Overview:
Under the general direction of the Director or designee, the Sr. Healthcare Data Analyst needs to be insightful, detail-oriented professional with excellent analytical skills who is able to apply that skill set to data analysis, data mining and data management within a medically-oriented, dynamic analytic team.
Responsibilities:
- Conduct advanced data mining as required by the program.
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Lead analyses and produce standard reports using healthcare claims data which support the development, implementation, and monitoring of MassHealth programs.
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Manipulate and build large datasets from claims and encounter data to support analyses through use of efficient SAS/SQL code.
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Utilize strong analytic consulting skills, and a customer service focus in order to design and deliver analytic projects to client specifications.
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Assist in the use of qualitative and quantitative analysis techniques.
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Utilize and create testing measures to analyze large amounts of data.
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Create algorithms to test and analyze multiple, large databases.
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Develop analyses and present information using various tools such as SAS, Business Objects, SQL, Cognos, Tableau and MS Office.
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Independently identify and report data patterns and abnormalities.
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Provide analysis of key metrics and data trends.
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Demonstrate exceptional analytic and problem-solving skills.
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Test, track and monitor data for quality, integrity and trends.
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Merge multiple databases and data sources to produce answers to complex business questions.
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Demonstrate attention to detail and deliver quality work products.
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Other responsibilities and projects as assigned.
Qualifications:
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Bachelor's level degree or equivalent in healthcare, health business administration, public health, public policy, statistics, computer science, engineering or similar discipline; or equivalent.
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5-7 years related or equivalent experience with proficiency in Medical Claims Analysis, Financial Data Analysis, and/or Transaction-Based Data Analysis
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Advanced knowledge of data mining software tools such as SAS, SQL, BO, Cognos or similar
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Advanced knowledge of data presentation software tools such as Tableau
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Advanced SAS or SQL programming skills
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Demonstrated knowledge of Microsoft Office Applications
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Ability to merge multiple databases and data sources to produce answers to complex business questions
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Familiarity with coding systems (i.e., CPT, ICD9, ICD10) and hospital billing systems (DRGs).
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Demonstrates intellectual curiosity, takes initiative and focuses on continuous improvement
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Ability to learn quickly and multi-task in a fast paced, work environment
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Ability to communicate verbally and in writing in English in a clear, professional manner
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Ability to travel between locations
