Analyze complex datasets to identify trends, outliers, and opportunities for operational improvement across Medicare, Medicaid, and Exchange programs
Develop and maintain recurring and ad-hoc reports, dashboards, and analytical tools to support data-driven decision-making
Create and maintain a repository of standardized code templates to streamline report generation and automate routine tasks
Ensure analytical outputs align with regulatory requirements and business objectives by interpreting CMS and state guidance in partnership with internal subject matter experts
Support the development of scalable processes that enhance efficiency, accuracy, and responsiveness across government program operations
Design and implement automated solutions to reduce manual effort and improve process scalability and accuracy
Implements and uses analytical software to support the department in achieving goals as defined by executive leadership
Facilitate requirements gathering sessions to understand business needs and translate them into actionable analytical deliverables
Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery, and cost savings regulations are met
Presents and communicates complex analytical findings in a clear and concise manner
Participates in user acceptance, and quality assurance testing of new application features and team deliverables
Supports root-cause-analysis and reporting of encounter data issues/errors by partnering with key stakeholders – Will also provide operationally support
Prepares high-level user documentation and training materials as needed
Work with internal and external clients to research, develop, and document new standards to enhance reporting capabilities
Collaborate with cross-functional teams—including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations—to refine and enhance operational capabilities
Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.

Requirements

4+ years of healthcare data experience
4+ years of experience working with SQL, R, or Python
4+ years of experience working with business intelligence tools
Experience performing analyses on large sets of data
Knowledge of data management, statistics, modeling concepts
Experience working with cross-functional teams
Experience with Power BI or other data visualization tools
Ability to balance multiple complex projects simultaneously
Extremely flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high-quality work product
Bachelor's degree in Business Administration, Data Analytics or 4+ years of relevant experience.

Benefits

Adherence to the Capital Rx Code of Conduct

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

SQLRPythondata managementstatisticsmodeling conceptsbusiness intelligence toolsdata analysisdata visualizationautomated solutions

Soft Skills

organizational skillsflexibilityattention to detailproject managementcommunication skillscollaborationanalytical thinkingproblem-solvingtime managementtraining and documentation