Job description


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
Additional Information:
  • 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
  • Excellent oral communication skills

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