Senior Healthcare Data Analyst

Summary

Join SpectraMedix, a leading healthcare analytics organization, as a Senior Healthcare Data Analyst. This full-time position, based in East Windsor, NJ (remote acceptable), requires 6-8 years of experience. You will analyze and report on various quality measures (HEDIS, eCQM, Stars), extract and analyze healthcare data from multiple sources, and develop data documentation. Collaboration with stakeholders and teams is crucial, as is supporting UAT and data validation. A graduate or postgraduate degree in a related field is required, along with SQL proficiency and in-depth knowledge of healthcare codes and formats.

Requirements

• 6–8 years of experience as a Business/Data Analyst in US Healthcare, particularly payers or health plans
• Proficient in SQL for data extraction and analytics
• In-depth knowledge of healthcare codes and formats: ICD-10, CPT, HCPCS, 837I/P, HL7, FHIR
• Hands-on experience with HEDIS, eCQMs, MIPS, DSRIP, etc
• Strong understanding of payer data: member/enrollment, claims, revenue, risk adjustment
• Graduate or Postgraduate degree in Public Health, Health Informatics, Hospital/Health Administration, Pharmacy, or related field
• Strong written/verbal communication and technical documentation skills
• Ability to work independently and manage multiple priorities in a fast-paced environment

Responsibilities

• Analyze and report on HEDIS, eCQM, Stars, and other quality measures
• Extract and analyze healthcare data from multiple sources (e.g., claims, enrollment, EMR)
• Develop and maintain documentation for business requirements, data mapping, and specifications
• Work with business stakeholders to understand and deliver quality-focused data insights
• Support UAT, data validation, and test case development
• Collaborate with teams for planning, design, and enhancement of analytics solutions
• Participate in internal and client reviews related to measure specifications and compliance

Preferred Qualifications

• Experience in value-based care or risk-based contracting analytics
• Familiarity with clinical integration platforms, NCQA audit processes, or population health solutions