Organization: Partnership HealthPlan of California
Category: Data Analyst
Location: Fairfield, CA
Date Job Posted: December 2, 2020
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Senior Health Data Analyst I
Job ID 2020-1838 FLSA Status Exempt
The Senior Health Data Analyst contributes to the overall success of the organization by developing analytic solutions that support activities related to health services utilization management, care coordination, quality improvement and population health. Through analyzing patient claims, member enrollment, and other data, the Senior Health Data Analyst participates in identifying progress, performance and opportunities for improvement on programs, quality of care, patient experience, and other metrics. The Senior Health Data Analyst requires a thorough understanding of healthcare data and workflows, combined with an extensive experience creating large data sets, conducting statistical data analysis (SAS), and using BI tools (Tableau).
SECONDARY DUTIES AND RESPONSIBILITIES
Education and Experience
Bachelor’s degree with concentration in health informatics, health administration, public health, computing, epidemiology, statistics or related field, Master’s degree preferred. Minimum four (4) years of experience in data analysis and reporting.
Special Skills, Licenses and Certifications
Knowledge of major health plan operations: healthcare claims processing, membership, provider, and benefits; or equivalent combination of education and experience. Excellent knowledge of data collection, analysis, statistics and data presentation with experience in data mining techniques and procedures. Experience using statistical packages for analyzing large data sets. Experience working with administrative data, ideally health care data. Understanding of health data formats including claims, lab and pharmacy. Knowledge of clinical coding systems (e.g., ICD9, ICD10, CPT). Proficiency in inferential and predictive statistical analysis. Proficiency in business software applications such as Microsoft Office Suite, SQL, SAS, and Tableau.
Performance Based Competencies
Must demonstrate strong verbal and written communication skills. Ability to clearly communicate complex information to diverse audiences. Ability to communicate data needs to various customers (internal and external) in order to compile and produce necessary reports. Excellent analytical, problem solving, investigative and research ability. Ability to work in a team environment, take and give direction, follow through with tasks and projects, compromise, negotiate and achieve consensus decisions, support consensus decisions, be flexible and adaptable to changes in assignments and the work environment, work independently, manage time efficiently and multi-task effectively. Ability to make decisions that require significant analysis and investigation with solutions requiring critical thinking. Ability to quickly acquire in-depth knowledge of various systems related to claims processing, membership, provider, and benefits at PHC. Ability to present complex information in an understandable and compelling manner. Ability to interpret and understand technical requirements. Must be highly organized and proficient at multi-tasking. Must be willing and able to provide gracious assistance to users, providers, and other constituents of PHC.
Work Environment And Physical Demands
More than 50% of work time is spent at a video display terminal. May be required to bend, stoop, kneel, crawl, or work in other non-standing and non-sitting positions to install cabling, systems hardware, and other related equipment.
All HealthPlan employees are expected to:
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.