Under the general direction of the Director or designee, the Sr. Healthcare Data Analyst needs to be insightful, detail-oriented professional with excellent analytical skills who is able to apply that skill set to data analysis, data mining and data management within a medically-oriented, dynamic analytic team.
Conduct advanced data mining as required by the program.
Lead analyses and produce standard reports using healthcare claims data which support the development, implementation, and monitoring of MassHealth programs.
Manipulate and build large datasets from claims and encounter data to support analyses through use of efficient SAS/SQL code.
Utilize strong analytic consulting skills, and a customer service focus in order to design and deliver analytic projects to client specifications.
Assist in the use of qualitative and quantitative analysis techniques.
Utilize and create testing measures to analyze large amounts of data.
Create algorithms to test and analyze multiple, large databases.
Develop analyses and present information using various tools including SAS, Business Objects, SQL and Cognos and MS Office.
Independently identify and report data patterns and abnormalities.
Provide analysis of key metrics and data trends.
Demonstrate exceptional analytic and problem-solving skills.
Test, track and monitor data for quality, integrity and trends.
Merge multiple databases and data sources to produce answers to complex business questions.
Demonstrate attention to detail and deliver quality work products.
Other responsibilities and projects as assigned.
Bachelor's degree in healthcare, health business administration, public health, public policy, statistics or similar discipline; or equivalent.
5 years related or equivalent experience with proficiency in Medical Claims Analysis, Financial Data Analysis, and/or Transaction-Based Data Analysis
Advanced knowledge of data mining software tools such as SAS, SQL, BO, Cognos or similar
Advanced SAS/SQL programming skills
Demonstrated knowledge of Microsoft Office Applications
Ability to merge multiple databases and data sources to produce answers to complex business questions
Familiarity with coding systems (i.e., CPT, ICD9, ICD10) and hospital billing systems (DRGs).
Demonstrates intellectual curiosity, takes initiative and focuses on continuous improvement
Ability to learn quickly and multi-task in a fast-paced, work environment
Ability to communicate verbally and in writing in English in a clear, professional manner
Ability to travel between locations
Master’s degree or comparable level graduate degree in a relevant discipline (e.g. biostatistics, health economics, public or business administration with a concentration in health care)
Knowledge of the Massachusetts health care system and current health care policy issues.
Knowledge of health care payment methods, including traditional fee-for-service and alternative payment methods, particularly for government payers such as Medicaid and Medicare
Experience presenting complex data, analyses, and information in easily understood formats
Experience with data visualization techniques and software, such as Tableau
Excellent analytical and writing skills as demonstrated in writing sample of past analytical work