Brighton Health Plan Solutions

Brighton Health Plan Solutions is a healthcare enablement company seeking to transform how healthcare is accessed and delivered by developing flexible, high-val

Senior Data Analyst, Clinical Programs

Location

Texas

Posted

63 days ago

Salary

0

Seniority

Senior

Bachelor Degree5 yrs expEnglishMS SQL ServerSQLTableau

Job Description

Senior Data Analyst, Clinical Programs

Brighton Health Plan Solutions

• Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates, readmissions, preventable hospitalizations, ER utilization) • Develop statistical models that deliver meaningful insights on cost, utilization and clinical outcomes based on various data sources. • Develop algorithms for stratifying populations and identifying high-risk members. • Leverage Predictive Analytics to measure the performance (ROI) of Disease Management and other Medical Management programs. • Conduct prospective savings analyses in support of clinical program initiatives. • Build and maintain client-facing reports, dashboards, and analyses. • Develop actionable data insights and advise on client strategy. • Participate in program performance review presentations with clinical program managers, client account managers, and external clients, as needed. • Manage internal and external client requests and timelines to ensure timely delivery. • Collaborate with Medical Management to provide ongoing support.

Job Requirements

  • Bachelors' 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.
  • Advanced data analysis, financial modeling, and predictive analytics skills.
  • Experience with clinical program evaluation and outcomes reporting.
  • Experience with health plan performance reporting and cost and utilization analysis.
  • Experience with developing client-facing reports.
  • Experience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau).
  • 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.
  • Experience with Payer Care Management platforms (i.e. ZeOmega) a plus.

Benefits

  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off

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