Senior Data Analyst

Summary

Join Brighton Health Plan Solutions as a Senior Data Analyst, Clinical Outcomes and become a key player in improving healthcare access and delivery. You will be responsible for analyzing data, developing key performance metrics, and creating actionable insights to inform client and program strategy. This role supports various clinical programs, requiring strong analytical skills and experience in healthcare analytics. You will collaborate with internal and external stakeholders, presenting findings and managing multiple projects simultaneously. A Bachelor's degree and 5-7 years of experience in healthcare analytics are required, along with proficiency in SQL and MS Excel. The position offers the opportunity to work remotely.

Requirements

• Bachelor's degree required, preferably in Mathematics, Statistics, Finance, Actuarial Science, Data Science, or related field
• 5-7 years of experience in healthcare analytics, preferably in a managed care setting
• Proficiency in SQL and Microsoft SQL Server Suite of Products (SSMS) required
• Proficiency in MS Excel required
• Experience with clinical outcomes reporting and cost and utilization analysis
• Experience with developing client-facing reports
• Ability to explain technical concepts to a non-technical audience
• Ability to effectively manage and prioritize several concurrent projects
• Excellent oral and written communications skills

Responsibilities

• Monitor Utilization Management and Case Management activities through the identification and development of key performance metrics and benchmarks
• Conduct prospective savings analyses in support of clinical program initiatives
• Develop statistical models that deliver meaningful insights on cost, utilization and clinical outcomes based on various data sources, including claims and authorizations
• Develop algorithms for identifying high-risk members, and measure the performance of Disease Management and other Medical Management programs
• Develop reporting on NCQA HEDIS and other quality measures
• Build and maintain client-facing reports, dashboards, and analyses
• Lead program performance review presentations with clinical program managers, client account managers, and external clients, as needed
• Collaborate with Medical Management to provide ongoing support
• Manage internal and external client requests and timelines to ensure timely delivery
• Provide ad hoc analytical support as necessary

Preferred Qualifications

• Experience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau) a plus
• Experience with Predictive Analytics a plus

Benefits

Open to fully remote candidates