Job Description

Job Type: W2

HealthCare Data Analyst Responsibilities: 

Analyze healthcare data, including medical claims and eligibility, using SQL Server, PL/SQL, TOAD for Oracle, MS Access, MS Excel
Understanding of key managed care concepts and terms (e.g. PMPM, CPT, ICD coding, HCPCS, DRG etc.)
Understanding of data structure/integration and relational database design
Assist in the population and maintenance of health quality historical data mart
Responsible for monitoring and identifying data problem areas and conduct research to determine best course of action
Identify, analyze, and interpret trends or patterns in complex data sets

Health Data Analyst Qualifications:

2-4 years of experience analyzing healthcare data, including medical claims and eligibility, with demonstrated contemporary experience using SQL Server, PL/SQL, TOAD, Oracle, MS Access, MS Excel
Demonstrated experience in healthcare analytics, statistical analysis, SQL programming, or HEDIS reporting
Additional experience with other major areas of healthcare analytics (risk adjustment, utilization, predictive modelling, etc.
2+ years of HEDIS experience and/or knowledge preferred