Senior Data Analyst, Clinical Programs
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Job Description
Senior Data Analyst for clinical programs at Brighton Health Plan Solutions. Analyzing healthcare data for actionable insights and supporting client strategy in a remote position.
Responsibilities:
- Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates, readmissions, preventable hospitalizations, ER utilization)
- Develop statistical models that deliver meaningful insights on cost, utilization and clinical outcomes based on various data sources.
- Develop algorithms for stratifying populations and identifying high-risk members.
- Leverage Predictive Analytics to measure the performance (ROI) of Disease Management and other Medical Management programs.
- Conduct prospective savings analyses in support of clinical program initiatives.
- Build and maintain client-facing reports, dashboards, and analyses.
- Develop actionable data insights and advise on client strategy.
- Participate in program performance review presentations with clinical program managers, client account managers, and external clients, as needed.
- Manage internal and external client requests and timelines to ensure timely delivery.
- Collaborate with Medical Management to provide ongoing support.
Requirements:
- Bachelors' degree required, preferably in Mathematics, Statistics, Finance, Actuarial Science, Data Science, or related field.
- 5-7 years of experience in healthcare analytics, preferably in a managed care setting.
- Proficiency in SQL and Microsoft SQL Server Suite of Products (SSMS) required.
- Proficiency in MS Excel required.
- Advanced data analysis, financial modeling, and predictive analytics skills.
- Experience with clinical program evaluation and outcomes reporting.
- Experience with health plan performance reporting and cost and utilization analysis.
- Experience with developing client-facing reports.
- Experience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau).
- Ability to explain technical concepts to a non-technical audience.
- Ability to effectively manage and prioritize several concurrent projects.
- Excellent oral and written communications skills.
- Experience with Payer Care Management platforms (i.e. ZeOmega) a plus.
Benefits:
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
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