Clinical Analytics Analyst IV

Yesterday

🇺🇸 United States – Remote

🦌 Connecticut – Remote

Although this job is listed in Connecticut, this company may be open to hiring remote in other states.

🏖️ New Jersey – Remote

Although this job is listed in New Jersey, this company may be open to hiring remote in other states.

+2 more states

🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🔔 Pennsylvania – Remote

💵 $119.4k - $163k / year

⏰ Full Time

🟠 Senior

🔴 Lead

📉 Data Analyst

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NJM Insurance Group

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Auto Insurance • Workers'​ Compensation Insurance • Homeowners Insurance • Commercial Auto Insurance • Renters Insurance

1001 - 5000 employees

Founded 1913

Description

• The role is a technical lead that requires deep knowledge, skills, and experience in designing and carrying out clinical analytics • A key team member collaborating in a multi-disciplinary business environment with colleagues across the enterprise to lead clinical performance analytics, development, and reporting • Collects business requirements, translates them into analytics design, defines data & analytics specifications, manipulates and analyzes large healthcare data, and interprets the findings • Acts as the analytic lead for complex clinical analytics projects involving multiple data resources and teams to inform business decisions • Understands the strategic direction of the organization and the analytic and reporting requirements to meet departmental needs • Translates business questions and needs into analytics technical requirements • Leads the design and extraction of data from multiple sources • Creates integrated analytic datasets • Summarizes findings to inform business opportunities and address business questions • Provides insight and guidance into analytic findings through professional written and oral summaries, tables, charts, reports, or presentations • Navigates across multiple analytical and business units to socialize and gain buy-in for analytics design, results, and interpretation • Ensures appropriate use of analytic tools and programming techniques for efficiency • Builds quality assurance criteria and processes to ensure data and analytics results accuracy and consistency • Documents methods, specifications and findings clearly • Collaborates with team members to document work appropriately • Presents analytics findings to internal leadership teams and external provider partners • Provides technical trainings to junior analysts

Requirements

• High School Diploma/GED required • Bachelor degree in Math, Statistics, Data Science, Economics, Epidemiology, Public Health, or related field preferred or relevant experience in lieu of degree • Prefers a Master degree in Math, Statistics, Data Science, Economics, Epidemiology, Public Health, or related field • Requires a minimum of 10 years of experience in Data Analytics, Informatics, Medical Economics or other relevant work experience • Requires a minimum of 10 years of experience performing analysis on large healthcare administrative claims data, EHR/EMR data, or complex relational health care databases with significant experience analyzing medical, pharmacy, and behavioral health claims data • Requires a minimum of combined 10 years hands on programming experience using SAS or SQL • Requires extensive knowledge of US healthcare industry, health plan business, claims data, clinical data, and coding practices • Requires proficiency with MS Excel for data analysis and reporting • Prefers knowledge and working experience of visualization and BI tools (e.g., Tableau, Power BI.) with preference given to Tableau experience • Prefers hands-on experience of clinical episode groupers and analytics, preferably with Optum’s Symmetry Suite of Services (Impact Intelligence, ImpactPro, ETG, ERG, PEG, EBM, PRG, etc.) or PROMETHEUS • Prefers knowledge and direct experience of Milliman’s analytics tools such as MedInsight Health Cost Guidelines (HCG) Grouper, Milliman Advanced Risk Adjusters (MARA), MedInsight Benchmarks • Prefers knowledge and experience of statistical tests and predictive modeling

Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement