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Healthcare Data Analyst



Category

Operations

Job Location

Remote, Remote, Kentucky

Tracking Code

102022-1

Position Type

Full-Time/Regular

Certilytics an innovative company with a dynamic infusion of actuarial, data and behavioral scientists, IT engineers, software developers, nurse clinicians, as well as experts in public health and health insurance industry. We are creating new groundbreaking analytic products within the healthcare space and are presenting a great opportunity for qualified candidates to come on board. 

 

We are currently looking for experienced Health Data Analyst to join our team of mission-driven clinical innovators. The analyst will work with team members to conduct analyses focused on improving health outcomes and reduction of costs. This includes writing programs to pull data and create analytic data sets, assisting with requests to pull data, running analyses, generating data reports, and effectively communicating recommendations and/or results in written and oral presentations.  The work location is ideally in Louisville, KY, however open to other locations for a remote possibility.

 

Essential Function

  • Participates in Clinical Team meetings and provides analytic and statistical support for quality, clinical, and operational improvement activities, and effectively summarizing complex information
  • Manipulate and analyze complex, high-volume, high-dimensionality data from varying sources using a variety of tools and data analysis techniques 
  • Assist with the development of reports and projects, including documenting methodology, designing reporting, and making recommendations based upon data analysis 
  • Identifies complex healthcare data problems or issues, researches solutions, and implements steps to achieve higher level of efficiency for Certilytics analytics and product offerings 
  • Conduct research and perform root cause analysis as part of responsibility for analytics projects
  • Other tasks needed to accomplish team’s objectives/goals

Required Skills

Required Skills

  • BS/BA in health care administration, health informatics, nursing, public health or similar degree preferred or equivalent work experience.
  • Senior level (experience 5 or greater years) - Junior level (experience 1 - 4 years) working as a data analyst, preferably in a healthcare setting
  • Experience with medical and pharmacy claims data; a minimum of 1 or greater years depending on work experience - 3-year experience working with healthcare data is strongly preferred
  • Must be able to write complex SQL code and generate queries/reports independently , integrating data when necessary between disparate data sources
  • Working knowledge of HIPAA requirements, NCQA®, HEDIS®, PQA, PQRS, CMS Stars and state/federal requirements for managed care is strongly preferred
  • In-depth understanding of healthcare coding standards/systems (e.g. Claims, NDC, ICD 9, ICD 10, LOINC, Medications, UCUM, UMLS, SNOMED CT, etc.) with practical knowledge of clinical terminologies to create and ensure data quality standards are upheld.
  • Proficient in Microsoft Office suite of products, particularly Excel
  • Fast learner, can pick up new content/industries quickly in an extremely fast-paced environment
  • Strong analytical, problem-solving, and process skills
  • Other duties as assigned

Preferred Skills

  • Healthcare professional degree qualification (RN., PA, CPhT., RPhT.) preferred
  • Healthcare organization/health insurance experience/PBM’s
  • Strong analytical, problem-solving, and process skills
  • Ability to collaborate with team members and drive analytic projects end to end
  • Ability to work autonomously
  • Knowledge of data integration, software enhancements/planning, and agile methodologies

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