Healthcare Data Analyst (Claims, Pharmacy, SQL Data Visualization)

Job Description

We are seeking a highly skilled and experienced Senior Healthcare Data Analyst to join our team. The ideal candidate will have 8-10 years of experience in the healthcare industry, with a strong background in data analysis and proficiency in SQL. This role requires a deep understanding of clients’ claims, pharmacy, and member files, as well as the ability to create source-to-target mapping documents with appropriate transformations. The candidate should have exceptional knowledge of these files and be able to effectively communicate in the healthcare language. Responsibilities: – Gain a comprehensive understanding of clients’ claims, pharmacy, and member files. – Analyze and interpret these files at a granular level, identifying key data elements and their relationships. – Create source-to-target mapping documents, ensuring accurate and appropriate transformations. – Utilize SQL and data analysis techniques to extract, manipulate, and cleanse data for analysis purposes. – Conduct thorough data analysis to identify trends, patterns, and insights relevant to clients’ needs. – Collaborate with cross-functional teams to develop and implement data-driven solutions. – Ensure data integrity and accuracy through meticulous data cleansing and validation processes. – Stay updated with industry regulations, payer-provider dynamics, and emerging healthcare trends. – Communicate effectively in the healthcare language, bridging the gap between technical and non-technical stakeholders.

Requirements: – Bachelor’s degree in a relevant field (e.g., healthcare management, data analytics, computer science, or a related field). – 8-10 years of proven experience as a Senior Data Analyst in the healthcare industry. – Strong SQL skills with the ability to write complex queries and perform advanced data transformations. – Proficiency in data analysis techniques and tools. – Exceptional knowledge of clients’ claims, pharmacy, and member files. – Demonstrated expertise in creating source-to-target mapping documents with appropriate transformations. – Excellent problem-solving and critical thinking skills. – Strong attention to detail and accuracy. – Effective communication skills to bridge the gap between technical and non-technical stakeholders, using healthcare language. – Ability to work independently and collaborate effectively in a team environment.

Preferred Qualifications: – Experience with healthcare data standards (e.g., HL7, CPT, ICD-10, etc.). – Familiarity with data visualization tools (e.g., Tableau, Power BI, etc.). – Proficient in statistical analysis and modeling techniques. – Understanding of healthcare compliance and privacy regulations (e.g., HIPAA).

Required Skills : Data Analysis,SQL

Basic Qualification

Additional Skills : Data Visualization Specialist,Data Analyst,Statistical Modeler,Database Developer,Database Administrator

Background Check : No

Drug Screen : No