Healthcare Data Analyst

Healthcare Data Analyst with experience in HEDIS, Health Quality, PHM, and other relevant areas.

Summary: This is a key role within the Population Health Management (PHM) project. The role will develop and maintain ad-hoc reports and dashboards, and design, develop, and validate analytics and delivery documentation to support the PHM Service, a groundbreaking data platform for Medicaid that Gainwell has been selected to deliver, sponsored by the state of California. The ideal candidate has experience with population health management and in Healthcare Effectiveness Data and Information Set, Health Quality, and other relevant areas.

Your role in our mission
• Designs, implements and maintains complex databases, access methods, access time, validation checks, organization, protection and security, documentation, and statistical methods to ensure that client requirements are satisfied.
• Reviews and edits data requirements and documents according to required standards by utilizing prescribed tools and methods to ensure that design and implementation are according to company guidelines and client specifications.
• Provides overall monitoring of standards and procedures and suggests revisions when necessary to ensure updated guidelines to meet changing market demands and consistency across databases.
• Applies data analysis or data modeling techniques to establish, modify or maintain complex data structures and their associated components to increase efficiency of structures and components.
• Investigates and resolves technical matters of significance within databases by analyzing and determining possible causes to ensure client satisfaction.
• Provides work direction and guidance to less experienced personnel using the data structures and associated components to ensure that business specifications are met.
• Provides training in data modeling techniques and incorporating data modeling into information systems to ensure consistency in development and maintenance of database structures across the company.
• Research business objectives and data requirements of client to ensure that developed databases meet client needs.
• Communicates with clients about data-related discrepancies and other matters of significance to ascertain information and correct errors.

What we're looking for
• Bachelor's degree or equivalent combination of education and experience.
• Bachelor's degree in information systems, computer science or related field preferred
• Six or more years of experience in programming or data analysis.
• Experience working with data administration, repository management, database creation techniques, and data warehousing standards, strategies, and tools.
• Experience in HEDIS, Health Quality, PHM, and other relevant areas
• Collect, analyze, and report on HEDIS data from various sources, including claims, medical records, and electronic health records.
• Stay up to date on changes to HEDIS specifications and ensure compliance with reporting requirements.
• Experience working with company used database and statistical software and product configurations.
• Experience working with security software packages, domain structures, user authentication and digital signatures.
• Experience working with relevant programming languages and relational databases for database management and general software development.
• Proficiency in data analysis tools such as SQL, Python, R, or similar languages. Experience with data visualization tools (e.g., Tableau, Power BI).
• Experience with configuring and installing various operating systems and application software.