Sr. MassHealth Encounter Data Analyst

Senior MassHealth Encounter Data Analyst

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.

Mass General Brigham Health Plan is seeking a collaborative and technically skilled Senior MassHealth Encounter Data Analyst to support critical regulatory reporting and analytics initiatives. This role sits at the intersection of business, compliance, and data engineering, playing a key role in translating complex regulatory requirements into actionable technical solutions.

Approximately 50% of this role focuses on cross-functional partnership, working closely with internal stakeholders—including Compliance and Risk Adjustment teams—as well as external regulatory agencies. The Senior MassHealth Encounter Data Analyst will gather, interpret, and translate detailed regulatory requirements for MassHealth Encounter, ODAG, and CDAG reporting, ensuring developers have clear, accurate technical specifications to support compliant data submissions.

The remaining 50% of the role is highly technical, involving hands-on data analysis and development using SQL, SSRS, and SSIS. This includes designing, validating, and optimizing data pipelines and reports, as well as performing in-depth analysis to ensure data accuracy, completeness, and alignment with regulatory expectations.

This is an ideal opportunity for a data professional who enjoys bridging business and technical teams, thrives in a regulated environment, and is passionate about turning complex data requirements into scalable solutions that drive compliance and operational excellence.

Essential Functions

• Collect, clean, and transform large and complex data sets from various sources for analysis.
• Partner with aligned senior leaders to determine and plan for data analytics/reporting needs of a business unit or functional area(s).
• Mentor and train other data analysts.
• Identify trends, correlations, and anomalies in data and provide explanations or recommendations based on findings.
• Create clear, concise, and visually compelling data visualizations, dashboards, and reports.
• Present complex data and analytical findings in a meaningful and understandable manner to both technical and non-technical stakeholders.
• Performs comprehensive quality assurance, ensuring that data and reports meet end-user specifications and are accurate and reliable.

Qualifications

Education

• Bachelor's Degree required; experience can be considered in lieu of a degree

Experience

• At least 5-7 years of experience in data analysis required
• Experience with MassHealth Encounter, ODAG, and CDAG reporting high preferred

Knowledge, Skills, and Abilities

• Strong knowledge of relational databases, SQL, data visualization, and Business Intelligence tools, such as Tableau.
• Strong proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint.
• Ability to communicate complex workflows and data to a variety of audiences.
• Project management skills and/or experience are a plus.
• Knowledge and application of statistical analyses including variance analysis and statistical significant preferred.
• Healthcare knowledge, particularly as it pertains to electronic medical record data, is preferred but not required.

Additional Job Details (if applicable)

Working Conditions

• While this position is designated as remote, all employees, including those classified as remote, may be required to attend meetings, trainings, or other necessary functions onsite at a Mass General Brigham location on an as-needed basis. Reasonable notice will be provided for any required in-person attendance
• M-F Eastern Business Hours required
• Flexibility for business needs to be onsite needed
• Remote workdays require a stable, secure, quiet, and compliant workspace

Remote Type

Hybrid

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$79,560.00 - $115,720.80/Annual

Grade

7At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources.