[Hiring] Senior Healthcare Informatics Analyst @S3

Role Description

The Senior Healthcare Informatics Analyst independently provides analytics focused on understanding and improving how healthcare is valued, utilized, and provided.

• Develops analytic attributes related to:
  • Patient-level health utilization and outcomes
  • Provider performance measures
  • Risk-adjusted revenue optimization
  • Medical cost management
  • Patient/provider engagement
• Leads problem solving, solution development, strategic planning, and decision making in collaboration with other business areas and IT.

Qualifications

• Bachelor’s degree in Healthcare Administration, Statistics, Economics, Analytics, or Computer Science
• Four years of related experience may be used in lieu of a Bachelor’s degree
• 4 years of healthcare, analytics, IT, or management consulting experience
• A Master’s degree may substitute for two years of the four years of required experience
• A Doctorate degree may substitute for an additional two years of related work experience
• Healthcare experience is required
• Experience building predictive models
• Basic knowledge of the United States healthcare delivery system in a payer or provider setting
• Strong knowledge of common query, analytic, and visualization tools such as SQL, SAS, R, Python, Tableau, etc.

Requirements

• Strong critical thinking, analytical, and problem-solving skills
• Excellent verbal and written communication skills
• Strong interpersonal skills
• Ability to analyze, consolidate, and communicate complex technical topics to all levels of internal staff and external vendors

Preferred Qualifications

• Master’s degree in a related field
• Medicare Advantage experience
• Trend analysis experience
• Strong knowledge of outcome research design and controlled study design
• Advanced knowledge of SAS, including Enterprise Miner
• Strong understanding of provider payment methodologies, population health management, and risk adjustments
• Strong understanding of clinical groupers, including DRG, APC, ETG, MEG, DxCg, and HCC
• Strong understanding of quality metrics, including HEDIS and AHRQ
• Knowledge of commercial risk optimization and MA risk optimization

Key Responsibilities

• Lead the selection of evaluation, analytics, and BI methodologies and communicate recommendations to facilitate problem solving, solution development, decision making, and strategic planning
• Leverage clinical reporting software and models, Enterprise Data Warehouse (EDW) data sources, and non-EDW data sources
• Facilitate business development, document business problems, and develop analytic solutions, including predictive models, BI solutions, and analytic attributes
• Serve as an analytics advisor to collaborating departments on corporate and cross-functional projects, reports, and activities
• Translate business rules into analytical models and serve as a liaison among healthcare analytics, Enterprise Information Management (EIM), IT, and business areas
• Perform peer data quality reviews and validate data and processes to ensure accuracy, completeness, and consistency
• Perform descriptive and analytic studies using advanced analytical and statistical techniques
• Perform other job-related duties as assigned within the scope of responsibilities

Remote Work Requirements

• This is a remote position. Candidates must have their own equipment or equipment must be supplied by the supplier.
• Candidates must reside in one of the following approved states:
  • Alabama
  • Arkansas
  • Delaware
  • Florida
  • Georgia
  • Idaho
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Mississippi
  • Missouri
  • New Hampshire
  • Nebraska
  • North Carolina
  • Oklahoma
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Virginia
  • West Virginia
• Pennsylvania: Candidates are eligible except those residing in Allegheny, Bucks, Chester, Delaware, Montgomery, or Philadelphia counties.