Top 202 Cms Data Analyst Jobs

Lead Clinical Analyst
Health Network One —Miami, FL
- 3 years
- Bachelor's degree
- Mentoring
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Stroke Clinical Data Analyst, RN
University of Maryland Medical System —Largo, MD
- $42.64 - $64.00 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
8d
Healthcare Data Analyst
Astiva Health —Orange, CA
- $85,000 - $115,000 a year
- Computer Science
- Mid-level
- Analysis skills
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Clinical Data Analyst
KPC GLOBAL MEDICAL CENTERS INC. —Corona, CA
- $40.86 - $50.48 an hour
- Full-time
- Mid-level
- Master's degree
- SQL
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Provider Network Data Integrity Analyst - Health Plan
Sanford Health —Adell, WI
- $24.00 - $38.50 an hour
- 8 hour shift
- Remote
- Background check
- Microsoft Excel
- Computer Science
- Health insurance
- Dental insurance
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Healthcare Data and Policy Analyst
Healthcare Association of New York State —Rensselaer, NY
- $65,000 - $71,000 a year
- Full-time
- Mid-level
- Master's degree
- Math
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Data Analyst, Medicaid Fraud, Chicago 26-04
Office of the Illinois Attorney General —Chicago, IL
- $65,000 - $95,000 a year
- Full-time
- Computer Science
- Research
- Mid-level
- Disability insurance
- Health insurance
Data Analyst
GoodApple —New York, NY
- $69,000 - $85,000 a year
- Full-time
- SQL
- Analysis skills
- Bachelor's degree
Senior Pharmacy Data Analyst
WellSense Health Plan —Remote
- $77,000 - $111,500 a year
- Full-time
- Remote
- Background check
- 5 years
- Master's degree
- Health insurance
- Dental insurance
Data Analyst, Medicaid Fraud, Oakbrook, 26-01
Office of the Illinois Attorney General —Oak Brook, IL
- $64,152 - $75,672 a year
- Full-time
- Computer Science
- Research
- Mid-level
- Disability insurance
- Health insurance
Sr Analyst, Medical Economics, Stars and Risk Adjustment
Monogram Health Inc —Remote
- Remote
- Mid-level
- Master's degree
- SQL
- Paid parental leave
- Paid holidays
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CDCE Data Analyst
Emory Healthcare —Atlanta, GA
- $52.37 - $65.06 an hour
- Full-time
- Azure
- Computer Science
- Mid-level
- Wellness program
- Health insurance
Healthcare Data Analyst
Children's Hospital Association —Lenexa, KS
- $70,000 - $120,000 a year
- Hybrid work
- Computer science
- Computer Science
- Mid-level
- Wellness program
- Paid parental leave
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Entry Level Data Analyst for Lawyer Legion
Lawyer Legion —Houston, TX
- Full-time
- Data analysis skills
- SQL
- Analysis skills
Clinical Data Analyst III
L.A. Care Health Plan —Los Angeles, CA
- $88,854 - $142,166 a year
- Full-time
- Office
- Master's degree
- Bachelor's degree
- Wellness program
- Health insurance
Biostatistician/Data Analyst - School of Medicine Brain Health
Emory University —Atlanta, GA
- Full-time
- Hybrid work
- Computer Science
- Salesforce
- Mid-level
- Work from home
Payment Integrity Analyst - Data Mining
Lyric —Remote
- $24.20 - $36.30 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- SQL
Epic ClinDoc Analyst
Prospect Infosys Inc —North Carolina
- $99 - $100 an hour
- Remote
- Senior level
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Configuration Data Analyst
Santa Clara Family Health Plan —San Jose, CA
- $111,168 - $172,310 a year
- Full-time
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
Quick Apply
Staff Data Analyst, Healthcare
Kairon Health —New York, NY
- $150,000 - $175,000 a year
- Full-time
- Hybrid work
- 5 years
- SQL
- Senior level
Quick Apply

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Lead Clinical Analyst

Health Network One -
Miami, FL

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Job Details

Qualifications

Economic experience in healthcare
Data visualization software proficiency
Business intelligence tools
Clinical program data analysis
Resource utilization in healthcare
Clinical data analysis
Healthcare performance metrics analysis
Project stakeholder communication
Health economics data analysis
Stakeholder management
Database software proficiency

Full Job Description

Company Overview: Health Network One (HN1) partners with health plans and providers to modernize how specialty care is delivered and managed, reducing complexity, driving better performance, and improving lives.

