Negotiable
Undetermined
Remote
Remote
Summary: The Healthcare Data Analyst role focuses on data analysis and interpretation within the healthcare domain, emphasizing claims, risk adjustment, and utilization. The position requires developing predictive models and applying machine learning techniques to enhance provider performance and member risk stratification. Strong technical skills in SQL, Python, and data visualization tools are essential for success in this role. Attention to detail and problem-solving abilities are critical for ensuring data accuracy and effective KPI development.
Key Responsibilities:
- Data analysis and interpretation
- Healthcare domain knowledge (claims, RA, HCC, utilization)
- KPI development and performance measurement
- Problem-solving and critical thinking
- Attention to detail and data accuracy
- Develop and deploy predictive models to identify suspect conditions, predict high-risk members, and improve coding capture strategies
- Apply ML techniques (classification, regression, clustering) for provider performance segmentation and member risk stratification
- Data modeling and data validation techniques
- Statistical analysis (basic to intermediate)
- Dashboard design and data storytelling
Key Skills:
- Strong SQL knowledge
- Stored Procedures
- Python
- Snowflake
- Power BI
- Machine learning
- Data modeling and data validation techniques
- Statistical analysis (basic to intermediate)
- Dashboard design and data storytelling
Salary (Rate): undetermined
City: undetermined
Country: undetermined
Working Arrangements: remote
IR35 Status: undetermined
Seniority Level: undetermined
Industry: Other