Sr. MassHealth Encounter Data Analyst
Job Location:
Somerville, NJ - USA
Monthly Salary:
Posted on:
Vacancies:
Job Summary
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham we are at the forefront of transformation with one of the worlds leading integrated healthcare systems. Together we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.Our work centers on creating an exceptional member experience a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds experiences and skills.
We are pleased to offer competitive salaries and a benefits package with flexible work options career growth opportunities and much more.
Mass General Brigham Health Plan is seeking a collaborative and technically skilled Senior MassHealth Encounter Data Analyst to support critical regulatory reporting and analytics initiatives. This role sits at the intersection of business compliance and data engineering playing a key role in translating complex regulatory requirements into actionable technical solutions.
Approximately 50% of this role focuses on cross-functional partnership working closely with internal stakeholdersincluding Compliance and Risk Adjustment teamsas well as external regulatory agencies. The Senior MassHealth Encounter Data Analyst will gather interpret and translate detailed regulatory requirements for MassHealth Encounter ODAG and CDAG reporting ensuring developers have clear accurate technical specifications to support compliant data submissions.
The remaining 50% of the role is highly technical involving hands-on data analysis and development using SQL SSRS and SSIS. This includes designing validating and optimizing data pipelines and reports as well as performing in-depth analysis to ensure data accuracy completeness and alignment with regulatory expectations.
This is an ideal opportunity for a data professional who enjoys bridging business and technical teams thrives in a regulated environment and is passionate about turning complex data requirements into scalable solutions that drive compliance and operational excellence.
Essential Functions
-Collect clean and transform large and complex data sets from various sources for analysis.
-Partner with aligned senior leaders to determine and plan for data analytics/reporting needs of a business unit or functional area(s).
-Mentor and train other data analysts.
-Identify trends correlations and anomalies in data and provide explanations or recommendations based on findings.
-Create clear concise and visually compelling data visualizations dashboards and reports.
-Present complex data and analytical findings in a meaningful and understandable manner to both technical and non-technical stakeholders.
-Performs comprehensive quality assurance ensuring that data and reports meet end-user specifications and are accurate and reliable.
Qualifications
Education
- Bachelors Degree required; experience can be considered in lieu of a degree
Experience
- At least 5-7 years of experience in data analysis required
- Experience with MassHealth Encounter ODAG and CDAG reporting high preferred
Knowledge Skills and Abilities
- Strong knowledge of relational databases SQL data visualization and Business Intelligence tools such as Tableau.
- Strong proficiency with Microsoft Office Suite including Word Excel and PowerPoint.
- Ability to communicate complex workflows and data to a variety of audiences.
- Project management skills and/or experience are a plus.
- Knowledge and application of statistical analyses including variance analysis and statistical significant preferred.
- Healthcare knowledge particularly as it pertains to electronic medical record data is preferred but not required.
Additional Job Details (if applicable)
Working Conditions
- While this position is designated as remote all employees including those classified as remote may be required to attend meetings trainings or other necessary functions onsite at a Mass General Brigham location on an as-needed basis. Reasonable notice will be provided for any required in-person attendance
- M-F Eastern Business Hours required
- Flexibility for business needs to be onsite needed
- Remote workdays require a stable secure quiet and compliant workspace
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$79560.00 - $115720.80/AnnualGrade
7EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
Senior IC
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
