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Senior Clinical Data Analyst

2 months ago

Wheeling, West Virginia, United States The Health Plan of West Virginia Inc Full time
Job Title: Senior Clinical Data Analyst

We are seeking a highly skilled Senior Clinical Data Analyst to join our team at The Health Plan of West Virginia Inc. As a key member of our Medical Economics team, you will play a critical role in analyzing healthcare data to support decision-making and drive business strategies.

Key Responsibilities:
  • Extract data from various sources, including databases, analytical software programs, and reporting tools.
  • Perform moderate to complex data analysis to identify trends within a population and opportunities for system/process improvement.
  • Develop reports and dashboards to track payer performance metrics, such as cost, quality, and utilization.
  • Monitor changes in healthcare regulations and payer policies, assessing their potential impacts on business strategies.
  • Prepare data for presentations to various levels of management, committees, internal and external stakeholders.
Requirements:
  • Bachelor or Master's Degree in a related field, such as clinical, behavioral health, healthcare, economics, or statistical data.
  • Experience in data collection, analysis, and visualization methods.
  • Excellent oral, written, and interpersonal skills, with the ability to work independently and as part of a team.
  • Ability to exercise sound judgment in decision-making, utilizing all relevant information and data.
  • Ability to interpret complex data and communicate findings to non-technical stakeholders.
Preferred Qualifications:
  • Previous work experience in a medical, managed care, payer, or data-driven organization.
  • Proficiency in analytical tools, such as Excel, SQL, and Power BI.
  • In-depth knowledge of healthcare reimbursement elements, including medical claims, provider, quality, and pharmacy data.
  • Familiarity with value-based care, population health management, or HEDIS/STARS quality data.

We offer a dynamic and supportive work environment, with opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for data analysis, we encourage you to apply for this exciting opportunity.