Senior Healthcare Data Analyst
Senior Healthcare Data Analyst
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Salary Not Disclosed
1 Vacancy
Job Description
Role Overview
We are looking for an experienced Senior Healthcare Data Analyst with a strong understanding of healthcare data payer operations and clinical quality measurement. The ideal candidate will be proficient in SQL and have extensive experience working with HEDIS measures claims and payer data sets to drive performance in valuebased models.
Key Responsibilities
- Analyze and report on HEDIS eCQM Stars and other quality measures.
- Extract and analyze healthcare data from multiple sources (e.g. claims enrollment EMR).
- Develop and maintain documentation for business requirements data mapping and specifications.
- Work with business stakeholders to understand and deliver qualityfocused data insights.
- Support UAT data validation and test case development.
- Collaborate with teams for planning design and enhancement of analytics solutions.
- Participate in internal and client reviews related to measure specifications and compliance.
Qualifications :
- 68 years of experience as a Business/Data Analyst in US Healthcare particularly payers or health plans.
- Proficient in SQL for data extraction and analytics.
- Indepth knowledge of healthcare codes and formats: ICD10 CPT HCPCS 837I/P HL7 FHIR.
- Handson experience with HEDIS eCQMs MIPS DSRIP etc.
- Strong understanding of payer data: member/enrollment claims revenue risk adjustment.
- Graduate or Postgraduate degree in Public Health Health Informatics Hospital/Health Administration Pharmacy or related field.
- Strong written/verbal communication and technical documentation skills.
- Ability to work independently and manage multiple priorities in a fastpaced environment.
Additional Information :
Nice to Have
- Experience in valuebased care or riskbased contracting analytics.
- Familiarity with clinical integration platforms NCQA audit processes or population health solutions.
Remote Work :
No
Employment Type :
Fulltime
Employment Type
Full-time
