Senior Data Analyst, Clinical Programs

The Senior Data Analyst, Clinical Programs will be responsible for understanding business needs and objectives, analyzing data and processes, and developing actionable insights to inform client and program strategy. This role will support BHPS Clinical Programs, Utilization Management, Complex Case Management, and Population Health Management.

Requirements

• Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks
• Develop statistical models that deliver meaningful insights on cost, utilization and clinical outcomes
• 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