Job Title: Senior Clinical Data Analyst

Location: in the Wheeling office, 3x week

Salary: 58,000-68,000 (DOE)

Must Have:

Bachelors Degree or higher with a focus on Clinical/BH/Healthcare, Econ, or Statistics

Experience working within Excel, data collection and visualization methods.

Must be a very analytical work

Role:

Will be working with all of the clinical services teams because they are going to be a part of the Medical Economics and Program Evaluation.

POSITION SUMMARY:

Senior Clinical Data Analyst position will be responsible for analyzing healthcare data of the

population from multiple sources (e.g. claims processing, clinical operations, analytical software and other database resources) to support decision-making for The Health Plan.

QUALIFICATIONS DESIRED: (Education, Experience, Skills)

1. Previous work in a medical, managed care, payer, or data driven organization(s).

2. Proficiency in analytical tools such as Excel, SQL, and Power BI.

3. In depth knowledge of healthcare reimbursement elements including medical claims, provider,

quality, and pharmacy data.

4. Familiarity with value-based care, population health management, or HEDIS/STARS quality

data.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

* Utilize databases, analytical software programs, and reporting tools to extract data.

* Generate reports and perform moderate to complex data analysis to identify trends within a

population for potential system/process improvement.

* Analyze payer data including claims, eligibility, authorization and utilization data to identify

trends, inefficiencies/opportunities within the Clinical Services department as part of the

Medical Economics team.

* Develop reports and dashboards to track payer performance metrics such as cost, quality, and

utilization.

* Monitor changes in healthcare regulations and payer policies, assessing their potential impacts

on business strategies

* Interfacing with, gathering information from, and preparing data for presentations to various

levels of management, committees, internal and external.

* Supports reporting requirements as needed for governmental and accreditation processes.

Medix is acting as an Employment Agency in relation to this vacancy.