Description

HCE Data Analyst with BA

SQL, Power BI, SAS, health economics, data analysis, reporting, queries, Medicare/Medicaid, Quality Assurance, Data Quality Validation, Business Analysis, Scrum


 

Requirements: SQL, Power BI, SAS, health economics, data analysis, reporting, queries, Medicare/Medicaid, Quality Assurance, Data Quality Validation, Business Analysis, Scrum


 

Healthcare Domain Experience absolute must

Position Overview


 

The Healthcare Data Analyst position involves writing queries, analysis of healthcare data, with an emphasis on working with the technical operation team to create requirements and support BI reporting capabilities.


 

The analyst will contribute to population health analyses, clinical workflows, report development, and product development.


 

Key Responsibilities

Discovery and documentation of processes – as-is and to-be

Creating and executing test plans to ensure the highest quality of products

Creating data quality rules and ensuring verification

Developing and maintaining test automation scripts for different types of applications

Analyzing business requirements and providing feedback and recommendations

· Analyze health care data and provide insights and recommendations to improve patient outcomes and cost-efficiency.

· Participate in HEDIS (Healthcare Effectiveness Data and Information Set) initiatives to measure and improve the quality of care provided.

  • Analyze inbound health care data including claims, ADT HL7, and eligibility and and assess quality and consistency
  • Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data
  • Assist in designing, programming, testing, and standardizing processes and reports for auditing and verification of data source
  • Support execution of large-scale projects with limited direction from leadership
  • Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers
  • Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines

Qualifications

· Minimum 3 years of experience relevant industry experience in healthcare data analysis and health economics

· 1-2+ years of consulting experience in health policy including Medicare/Medicaid topics areas, experience with commercial payers and provider organization a plus ; candidates with consulting experience strongly preferred

Working knowledge of healthcare data including medical claims, pharmacy claims, and eligibility, population behavior

Conventional understanding of applicable data privacy practices, HIPPA & Healthcare regulations would be a plus

2 + years professional experience using statistical software, data verification, data management

Working knowledge of scripting or data mining tools like SQL, R, Python, SAS, Java/MapReduce, Aster, etc. required

ETL experience is a plus
Experience in Quantitative Analytics & Regression Modeling

Must be analytical, detail oriented, and a problem solver

Excellent Excel and database skills

Experience with T-SQL, Python, SAS and Power BI reporting tools a must

Experience with Data Quality testing


 

Education

ANY GRADUATE