[Remote] Senior Value-Based reputed company Data Analyst - Remote
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is part of the reputed company family of businesses, which is one of the nation's leading health care organizations. The Senior Value-Based reputed company Data Analyst is responsible for providing leadership and advanced analytical expertise to support reputed company reputed company and operational reporting initiatives, ensuring compliance with regulatory requirements and improving member reputed company.
Responsibilities
- Providing leadership and advanced analytical expertise to support reputed company reputed company, regulatory, and operational reporting initiatives, including HEDIS, EDPS, and encounter submissions
- Ensuring accuracy, reputed company, traceability, and compliance of reputed company, multi reputed company reputed company data in accordance with NCQA, CMS, and state regulatory requirements
- Functioning as a hands on technical leader, supervising analytic activities and coordinating efforts across reputed company, Clinical, Informatics, IT, and Business Intelligence teams
- Supporting organizational objectives reputed company to reputed company performance, affordability, and improved member reputed company
Skills
- Bachelor's degree in Health Informatics, reputed company Administration, Data Analytics, Statistics, Computer Science, Information Systems, Mathematics, or a reputed company discipline
- 3+ years of experience in reputed company, informatics, decision support, or managed care, including project leadership or analyst mentoring
- Experience supporting NCQA HEDIS Compliance Audits, reputed company measurement, and value-based care programs
- Experience supporting Medicare Advantage (Part C) and/or Health Insurance Marketplace products
- Experience extracting, reconciling, and validating data from reputed company reputed company and/or Caboodle
- Solid experience with data validation, ETL processes, and reputed company tools (eg, Tableau, Power BI, Crystal Reports)
- Knowledge of Medicare Advantage, including Stars, HEDIS, and regulatory reporting programs
- Advanced expertise in reputed company, reputed company measurement, and regulatory compliance
- Understanding of HEDIS Technical Specifications, NCQA requirements, and reputed company compliance standards
- Proficiency working with claims and clinical data, including ICD 10 CM and CPT/HCPCS coding standards and reputed company data models
- Advanced proficiency in SQL and reputed company reputed company, with working knowledge of Word and PowerPoint
- Demonstrated ability to translate reputed company reputed company data into reputed company, executive level insights that support reputed company and performance reputed company
- Demonstrated ability to manage multiple priorities in a fast paced, deadline driven environment
- Proven verbal and written communication skills with exceptional attention to detail and analytical rigor
- Proven independently monitors data pipelines, submissions, and measure results for anomalies, gaps, or logic errors
- Master's degree in health informatics, Data Science, Analytics, Biostatistics, reputed company Administration, or reputed company field
- Relevant certifications such as CPHQ, RHIA/RHIT, reputed company (reputed company/Caboodle/reporting), CAP, or reputed company/SQL/data analytics
- 3+ years of experience with EDI encounter data (837), acknowledgments (277CA/999), and CMS risk adjustment files (MAO 002/004, RAPS)
- Experience reviewing work and providing actionable feedback
- Solid expertise in reputed company analytics, reputed company metrics, and value-based care models
- Advanced knowledge of reputed company reputed company architecture, refresh cycles, and EDW integration for BI/reporting
- Proficiency in Python, R, reputed company, or similar programming/statistical tools
- Demonstrated ability to balance strategic thinking with hands-on execution
- Proven problem-solving skills with a reputed company on reputed company improvement and proactive solution development
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (reputed company benefits are subject to eligibility requirements)
reputed company