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Senior Healthcare Data Analyst

One Call New York Full-Time
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Senior Healthcare Data Analyst

Description:

The Senior Healthcare Data Analyst directly supports High Line Health’s employer and Accountable Care Organization client’s needs by developing and designing complex and customized analytics that support value based financial contracts, population health management, quality outcomes focused initiatives and performance targets, and identification of potential areas for medical cost improvements.

The Senior Healthcare Data Analyst will deliver results to clients by producing and interpreting custom and routine data analytics and reporting using membership, claims, provider, prescription drug and quality data from a variety of health insurance carriers contained with the High Line Health business intelligence data platform.

 

Specific Responsibilities:

•         Analyze, understand, interpret and explain sometimes complex medical and pharmacy claims, trends, membership, clinical, quality outcomes and performance, provider network utilization and risk adjusted predictive modeling data in support of client needs

•         Complete assigned client analytic projects by evaluating data requirements, designing analytics studies and delivering reports and results to clients and management

•         Effectively identify, understand and communicate client analytics and reporting business requirements

•         Effectively communicate analytic findings with clients and management

•         Support client Analytic Platform training and day to day support needs

•         Perform routine monthly client Analytic Platform data quality review and continuous quality improvement initiatives

•         Proactively mine client-specific utilization, financial and clinical quality performance data trends to identify opportunities for enhanced analytics, clinical quality improvements and/or cost savings

•         Provide recommendations for cost and clinical performance improvement to internal management and clients

•         Be a subject matter expert on functionality and content of High Line Health’s Analytics Platform products and tools

•         Participate in continuous product improvement initiatives by identifying opportunities to improve client analytics, dashboards and data platforms

Qualifications

Required:

•         Bachelor’s degree required in health care related, informatics, statistics or mathematics related disciplines

•         Minimum of 5 years of direct experience in health care analytics field

•         In-depth knowledge of health insurance based provider billing, medical and pharmacy coding schemes, claims payment process, and claims, clinical, quality and eligibility data characteristics

•         Working knowledge of relational database structures, data quality issues and health care and pharmacy payer data elements

•         Experience using business intelligence reporting and analytics tools such as Tableau

•         Excellent verbal, written and presentation communication skills

•         Strong analytic and problem solving skills

•         Intermediate skill using Microsoft Office software such as Excel (including formulas, calculations, charts, graphs, pivot tables, etc.), PowerPoint, Word, Outlook

•         Ability to work on and organize multiple tasks and projects simultaneously

•         Ability to work independently and effectively in a team

•         Ability to successfully time manage and self-direct projects / work load

•         Self-motivated, intellectually curious, open learner

•         Partial telecommute environment considered

Preferred:

•         Master degree in healthcare or informatics

•         SQL query design experience and skills

•         Primary work location in High Line Health New York City office (Financial District, Manhattan)

 

EEO Employer

 
32 Old Slip, New York, NY, 10005
United States

 

 

Recommended skills

Data Analysis
Dashboard
Business Intelligence
Data Quality
Tableau (Busines Intelligence Software)
Microsoft Outlook
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Job ID: req6953

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Whether you are an experienced professional or just embarking on your career, you should consider a career with One Call, the industry's leading provider of specialized solutions to the workers' compensation industry -- including dental, diagnostics, equipment + devices, home health + complex care, physical therapy, and transport + translate.

We have built the industry's most expansive and highest quality provider networks, the most experienced team of clinical experts and the most comprehensive, advanced analytics to foster healthier outcomes. Delivering integration across the claims life cycle, customers experience consistent connections to care, streamlined service and maximum cost-containment.

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