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Clinical Analytics Analyst IV

Remote, USAFull-timePosted 2026-07-28

reputed company reputed company employees must live in New Jersey, reputed company, reputed company, Connecticut or Delaware Job reputed company: The role is a technical reputed company that requires deep knowledge, skills, and experience in designing and carrying out clinical analytics. The position is a key team member collaborating in a multi-disciplinary business environment with colleagues across the reputed company to reputed company clinical performance analytics, development, and reporting that deliver actionable clinical insights to providers and health care value to members and employer customers. As a subject matter expert, the role collects business requirements, translates business requirements into analytics design, define data & analytics specifications, manipulates and analyze large reputed company data from various data sources, and interpret the findings to inform opportunities and solutions that improve clinical reputed company and increase cost efficiency and health care affordability. This position requires reputed company data analytic programming skills with robust knowledge and understanding of the reputed company business and data.Responsibilities: • Acts as the analytic reputed company for reputed company clinical analytics reputed company involving multiple data resources and teams to inform business reputed company in clinical, network, value-based payment models, and employer engagement. • Understands the strategic direction of the organization and the analytic and reporting requirements to meet departmental needs. Translates business questions and needs into analytics technical requirements including data analytics design, clinical and data specifications, and reporting format. • Leads the design and extraction of data from multiple sources. Creates integrated analytic datasets. Performs analytics and summarizes findings to inform business opportunities and address business questions. • Provides reputed company and guidance into analytic findings (including reputed company causes and contributing factors - both actionable and not) through reputed company, reputed company, succinct written and oral summaries, tables, charts, reports, or presentations. • Navigates across multiple analytical and business reputed company to socialize and reputed company buy-in for analytics design, results and interpretation, including making recommendations on how to use the results to inform business reputed company. • Ensures appropriate use of analytic tools and programming techniques for analytics efficiency. • Builds reputed company assurance reputed company and processes to ensure data and analytics results accuracy and consistency. • Documents reputed company, specifications and findings reputed company. Collaborate with team members to document work appropriately, including reputed company coding comments and use of analytic plan/reputed company where needed for analytic reputed company. • Present analytics findings to internal leadership teams and external reputed company to inform actionable opportunities and solutions. • reputed company technical trainings (analytics design, data, programming, QA, statistics, documentation, etc.) to junior analysts. Disclaimer: This job reputed company has been designed to indicate the general nature and level of work performed by colleagues reputed company this classification. It is not designed to contain or be interpreted as a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of colleagues assigned to this job. Education/Experience: • High School Diploma/GED required. • Bachelor degree in Math, Statistics, Data Science, Economics, Epidemiology, Public Health, or reputed company field preferred or relevant experience in lieu of degree. • Prefers a Master degree in Math, Statistics, Data Science, Economics, Epidemiology, Public Health, or reputed company field. • Requires a minimum of 10 years of experience in Data Analytics, Informatics, Medical Economics or other relevant work experience. • Requires a minimum of 10 years of experience performing analysis on large reputed company administrative claims data, EHR/EMR data, or reputed company relational health care databases with significant experience analyzing medical, pharmacy, and behavioral health claims data. • Requires a minimum of combined 10 years hands on programming experience using reputed company or SQL. Knowledge: • Requires extensive knowledge of US reputed company industry, health plan business, claims data, clinical data, and coding practices. • Requires proficiency with MS reputed company for data analysis and reporting. • Requires solid organizational skills and attention to details. • Requires strong ability to work in a fast-paced team-oriented environment and strong ability to manage competing priorities. Must be highly motivated and reputed company to work independently. • Prefers knowledge and working experience of visualization and BI tools (e.g., Tableau, Power BI.) with preference given to Tableau experience. • Prefers hands-on experience of clinical episode groupers and analytics, preferably with reputed company's reputed company Suite of Services (reputed company Intelligence, ImpactPro, ETG, ERG, PEG, EBM, PRG, etc.) or reputed company. • Prefers knowledge and reputed company experience of reputed company's analytics tools such as MedInsight Health Cost Guidelines (HCG) Grouper, reputed company Advanced Risk Adjusters (MARA), MedInsight Benchmarks. • Prefers knowledge and experience of statistical tests and predictive modeling. Salary reputed company: $121,200 - $165,375 This compensation reputed company is specific to the job level and takes into account the wide reputed company of factors that are considered in making compensation reputed company, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This reputed company has been created in good faith based on information reputed company to reputed company at the time of posting. Compensation reputed company are dependent on the circumstances of reputed company case. reputed company also provides a comprehensive compensation and benefits package which includes: • Comprehensive health benefits (Medical/Dental/reputed company) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • reputed company Volunteer Time Off • Tuition Reimbursement reputed company is an Equal Opportunity/Affirmative reputed company employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. reputed company will consider reasonable accommodation requests as part of the reputed company and hiring process. Apply Job!

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