[Remote] Senior Data Analyst, Clinical Programs

Note: The job is a remote job and is open to candidates in USA. MagnaCare is a healthcare services company focused on improving how healthcare is accessed and delivered. The Senior Data Analyst, Clinical Programs will analyze healthcare data and processes, develop predictive models and population stratification algorithms, and create actionable insights to support clinical programs, client strategy, and performance reporting.

Responsibilities

• Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates, readmissions, preventable hospitalizations, ER utilization)
• Develop statistical models that deliver meaningful insights on cost, utilization and clinical outcomes based on various data sources
• Develop algorithms for stratifying populations and identifying high-risk members
• Leverage Predictive Analytics to measure the performance (ROI) of Disease Management and other Medical Management programs
• Conduct prospective savings analyses in support of clinical program initiatives
• Build and maintain client-facing reports, dashboards, and analyses
• Develop actionable data insights and advise on client strategy
• Participate in program performance review presentations with clinical program managers, client account managers, and external clients, as needed
• Manage internal and external client requests and timelines to ensure timely delivery
• Collaborate with Medical Management to provide ongoing support

Skills

• Bachelors' degree required, preferably in Mathematics, Statistics, Finance, Actuarial Science, Data Science, or related field
• 5-7 years of experience in healthcare analytics, preferably in a managed care setting
• Proficiency in SQL and Microsoft SQL Server Suite of Products (SSMS) required
• Proficiency in MS Excel required
• Advanced data analysis, financial modeling, and predictive analytics skills
• Experience with clinical program evaluation and outcomes reporting
• Experience with health plan performance reporting and cost and utilization analysis
• Experience with developing client-facing reports
• Experience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau)
• Ability to explain technical concepts to a non-technical audience
• Ability to effectively manage and prioritize several concurrent projects
• Excellent oral and written communications skills
• Bachelors' degree required, preferably in Mathematics, Statistics, Finance, Actuarial Science, Data Science, or related field
• 5-7 years of experience in healthcare analytics, preferably in a managed care setting
• Experience with Payer Care Management platforms (i.e. ZeOmega) a plus

Benefits

• Remote role
• A diverse and welcoming culture focused on encouragement, respect, increasing diversity, inclusion, and a sense of belonging at every level
• Encouragement to bring your authentic self to work with all of your unique abilities

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