Athena)

Job description

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.

Our work centers on creating an exceptional member experience - a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.

We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.

The Senior Healthcare Data Analyst II reports to the Senior Manager, Clinical Operations, and is a lead contributor to the measurement and evaluation of the care being received by Mass General Brigham Health Plan members.

The Senior Healthcare Data Analyst, as part of the Clinical Operations Team, provides direction and guidance on the retrieval and analysis of enterprise clinical data to support process improvement, trend analyses, and identification of healthcare disparities. This position is a subject matter expert on the data systems, data sources, and analytic techniques needed to support business owners on the improvement of care to our members. The Senior Healthcare Data Analyst II can work independently with minimal guidance to design and conduct analyses needed within the organization.

The Senior Healthcare Data Analyst will provide leadership within the team and mentor other junior analysts as needed. Additional responsibilities include collaborative work with multiple departments within the organization such as: Clinical, Contracting, Network Management, Medical Economics, and other areas within the organization.

Finally, the Senior Healthcare Data Analyst will support all other regulatory needs at the state and federal level, and across all health insurance programs.

Principal Duties and Responsibilities:

1. Conduct research and analysis, monitoring, and reporting of special projects as requested by internal or external organizations to support decision making process and business strategies.
2. Provide ongoing data and analytic leadership on the evaluation of disease/condition management programs.
3. Consult with senior staff on the evaluation and effectiveness of clinical programs.
4. Provide ongoing analytic support to the alternate payment methodology programs as well as the accountable care organization efforts. Facilitate and lead discussions with stakeholders from provider organizations, as well as within the health plan, providing expertise and direction on the structure and management of these risk arrangements.
5. Provide analytic support to MassHealth Quality Reporting and the External Quality Review Organization. Consult with business owners and provide process and outcome data on specific programs.
6. Analyze Consumer Assessment of Healthcare Providers and Systems (CAHPS) results and identify key drivers and underlying issues for member's satisfaction.
7. Support the annual Healthcare Effectiveness Data Information Set (HEDIS) reporting and software, providing analytic support and guidance on the use of HEDIS data.
8. Lead and facilitate the completion of key deliverables such as the HEDIS Roadmap, Quality Management Program Evaluation and ongoing studies of new programs that benefit Mass General Brigham Health Plan members.
9. Consistently produce well thought out, error free work in a timely manner. Perform detailed quality checks on all final products to ensure that users receive reliable information.
10. Prioritize data analyses as directed by quality or clinical leadership, and present conclusions and findings to all levels of staff across the organization.
11. Independently design and manage analyses to discover, articulate, assess, or measure impact of organization programs or initiatives.
12. Perform functions such as, but not limited to, the development and maintenance of reporting, analysis related to utilization patterns related to common conditions or disorders, population trends, readmission rates, quality contract performance evaluation, develop and maintain contract deliverables reports, etc.
13. Conduct ad hoc analysis as needed to meet various operational and organizational needs.
14. Assist in the acquisition of data and report development to support required reporting for MassHealth Quality Improvement Goals, NCQA, clinical program evaluations, network reporting, or other organizational initiatives.
15. Serve as a resource for other teams within the organization for projects and tasks requiring advanced technical skills.
16. Serve as an expert, "super-user" of available data sources (e.g., Data Warehouse, Reporting, Dashboards, SAS) and predictive modeling tools.

Increase integration between Mass General Health Plan and delivery system:

• Establish positive relationships with delivery system leaders.
• Enhance credibility of Plan
• Develop service levels, key performance indicators and targets for individual and shared activities.
• Promote a seamless experience for our members.
• Identify, share, and implement best practices.
• Leverage unique skills and strengths within each area.
• Build efficiencies between teams.

Qualifications:

Required

• Bachelor's Degree in Analysis or related field of study
• At least 5-7 years of experience in data analysis
• Advanced SQL, SAS, and Excel skills along with experience with statistical modeling tools required.

Highly Preferred:

• Master's degree required in statistics, computer science, information systems, or other related field.
• 10-15 years of health care payer industry experience, managing large and complicated analyses for senior and executive leadership.
• 10-15 years' experience working in electronic medical records, such as EPIC, Athena, etc.
• Experience with regulatory reporting.
• Experience with Medicaid, Medicare and Commercial products.

Skills/Abilities/Competencies:

• Must be able to provide consultation to constituents to identify their needs.
• Must be extremely detail oriented and draw well thought-out conclusions.
• Must be able to work independently, and as part of a team.
• Expert in SQL Server.
• Excellent critical thinking, analytical and organizational skills
• Ability to work well both independently and in a team.
• Excellent oral and written communication skills.
• Attention to detail.
• Business writing and presentation skills; ability to write clear, concise reports, proposals, and business correspondence.
• Ability to influence others and persevere in situations.
• Ability to initiate administrative activities as necessary and institute quality control procedures.
• Ability to manage multiple projects, meet deadlines and adjust to changes in company policies, procedures, and priorities.
• Ability to read, analyze and interpret clinical research, general business periodicals, professional journals, government regulations and legal documents.
• Ability to effectively present information and respond to inquiries from employees, senior management, and regulatory agencies.
• Act with a clear sense of ownership.
• Demonstrate Mass General Brigham Health Plans core brand principles of always listening, challenging conventions, and providing value.
• Bring fresh ideas forward by listening to and working with employees and the people we serve.
• Respect the talent and unique contributions of every individual and treat all people in a fair and equitable manner.
• Strong, demonstrated track record of an ability to execute on time, on budget, and on scope.
• Strong aptitude for technology-based solutions.
• Ability to inject energy, when and where it's needed.
• Current in healthcare trends.
• Demonstrated forward, visionary thinking; ability to see "what is" and envision "what could be."
• Ability to develop, introduce, defend, and gain support for a new ideas and approaches.
• Excellent leadership skills and leadership track record.
• Ability to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Strong verbal, active listening, and written communication skills required.
• Ability to view the long-range trends and cycles of the business and industry and see the "big picture."
• Ability to apply a variety of strategic frameworks to analyze problems and to guide and develop solutions.
• Ability to challenge the status quo and drive innovative thinking and the capability to successfully implement strategy.
• Excellent interpersonal skills, including the ability to influence others at all levels of an organization.
• Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.
• Unquestionable integrity.

Fiscal Responsibility:

• Demonstrates fiscal responsibility by effectively using Mass General Brigham Health Plan resources

Working Conditions:

• Normal office working conditions.
• Remote, Hybrid or onsite

Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.