A Healthcare Data Analyst is responsible for analyzing clinical financial and operational data to support decision-making within healthcare organizations. They transform complex datasets (e.g. claims EHR risk adjustment data) into actionable insights that improve patient outcomes optimize performance and ensure regulatory compliance. Key responsibilities include data extraction validation trend analysis reporting and building dashboards to monitor KPIs and business performance.
Develop dashboards reports and KPI tracking frameworks
Support risk adjustment quality improvement and financial forecasting
Perform data validation trend analysis and variance reporting
Ensure compliance with CMS/HHS guidelines and HIPAA standards
Partner with clinical finance and operations teams to drive insights
Analytical & Business Skills
Data analysis and interpretation
Healthcare domain knowledge (claims RA HCC utilization)
KPI development and performance measurement
Problem-solving and critical thinking
Attention to detail and data accuracy
Develop and deploy predictive models to: Identify suspect conditions Predict high-risk members and Improve
coding capture strategies
Apply ML techniques (classification regression clustering) for: Provider performance segmentation & Member risk stratification
Technical Skills
Strong SQL knowledge Stored Procedures Python Snowflake Power BI Machine learning
Data modeling and data validation techniques
Statistical analysis (basic to intermediate)
Dashboard design and data storytelling
Job Description A Healthcare Data Analyst is responsible for analyzing clinical financial and operational data to support decision-making within healthcare organizations. They transform complex datasets (e.g. claims EHR risk adjustment data) into actionable insights that improve patient outcomes opt...
Job Description
A Healthcare Data Analyst is responsible for analyzing clinical financial and operational data to support decision-making within healthcare organizations. They transform complex datasets (e.g. claims EHR risk adjustment data) into actionable insights that improve patient outcomes optimize performance and ensure regulatory compliance. Key responsibilities include data extraction validation trend analysis reporting and building dashboards to monitor KPIs and business performance.