Healthcare Analytics Analyst

Join to apply for the Healthcare Analytics Analyst role at Pediatric Associates Family of Companies Join to apply for the Healthcare Analytics Analyst role at Pediatric Associates Family of Companies Get AI-powered advice on this job and more exclusive features. Pediatric Associates Family of Companies provided pay range This range is provided by Pediatric Associates Family of Companies. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $70,000.00/yr - $85,000.00/yr PRIMARY FUNCTION The Analyst, Healthcare Analytics is responsible for developing membership, panel management, quality metric, cost and utilization reports. This role will require collaboration with cross-functional teams, including clinical, FP&A, managed care, and operations, to provide insights into underlying trends, support sizing operational improvements, and measuring the financial return. ESSENTIAL DUTIES AND RESPONSIBILITIES This list may not include all of the duties that may be assigned. Gather and process attributed member, patient, quality metric, cost and utilization data from various sources including from payers and from Pediatric Associates internal data sets. Analyze attributed membership, patient, quality metric, cost and utilization data at various reporting grains to identify trends, patterns, and areas for improvement in overall panel and contract management. Review and interpret contract language to ensure that the corresponding financial terms are applied correctly for reporting and analysis. Prepare and present reports and visualizations to communicate findings and insights to stakeholders. Collaborate with cross-functional teams to understand business needs and translate needs into data analysis projects. Prioritize requests and execute assigned projects, ensuring timely completion and accurate results. Partner with data organization to ensure data is available to enable analysis and reporting, identification of trends and underlying drivers. QUALIFICATIONS EDUCATION: Bachelor’s Degree in Statistics, Healthcare Economics, Business, Healthcare Administration, or equivalent combination of education and work experience required. EXPERIENCE: A minimum of 2 years of healthcare analytic professional experience required. 4 years of experience in healthcare analytics preferred. Experience integrating clinical data (EMR) with payor data preferred. Experience using healthcare eligibility, quality and claims data sets and how those data sets join preferred. Experience reviewing and interpreting contract language and connecting contract language to healthcare data sets preferred. Experience in Managed Medicaid preferred. KNOWLEDGE, SKILLS AND ABILITIES Required qualifications: Analytical and problem-solving skills with expertise in data mining, statistical analysis, and data visualization tools. Proficiency in data analysis tools (e.g., SQL, SAS, R) and database management systems. Ability to prioritize projects and tasks to meet deadlines. Understanding of business processes and how data can be used to drive decision-making and improve performance. Written and verbal communication skills to effectively convey findings and recommendations to both technical and non-technical audiences. TYPICAL WORKING CONDITIONS Full time remote Job must be U.S. based OTHER PHYSICAL REQUIREMENTS Vision Hearing Sense of Touch Manual Dexterity to operate a computer PERFORMANCE REQUIREMENTS Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI (Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations. Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Analyst Industries Hospitals and Health Care Referrals increase your chances of interviewing at Pediatric Associates Family of Companies by 2x Inferred from the description for this job Medical insurance Vision insurance 401(k) Get notified when a new job is posted. Sign in to set job alerts for “Analytics Analyst” roles. 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