With over 30 years of experience, Health Network One advances care in several unique specialties: Vision, Therapy, Dermatology, and Sleep. By curating specialty networks and credentialing providers who meet rigorous access and quality standards, we bring together value-based models and clinical expertise to ensure providers thrive, payers succeed, and members receive the high-quality care they deserve.

Position Summary

The Lead Clinical Analyst drives enterprise clinical performance strategy by overseeing analytics, regulatory reporting frameworks, and operational intelligence that support clinical, care and utilization management, and quality initiatives. This role translates complex healthcare data into executive-level insights, leads cross-functional analytics efforts, and ensures alignment between clinical operations, compliance priorities, and organizational strategy.

Serving as an analytics partner to clinical leadership, this role provides subject-matter expertise in utilization trends, clinical performance, and quality measurement while advancing scalable reporting infrastructure that improves outcomes and regulatory readiness.

Key Responsibilities

Clinical Analytics Leadership

Lead the design, development, and optimization of enterprise clinical performance dashboards (e.g., utilization, care management effectiveness, access metrics, and quality performance).

Development of recurring and adhoc analytics using SQL, Excel, and Power BI.

Translate complex clinical datasets into strategic recommendations for executive leadership, operational teams, and quality stakeholders.

Establish data validation standards and ensure accuracy, completeness, and integrity across reporting environments.

Serve as a senior subject-matter expert for clinical analytics methodologies, performance measurement, and reporting best practices.

Stakeholder Partnership & Strategic Influence

Partner with clinical and operational leadership to define KPIs aligned with enterprise performance goals.

Lead cross-functional collaboration with IT, data engineering, operations, and quality teams to improve data architecture and reporting accessibility.

Present insights and narratives to senior stakeholders in clear, decision-ready formats.

Guide prioritization of analytics initiatives supporting organizational strategy and regulatory requirements.

Mentor junior analysts and strengthen analytics capabilities across teams.

Regulatory, Accreditation & Quality Analytics

Partner with Compliance and clinical stakeholders to support state, federal and health plan reporting requirements, including NCQA, CMS, JOC.

Development of performance metrics used in audits, accreditation readiness, and compliance monitoring.

Support enterprise readiness for regulatory reviews through proactive analytics monitoring and documentation.

Continuous Improvement & Analytics Governance

Drive automation of manual reporting workflows and implementation of scalable reporting solutions.

Establish documentation standards, reporting governance processes, and analytics best practices.

Lead initiatives to modernize clinical reporting infrastructure and improve enterprise data usability.

Identify opportunities to leverage analytics for performance optimization and cost-of-care improvement.

Education & Experience

Bachelor’s degree (or equivalent experience) in public health, data analytics, health informatics, business, or a related field.

5+ years of experience with advanced proficiency in SQL, Excel, and Power BI

3+ years of experience working with healthcare datasets, including claims, utilization management/prior authorization, care management, and quality measures.

Strong understanding of clinical workflows, utilization and network management analytics, and healthcare economics.

Demonstrated ability to translate complex analytics into executive-level insights and operational recommendations.

Excellent stakeholder engagement, communication, and strategic problem-solving skills.

Self-starter with the ability to manage multiple priorities independently.

Preferred Qualifications

Experience mentoring analysts and leading analytics workstreams or initiatives.

Experience with data science tools and programming languages such as Python or R

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

Cms Data Analyst jobs

Lead Clinical Analyst

Stroke Clinical Data Analyst, RN

Healthcare Data Analyst

Clinical Data Analyst

Provider Network Data Integrity Analyst - Health Plan

Healthcare Data and Policy Analyst

Data Analyst, Medicaid Fraud, Chicago 26-04

Data Analyst

Senior Pharmacy Data Analyst

Data Analyst, Medicaid Fraud, Oakbrook, 26-01

Sr Analyst, Medical Economics, Stars and Risk Adjustment

CDCE Data Analyst

Healthcare Data Analyst

Entry Level Data Analyst for Lawyer Legion

Clinical Data Analyst III

Biostatistician/Data Analyst - School of Medicine Brain Health

Payment Integrity Analyst - Data Mining

Epic ClinDoc Analyst

Configuration Data Analyst

Staff Data Analyst, Healthcare

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