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721556
No
5121
1621
1
03-09-2022
Requisition Id
160664BR
Department Number and Name
766122375 Medical Econ
Job Description
The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self-service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requirement definition for new analyses and performs ad-hoc analysis as directed. This position supports data quality and data stewardship functions to maintain data accuracy and identify new metrics. As a subject matter expert, the Healthcare Data Analyst uses analytic skills to offer data-driven conclusions and recommendations to business partners.
Physical Location
Optima Health – Va Bch
Job Title
Healthcare Data Analyst
Employment Status
Full time
Shifts
First (Days)
Job Category
Clinical – Non Nursing, Monster, Optima Health, Talroo-IT
City
Virginia Beach, VA
Required Education
Bachelor’s Level Degree OR
Master’s Level Degree – Experience in lieu of education: Yes
Experience
Required: Data Analysis – 1 year
Preferred: Financial Analysis – 1 year, Population Management – 1 year, Statistics – 1 year
Licenses and Certifications
None, unless noted in the “Other” section below
Skills
Required:
Preferred: None, unless noted in the “Other” section below
Other
As an integrated health system, Sentara delivers analytics across a wide variety of domains, including payer functions, ambulatory, acute & post-acute care and support functions. The subject matter expertise required will vary based on the specific opening, but include the following: Medical expense and trends Quality including HEDIS reporting, interventions, and STAR ratings. Clinical gaps and adherence. Network Management contracting and pay-for-performance/value-based measures. State and Federal regulatory reporting. Employer groups reporting and client ad-hoc reporting related to clinical and financial services. Population health reporting & analysis. Risk, member/patient stratification, member/patient segmentation, quality, provider scoring, and cost savings. Ambulatory, acute & post-acute quality, clinical performance, and operations reporting & analysis. Quality & performance benchmarking. Research data & analytic support. Works directly with internal customers and external provider partners. Knowledge of SQL and Tableau. Excellent Oral and Written Communication Skills. Problem Solving. Consultative Engagement Skills.
Job Posting
Sentara Health is hiring for a Healthcare Data Analyst (REMOTE).
Full time/Benefits, day hours.
The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self-service analytics for customer adoption, understanding and use of data.
Sentara Benefits:
Sentara employees strive to make our communities healthier places to live. We’re setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, https://www.sentaracareers.com/explore-sentara/benefits/
Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!
Required Skills/Experience
- Bachelor’s degree; or Master’s. Experience in lieu of education – acceptable.
- Clear understanding of various coding and reimbursement methodologies common to managed care payers (CPT codes, ICD-10 codes, diagnosis codes, EAPG, APR-DRG, Rev codes, etc.)
- Knowledge and solid moderate experience with SQL, including understanding of data warehousing, data mining, and relational database concepts and technologies based on multiple data sources.
- Working knowledge and understanding of healthcare claims analytics and data modeling.
- Demonstrated experience developing and maintaining simple and complex reports.
- Ability to analyze data, provide solutions and communicate results/insight effectively to business owners.
- Demonstrated proficiency in Microsoft Office and Excel.
- 1-2 years of experience in Medicaid/Medicare support role:
- Regulatory reporting
- Claims data support and analysis
- Claims Support analytics
- Cost and utilization analysis
Other Relevant Experience:
- Strong critical thinking and problem-solving skills.
- Excellent verbal, written, analytical, and interpersonal skills.
- Should possess experience and judgment to plan and accomplish goals with the ability to prioritize assignments, deal with interruptions and meet deadlines with limited supervision in a fast-paced and growth-oriented environment.
- Performs thorough review of work to ensure accuracy, correctness, and completeness related to the parameters of the request.
- Performs necessary benchmark comparison testing and utilizes available resources to perform accuracy testing of data or analysis results. Dashboard development in Tableau/PowerBI
Other Preferred Skills/Experience
- Clinical analytics / medical management support experience
- Experience with Medicaid/Medicare provider contracting
- Experience with Jira project management
- Advanced SQL skills
- Advanced Tableau/Power BI development skills (including Python, Java, and API development)
