Data Analyst

DUTIES

- Data quality assurance, process programming, specification documentation and report developing.
- The senior clinical data analyst applies technical skills to design, develop, and generate ad hoc or production reports that may evolve into complex data analysis/data integration projects that this individual may be responsible for maintaining. The complex data analysis/integration projects are those which may require periodic maintenance on a weekly, monthly, quarterly, biannual, or annual basis. The individual works with Information Systems analysts when ongoing reports can be accurately transferred for production.
- The individual interprets and documents both written and verbal specifications.
- Takes basic instructions or specifications and interviews the client for complete details sufficient for writing data queries based for ad hoc and ongoing health care measures.
- Comprehend the relationships between the field elements in encounters and claims, membership, and provider databases.
- Must be able to apply and/or develop technical specifications for health care measures

SKILLS

- Must demonstrate advanced SAS skills in developing programs and procedures for analytics and quality assurance.
- Working knowledge of SAS Proc SQL, SAS Macro and database related SAS skills are highly preferred.
- Supports the functions related to quality improvement activities inclusive of quarterly reports that demonstrate health care outcomes in comparison to targets or national averages/percentiles published by recognized organizations such as NCQA and CDC.
- Analytic skills include the ability to identify data aberrations and recognize data patterns that impact quality.
- Must be able to present data in a format that is appropriate for analysis. This includes the ability to determine select the correct information for calculating basic rates, table configuration, and graphical presentations.
- Must demonstrate an aptitude in learning and expanding abilities to use new applications with basic training.
- Must be a self-starter and multi-tasker who take charge of projects assigned.
- Must be able to make recommendations to the clients that demonstrate strengths and limitations of the organization's ability to meet the request.
- Must demonstrate ability to take responsibility for making sure requested projects meet the client's needs with respect to data accuracy, format, and timeliness
- Must demonstrate ability to use relational databases for the purpose of generating HEDIS/ad hoc reports and to work well in a team setting with individuals having professional backgrounds in the technical and/or clinical fields
- Must demonstrate the ability to work independently and seek solutions pro-actively and be able to apply critical thinking in evaluating priorities/solutions

EDUCATION:

- A four year degree in health sciences, information systems, mathematics, or other quantitative fields is required.
- Work experience with health plan data is required.
- Preferred: Graduate degree in public health, public administration, information management, medical, epidemiology or biostatistics is preferred.
- EXPERIENCE:
- Five or more years of work experience in the health plan
- Two or more years of working experience with HEDIS data sets
- Working knowledge of MS Access, Excel, and Word software
- Advanced SAS programming skills
- Past work with membership, provider, and claims encounter/claims
- Previous experience with report generation using health care data with focus on elements from encounter/claims, membership, and provider data