Healthcare Analyst II - Springfield, United States - Health New England

Description

Job Description

Summary:

The Healthcare Analyst II is a senior analytics role responsible for supporting healthcare operational and strategic decision-making through the use of standardized analytics (descriptive and predictive), analysis, and robust program evaluation. Using appropriate industry standard processes and techniques, the Healthcare Analyst II serves a variety of internal and external stakeholders.

Essential Functions:

Analytics

• Develops descriptive and predictive analytics that support financial optimization, forecasting, risk stratification/segmentation, market segmentation, utilization management, or other functional areas of population health management.
• Analyzes complex clinical, financial, and quality data sets and interprets the healthcare significance for business intelligence and other operational and strategic decision-making.
• Uses data mining and discovery techniques for healthcare intelligence pattern and relationship recognition.
• Develops and implement analytical processes that allow for predictive analytics, trend analyses, variation analyses, and provider profiling.
• Solves business problems through analysis and communicate the outcomes to internal and external stakeholders, business owners and senior management.
• Consults with internal and external stakeholders to develop business requirements for report development.
• Supports other functions in all project phases from concept to implementation
• Continually develops analytical and technical skills in order to support advancing and evolving functions.

Ad-hoc Analysis

• Provides support for ad-hoc clinical, quality, risk adjustment, and financial informational requests.
• Prepares analysis for internal and external stakeholders to reduce costs, review trends and improve both clinical and financial efficiency.
• Supports and executes requests for ad-hoc research and analysis, prioritizing as appropriate to reach department goals.
• Acts as a resource for other members of the department/division on business issues and is responsible for training and guidance of associates.

Minimum Requirements:

Bachelor's degree in Public Health, Biostatistics, Informatics or Data Science with 3-5 years of healthcare analytics experience or an equivalent combination of education and experience.

• SAS (preferred), R, and/or Python advanced coding experience required
• Experienced with SQL required
• Intermediary statistical analysis experience required, including confidence intervals, logistic regression, other techniques
• Experience with descriptive, predictive, and prescriptive analytics
• Strong project management skills required
• Proficient in analysis, including variation, trend, and forecasting
• Proficient in MS Office
• Excellent verbal and written communication skills with an ability to interact with diverse groups, executives, manager, and subject matter expertise

Working Conditions: Works in a standard office-based environment; non-standard hours are a common occurrence.