Partnership HealthPlan of California · 4 hours ago
Senior Health Data Analyst I
Fairfield, CA
Full-time
Onsite
Mid, Senior Level
$103K/yr - $134K/yr
4+ years expPartnership HealthPlan of California is seeking a Senior Healthcare Data Analyst I to contribute to the organization’s success by developing analytic solutions that support health services. The role involves analyzing patient claims and other data to identify performance metrics and opportunities for improvement.
Health CareInsuranceNon Profit
Responsibilities
Works collaboratively with business partners, other analysts, and IT to gather and integrate data from disparate sources
Responds to ad hoc data requests from business units and leadership
Assists in design and development of data collection strategies, aggregation, analysis, and reporting to ensure data integrity and enhance information value
Participates in design and interpretation of data analyses; provides recommendations for improvement of data quality and reporting
Helps build, manage, and/or enhance predictive models
Assesses reporting and automation requirements and develops appropriate solutions
Maintains in-depth knowledge of health plan operations, including claims processing, utilization management, quality improvement activities and pay for performance programs
Critically analyzes data, draws conclusions and effectively articulates results
Presents data and conclusions to non-technical audience; uses data visualizations and summaries to highlight key findings
Creates and maintains thorough and consistent documentation of programs used to create reports
Manages and prioritizes workload while meeting deliverables and expectations
Works autonomously and collaboratively with report requestors, providing guidance to define report requirements and validate results
Works collaboratively across departments to understand and meet the organization’s analytic needs
Performs other assigned or needed activities required to assure success of the organization
Participates in special projects as needed
Performs other duties as assigned
Qualification
Required
Bachelor's degree with concentration in health informatics, health administration, public health, computing, epidemiology, statistics or related field
Minimum four (4) years of experience in data analysis and reporting
Knowledge of major health plan operations: healthcare claims processing, membership, provider, and benefits; or equivalent combination of education and experience
Excellent knowledge of data collection, analysis, statistics and data presentation with experience in data mining techniques and procedures
Experience using statistical packages for analyzing large data sets, SAS and/or SQL a plus
Experience working with administrative data, ideally health care data (Medicaid data a plus)
Understanding of health data formats including claims, lab and pharmacy
Knowledge of clinical coding systems (e.g., ICD9, ICD10, CPT)
Proficiency in inferential and predictive statistical analysis
MS Office, Excel, SQL, SAS, Tableau
Ability to present complex information in an understandable and compelling manner
Ability to quickly acquire in-depth knowledge of various systems related to claims processing, membership, provider, and benefits at Partnership
Strong written and oral communication skills with ability to interpret and understand technical requirements
Excellent analytical skills to troubleshoot and resolve data issues
Must be highly organized and proficient at multi-tasking
Must be willing and able to provide gracious assistance to users, providers, and other constituents of Partnership
Preferred
Master's degree
Company
Partnership HealthPlan of California
Partnership HealthPlan of California is a non-profit community-based health care organization that contracts with the state to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high-quality comprehensive cost-effective health care.
1001-5000 employees
H1B Sponsorship
Partnership HealthPlan of California has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
Funding
Current Stage
Late StageLeadership Team
L
Lorna Veloso
Sr. Manager of OpEx/PMO
Recent News
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