Hi,
Title : Data Analyst With Healthcare Domain
Location : PLEASANTON, CA (Onsite ) W2 Only
Rate : $60/w2
Relevant Experience (in Yrs.): 8+
Detailed Job Description:
We are seeking a Strong Healthcare Domain SME with knowledge of MedEcon, Milliman
MedIn sight(Claims Analytics Platform)/ Data Analyst and a solid understanding of Value-Based Care (VBC) models.
The candidate will act as an individual contributor, supporting analytical needs across complex healthcare datasets, enabling actionable insights, and handling operational requests related to reporting and claims analysis.
The ideal candidate is hands-on, analytical, and comfortable working independently in fast-paced environments involving Databricks, PowerBI, ServiceNow, and healthcare data sources.
Roles & Responsibilities
Business & Functional Analysis
· Serve as a subject matter expert for healthcare analytics, with a strong focus on Value-Based Care models (e.g., shared savings, capitation, quality measures).
· Translate business requirements into clear functional specifications and analytical solutions.
· Partner with business stakeholders, clinical teams, and technical teams to ensure alignment between business needs and data outputs.
· Analyze healthcare trends across claims, member, and provider data to support performance reviews and operational decisions.
· Provide insight into healthcare metrics such as utilization, cost drivers, quality performance, and provider/member behavior.
Data Analysis & Reporting
· Perform complex data analysis using data from multiple healthcare sources, such as:
o Claims (medical, pharmacy)
o Eligibility and enrollment data
o Provider and member data
o Quality and performance metrics
· Design and deliver ad-hoc and recurring reports using Databricks and associated analytics tools.
· Validate data accuracy, identify trends, anomalies, and performance gaps, and communicate insights clearly.
Must Have Technical/Functional Skills
· Domain Expertise
o Strong experience in the healthcare domain, especially:
§ Claims data and healthcare operations
§ Provider reimbursement models
§ Performance and quality reporting
o Solid understanding of Value-Based Care (VBC) concepts and performance
measurement.
o Strong knowledge of Milliman MedInsight(Claims Analytics Platform)
Technical & Analytical Skills
o Excellent analytical and problem-solving skills with the ability to work on large, complex
Have Skills :
- Databricks
- Data Analysis &Healthcare Domain
- Power BI &ServiceNow
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