Senior Clinical Data Analyst
Core
Drive better patient outcomes and optimize resource utilization by providing actionable insights to healthcare providers and leadership through data analysis and reporting.
Role type
Senior Clinical Data Analyst
Builds
Dashboards, reports, and visualizations measuring external provider performance and population health management.
Domain
Healthcare / Health Insurance / Claims Analysis
Deliverable
dashboards & analysis
Required skills
SQL, healthcare claims data analysis, medical cost modeling, utilization analysis, risk adjustment methodologies (HCC, RAF), healthcare data standards (ICD-10, CPT, DRG), data quality validation, member-level longitudinal analysis
Preferred skills
Tableau, Power BI, Excel, HEDIS/CMS/NCQA quality measures, Medicare Advantage experience
Technologies
SQL, Tableau, Power BI, Excel
Responsibilities
Gather requirements from stakeholders and translate to actionable work tasks; Develop complex SQL queries to support data-driven insights; Analyze healthcare data (claims, lab, pharmacy, EMR) to draw conclusions; Develop reports, dashboards, and visualizations; Partner with clinical and operational teams for data-driven decision-making; Prepare and present findings and recommendations to leadership and stakeholders.
Seniority
Senior, hands-on IC