Senior Healthcare Data Analyst

About the role:

• A mission-critical, early part of our growing finance team (and company)
• Help to build the data assets, processes and models that will provide insight into the company’s medical expense and risk adjustment performance
• Collaborate with our highly talented product, engineering, clinical, and operations teams that come from a variety of backgrounds

Responsibilities will include:

• Demonstrate mastery of SQL and BI tools (e.g., Tableau or Looker) to efficiently derive complex datasets and dashboards
• Serve as the Sr Data Analyst for the monthly enterprise reporting process. This will include taking a leading role reviewing reporting domains such as patient engagement, HEDIS, CMS HCC compliance and additional as necessary
• Support the financial and operational team to understand business performance and identify areas for improvement
• Develop, implement and maintain consistent process for data quality controls to ensure data integrity and make recommendations to improve data integrity
• Conduct analytics and reporting using data from payer claims, CMS files, electronic medical records, and other sources to deliver actionable insights to various teams
• Fulfill ad hoc data requests for stakeholders
• Work directly with product and Engineering teams to define data requirements for payer data ingestion and data warehousing
• Maintain clean and well-documented code
• Work with team-members to develop and continuously improve best practices
• Mentor others

What makes you a fit for the team:

• You approach your work with humility and flexibility, recognizing that our system of care will need to learn and adapt to the needs of patients with complex needs
• You show empathy for the needs of patients, clinicians, and your colleagues to change the fundamental paradigm of care delivery for marginalized patients
• You have a distinctive ability to get a highly cross-functional group of stakeholders – technical and non-technical – on the same page
• You focus on getting things done in the most effective, efficient manner for the task at hand – rather than following a specific process for its own sake
• You have the resilience to dive headfirst into challenging problems – healthcare is complicated and there’s a lot to be fixed
• You are excited to work in a startup environment, with the ambiguity and shifting priorities that might come with it at times

Desired skills and experience:

Required:
• 4+ years experience in healthcare data analytics or healthcare economics
• 4+ years experience with analytic and modeling tools and software (SAS, SQL, Python, R, etc)
• Demonstrated understanding of key managed care concepts such as Risk Adjustment, Provider Capitation, Diagnosis Related Groups (DRG’s), Ambulatory Patient Groups (APF’s), etc
• Ability to review new datasets for accuracy and consult with key stakeholders to contextualize data inconsistencies and the resulting impact to reporting and measurement design
• Excellent written and verbal communication skills
Preferred:
• Experience working with government healthcare programs such as Medicare, Medicare Advantage, and Medicaid
• Familiarity with value-based care
• Intermediate to advanced knowledge of data visualization tools (e.g., Tableau or Looker) is a plus

For Patient Facing Roles

Originally posted on Himalayas