Organization: Partnership HealthPlan of California
Category: Data Analyst
Location: Fairfield, CA
Date Job Posted: May 6, 2022
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Senior Health Data Analyst I 2021-2094
Job ID 2022-2198 FLSA Status Exempt
The Senior Healthcare Data Analyst I 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 Healthcare Data Analyst participates in identifying progress, performance and opportunities for improvement on programs, quality of care, patient experience, and other metrics. This position requires a thorough understanding of healthcare data and workflows, combined with an extensive experience working with large data sets, conducting data analysis, including standard statistical software (SAS), and creating reports using 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. 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, SAS and/or SQL a plus. Experience working with administrative data, ideally health care data (Medicaid data a plus). Understanding of health data formats including claims, lab and pharmacy. Knowledge of clinical coding systems (e.g., ICD9, ICD10, CPT).
Special Skills, Licenses and Certifications
Performance Based Competencies
Ability to quickly acquire in-depth knowledge of various systems related to claims processing, membership, provider, and benefits at PHC. Strong written and oral communication skills with ability to interpret and understand technical requirements. Excellent analytical skills to troubleshoot and resolve data issues. 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.
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.