Clinical Data Analyst

Role Description

This position is a clinical data analyst for the SDS Ops Team. This role assists with the coordination of HEDIS® and STARs data gathering process remotely, within DataRAP, Cozeva and additional applications as needed. This role performs weekly reporting on total members data mined, calls made, total charts retrieved, and efficacy, as well as quality and productivity reporting. Throughout the year, they perform QA checks and data analysis as needed, ensuring accurate reporting and identifying any potential trends. This role partners with the Manager of Data Analytics, Sr. Clinical Analyst, and leadership team to accurately track and report on year-round data collection and abstraction.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

• Create, analyze, and report out on the SDS Ops work, quality and productivity reporting
• Create weekly assignments, based on open gaps and members available to data mine remotely
• Analyze data for possible discrepancies and deficiencies and report findings
• Develop and document process improvement
• Work to refine HEDIS®/STAR data collection software and data collection strategies, as needed
• Support hybrid processes as needed, including reporting on total charts reviewed, and efficacy
• Participate in user acceptance testing, assist with team coordination of system changes, and system upgrades
• Complete training on HEDIS®/STAR measures
• Perform all other related duties as assigned

Qualifications

• 2+ years of Business or Clinical Analytics experience
• 2+ years of healthcare experience to include experience in a managed care setting
• 2+ years of process improvement experience
• 1+ years of HEDIS® experience or participation with similar regulatory reporting
• Intermediate experience using Microsoft office applications, including databases, word-processing
• Intermediate experience using Visio and Excel
• Proven excellent presentation skills with solid communication capabilities and practices, both oral and written

Requirements

• Registered or Licensed Vocational Nurse
• Certified Professional Coder
• PMP
• Advanced experience using Microsoft office applications, including databases, word-processing
• Advanced experience using Excel®

Physical & Mental Requirements

• Ability to lift up to 25 pounds
• Ability to sit for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.