Clinical Data Analyst

The Clinical Data Analyst partners with clinical leadership payor relations and operations to translate clinical data into the evidence story that demonstrates Centrias value to payors and regulators. This role uses the Donabedian framework (structure process outcome) as the analytic spine for organizing interpreting and communicating Centrias clinical performance.

The Clinical Data Analyst builds and maintains the dashboards payor reports and analytic narratives that show how Centrias care delivery produces measurable outcomes. The role sits at the intersection of clinical quality data analytics and payor strategy.

Duties and Responsibilities

The below reflects the essential functions considered necessary for this role and shall not be construed as a detailed description of all work requirements inherent in the job or assigned by supervisory personnel. This job description is used as a guide only and not inclusive of all responsibilities and job duties.

• Apply the Donabedian framework (structure process outcome) to organize Centrias clinical data into a coherent value narrative for internal leadership payors and regulators.
• Build and maintain Power BI dashboards that translate clinical performance data into payor-facing evidence of quality access and outcomes.
• Partner with payor relations and clinical leadership to develop outcomes reporting that supports value-based contracts corrective action plans rate negotiations and managed care reviews.
• Analyze clinical utilization and claims data to identify trends risks and opportunities that strengthen Centrias payor positioning.
• Translate clinical and operational data into clear defensible analytic narratives for executive payor and regulatory audiences.
• Research industry standards in healthcare quality measurement value-based care HEDIS-style metrics and outcomes frameworks. Benchmark Centria against the field.
• Maintain the integrity and ongoing development of Centrias clinical data and quality measurement frameworks.
• Construct concise presentations and reporting packages for payors executive leadership and external stakeholders.
• Automate recurring analytic processes using Power BI SQL Excel and related tooling to scale capacity.
• Build relationships and collaborate across clinical payor relations finance and operations teams to provide a high level of internal partnership.
• Maintain a high level of confidentiality related to clinical data payor agreements employee performance client data and action plans.
• Create and track KPIs relative to clinical quality and value demonstration initiatives.
• Assist with ad hoc analysis requests particularly those tied to payor inquiries regulatory reporting and executive decision support.
• Compliance with Centrias Code of Conduct policies and procedures and Federal and State laws.
• Responsibility to report violations of Company policies or the Code of Conduct.

$105000 - $115000 per year plus bonus

Qualifications

Education/Certifications

• Bachelors degree required in Health Services Research Health Policy Public Health Health Administration Data Analytics Statistics Economics or a related quantitative or healthcare field.
• Masters degree preferred (MPH MHA MS in Health Services Research Analytics or related).

Work Experience

• Minimum of 3 years of experience in healthcare analytics payor analytics managed care or health services research.
• Direct experience working with or for a payor (commercial Medicaid Medicaid managed care or Medicare Advantage) strongly preferred.
• Experience with value-based care quality measurement HEDIS or similar healthcare quality frameworks.
• Experience applying or working within the Donabedian framework or comparable structure-process-outcome models is highly preferred.
• Experience with claims data utilization data and healthcare cost analytics preferred.
• Experience producing payor-facing reporting regulatory submissions or value-based contract analytics is a plus.

Equipment and Technology Requirements

• Advanced proficiency in Power BI for data visualization dashboard development and DAX.
• Proficiency in SQL for data extraction transformation and analysis.
• Advanced proficiency in Microsoft Excel including pivot tables complex formulas and Power Query.
• Proficiency in Microsoft Suite (Word PowerPoint Outlook) and G Suite (Gmail Drive Docs Sheets Meet).
• Working knowledge of healthcare data structures (claims EHR clinical documentation systems).
• Familiarity with statistical analysis tools (R Python or SAS) is a plus.
• Working knowledge of laptop/desktop PC.

Knowledge and Skills

• Demonstrated ability to translate complex clinical and analytic findings into clear narratives for non-technical audiences particularly payors and executives.
• Strong understanding of healthcare quality frameworks value-based care and outcomes measurement.
• High degree of diplomacy in handling sensitive and confidential information.
• Accuracy attention to detail ability to work independently and proficient time management skills.
• Considerable reporting and analysis experience including report design and delivery analytical and data mining activities.
• Experience identifying and understanding issues problems and opportunities.
• Strong written and verbal communication skills in English with the ability to write defensible analytic narratives.
• Proven adaptability with a willingness to work both collaboratively and individually to achieve desired business outcomes.
• Ability to compare data from multiple sources draw defensible conclusions and recommend a course of action.

Working Conditions

• Centrias office hours are Monday through Friday from 8:30 AM 6:00 PM.
• Additional time or occasional shift in schedule may be required to complete the above work or meet company objectives.

Physical Demands

While performing the duties of this job physical requirements such as bending reaching lifting pushing or pulling up to 30 pounds may be required. This role will require sitting most of the day as well as walking and standing periodically. This role may require close visual acuity on computer screens or monitors and the ability to analyze data and figures on a screen.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race religion color national origin gender sexual orientation age marital status Veteran status or disability status. This job description is not intended to be an exhaustive list of qualifications skills efforts duties responsibilities or working conditions associated with the position. Centria reserves the right to amend this job description at any time with or without written notice.