Healthcare Data Analyst - Remote

The Healthcare Data Analyst is responsible for analytics, financial analysis and claims auditing. This candidate will reside within the Analytics and Reporting department and will work closely with other members of the Clinical, Medical and Network teams to design and analyze operational and claims data.

Requirements

• Analyze business intelligence data to inform business and product decisions
• Identify areas for increased clinical focus and review/assess associated action plans
• Maintain provider rate information and assess overall cost impact of proposed changes
• Support claims audit processes and procedures to ensure the fidelity of claims processing
• Conduct on-going refinement of the risk stratification surrounding claims processing
• Design, develop, interpret and present key internal business operational metrics reporting
• Contribute to the identification and prioritization of improved reporting processes and procedures
• Provide on-going analysis and recommendations for improvement of operations and clinical interventions
• Provide direction in preparing and/or reviewing reports for publication.
• Assist with planning tactical goals to achieve major improvements in data analytics capabilities over time