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Senior Health Data Analyst I

2 months ago

Fairfield California, United States Partnership HealthPlan of California Full time
Job Summary

We are seeking a highly skilled Senior Health Data Analyst I to join our team at Partnership HealthPlan of California. As a key member of our organization, you will play a critical role in developing and implementing data-driven solutions to support our healthcare services.

Key Responsibilities
  • Collaborate with business partners, analysts, and IT to gather and integrate data from various sources.
  • Respond to ad-hoc data requests from business units and leadership, providing timely and accurate insights.
  • Assist in designing and developing data collection strategies, aggregation, analysis, and reporting to ensure data integrity and enhance information value.
  • Participate in the design and interpretation of data analyses, providing recommendations for improvement of data quality and reporting.
  • Help build, manage, and/or enhance predictive models to drive business decisions.
  • Assess reporting and automation requirements, developing appropriate solutions to meet business needs.
  • Maintain in-depth knowledge of health plan operations, including claims processing, utilization management, quality improvement activities, and pay-for-performance programs.
  • Critically analyze data, draw conclusions, and effectively communicate results to both technical and non-technical audiences.
  • Present data and conclusions to stakeholders, using data visualizations and summaries to highlight key findings.
  • Develop and maintain thorough and consistent documentation of programs used to create reports.
  • Manage and prioritize workload while meeting deliverables and expectations.
  • Work autonomously and collaboratively with report requestors, providing guidance to define report requirements and validate results.
  • Collaborate across departments to understand and meet the organization's analytic needs.
Requirements
  • Bachelor's degree with a concentration in health informatics, health administration, public health, computing, epidemiology, statistics, or a related field. Master's degree preferred.
  • Minimum four (4) years of experience in data analysis and reporting, with a strong understanding of healthcare data and workflows.
  • Excellent knowledge of data collection, analysis, statistics, and data presentation, with experience in data mining techniques and procedures.
  • Proficiency in statistical packages, such as SAS and/or SQL, and experience working with administrative data, ideally healthcare data.
  • Understanding of health data formats, including claims, lab, and pharmacy data, as well as clinical coding systems (e.g., ICD9, ICD10, CPT).
  • Ability to present complex information in an understandable and compelling manner.
  • Strong written and oral communication skills, with the ability to interpret and understand technical requirements.
  • Excellent analytical skills to troubleshoot and resolve data issues.
  • Highly organized and proficient at multi-tasking, with the ability to provide gracious assistance to users, providers, and other constituents.
Work Environment and Physical Demands

More than 50% of work time is spent at a video display terminal.

All HealthPlan employees are expected to:

  • Provide the highest possible level of service to clients.
  • Promote teamwork and cooperative effort among employees.
  • Maintain safe practices.
  • Abide by the HealthPlan's policies and procedures, as they may from time to time be updated.