Analyst, Healthcare Analytics

• Facility Corporate - Enterprise Allocations
• Schedule - Shift - Hours Full Time - Remote

The Analyst, Healthcare Analytics is responsible for developing membership, panel management, quality metric, cost and utilization reports. This role will require collaboration with cross-functional teams, including clinical, FP&A, managed care, and operations, to provide insights into underlying trends, support sizing operational improvements, and measuring the financial return.

This list may not include all of the duties that may be assigned.

• Gather and process attributed member, patient, quality metric, cost and utilization data from various sources including from payers and from Pediatric Associates internal data sets.
• Analyze attributed membership, patient, quality metric, cost and utilization data at various reporting grains to identify trends, patterns, and areas for improvement in overall panel and contract management.
• Review and interpret contract language to ensure that the corresponding financial terms are applied correctly for reporting and analysis .
• Prepare and present reports and visualizations to communicate findings and insights to stakeholders.
• Collaborate with cross-functional teams to understand business needs and translate needs into data analysis projects.
• Prioritize requests and execute assigned projects, ensuring timely completion and accurate results.
• Partner with data organization to ensure data is available to enable analysis and reporting, identification of trends and underlying drivers.

EDUCATION:

Bachelor’s Degree in Statistics, Healthcare Economics, Business, Healthcare Administration, or equivalent combination of education and work experience required.

EXPERIENCE:

• A minimum of 2 years of healthcare analytic professional experience required.
• 4 years of experience in healthcare analytics preferred.
• Experience integrating clinical data (EMR) with payor data preferred.
• Experience using healthcare eligibility, quality and claims data sets and how those data sets join preferred.
• Experience reviewing and interpreting contract language and connecting contract language to healthcare data sets preferred.
• Experience in Managed Medicaid preferred.

Required qualifications:

• Analytical and problem-solving skills with expertise in data mining, statistical analysis, and data visualization tools.
• Proficiency in data analysis tools (e.g., SQL, SAS, R) and database management systems.
• Ability to prioritize projects and tasks to meet deadlines.
• Understanding of business processes and how data can be used to drive decision-making and improve performance.
• Written and verbal communication skills to effectively convey findings and recommendations to both technical and non-technical audiences.

• Full time remote
• Job must be U.S. based

Pediatric Associates Family of Companies is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.