Senior Business Data Analyst - Healthcare IT

3 days ago

🏖️ New Jersey – Remote

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

⏰ Full Time

🟠 Senior

📉 Data Analyst

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SpectraMedix

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SpectraMedix is a company that specializes in providing advanced analytics solutions for healthcare organizations focusing on value-based contracting. Their modular platform is designed to drive financial and operational excellence across health plans and systems, supporting different business lines such as Medicare, Medicaid, and commercial insurance. They offer tools like the VBP Financial Reconciliation, VBP Contract Modeler, and VBP Analytics Suite to streamline contracting and empower providers to optimize performance through insights into quality, risk, utilization, and financial performance.

DSRIP Solutions • Population Health Management • ACOs • Real-time Clinical Data Collection & Analytics • Maximizing Incentives for CMS Programs

51 - 200 employees

Founded 2012

⚕️ Healthcare Insurance

☁️ SaaS

💸 Finance

📋 Description

• The Senior Business Data Analyst will work closely with business stakeholders, data teams, and technical SMEs to analyze, model, document, and manage healthcare data and business systems requirements. • The role involves acting as a liaison between business and technical teams, translating complex business information needs into actionable insights and application software solutions.

🎯 Requirements

• Minimum of 8 years of experience as a Business Data Analyst, primarily in US Healthcare IT projects. • Strong understanding of healthcare data sources such as Claims (837I, 837P), EDI, ICD-9/10, CPT, CCDA, QRDA, HL7, FHIR, EMR, SNOMED, LOINC, and HEDIS. • In-depth knowledge of payer data sources (Member/Enrollment, Claims, Revenue, etc.) and clinical & population health data. • Strong understanding of HEDIS, NCQA, eCQM, PQI, PDI, Meaningful Use, HIPAA policies, CMS (Medicare/Medicaid systems), and quality measures. • Conduct data analysis on various disparate healthcare datasets using SQL, extracting data and helping with reporting. • Work with business stakeholders to gather and define business and functional requirements, technical specifications, and data mappings. • Create detailed documentation of features, functions, and data workflows to support application development and implementation. • Define and document processes, workflows, and feed specifications to enhance product development activities. • Conduct internal and client UAT sessions before release to ensure data integrity and quality. • Collaborate in the planning and design of new applications and enhancements to existing ones. • Develop and execute test cases and test scripts to ensure data accuracy and system functionality.