As the Senior Data Analyst, you will be primarily responsible for analyzing data, building data models, data flow diagrams, mapping source and destination data attributes, and creating data structures.
You will have the opportunity to make a significant impact through the discovery, development, and implementation of leading-edge analytics that answer important business questions.
This role will have good exposure to our senior leadership and other functional leadership.
Strong knowledge of HEDIS and/or Medicare Stars experience, which includes providing strategic recommendations for improving HEDIS measure performance, provider engagement, and patient experience for various markets, internal leadership, and provider partners.
Develop and maintain HEDIS based reports to support Quality Initiatives.
Participates in Clinical Team meetings and provides analytic and statistical support for quality, clinical, and operational improvement activities, and effectively summarizing complex information.
The position will coordinate onboarding of new data files and collaborate with internal and external departments to drive improved scores in Medicare Stars.
Identify and resolve data, process, and technical issues and communicate root-causes with stakeholders as appropriate.
Document data flow, create data design and solution architecture diagrams.
Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners.
Research key business problems and proactively identify opportunities for cost and utilization improvements through quantitative analysis.
Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required.
Serve as a business leader and subject matter expert for data domains.
Consolidate and review analyses and recommendations of internal and external business partners.
Mentor junior analysts on analytic best practices and business need fulfilment.

Requirements

BA or BS degrees in IT or Information Systems or related field, or equivalent education and experience required.
7+ years of experience working in Information Technology or BI.
Minimum three (3) years’ experience in clinical quality, NCQA HEDIS, or health data analytics related to Medicare Stars, QRS, or Medicaid programs.
2+ years of related work experience working for a healthcare payer is preferred with the familiarity of a medical claim, pharmacy claim, and provider data domains.
Expert knowledge using Microsoft tools and SQL Server database or similar SQL platforms.
Understanding of Azure data warehouse, Synapse and Azure data factory, Understanding of Several BI and Reporting Platforms.
Working knowledge of automation capabilities such as batch processes, stored procedures, scripting languages, PowerBI, or other tools preferred.
Familiarity with metadata management and data lineage.
Must possess excellent interpersonal and communications written and problem-solving skills.

Benefits

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Applicant Tracking System Keywords

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Hard Skills & Tools

data analysisdata modelingdata flow diagramsHEDISMedicare Starsclinical qualitySQLPowerBIdata lineageautomation

Soft Skills

interpersonal skillscommunication skillsproblem-solving skillsmentoringcollaborationanalytical thinkingpresentation skillsstrategic recommendationsstakeholder communicationsummarizing complex information