Clinical Analyst

Position Purpose

Responsible for analytic data needs of the business unit. Handles complex data projects and acts as a lead for other Data Analysts. This role blends technical analytics with strong business partnership, supporting clinical and operational teams through actionable data solutions.

Responsibilities

• Provide advanced analytical support for business operations in all or some of the following areas: authorizations, claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting.
• Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources.
• Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management.
• Develop reports and deliverables for management.
• Model data using Power BI, MS Excel, Access, SQL, and/or other data warehouse analytical tools.
• Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis.
• Assist with training and mentoring other Data Analysts.
• Perform other duties as assigned.

Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
• Power BI experience, including building dashboards and data models from source data, strongly preferred.
• SQL coding experience with the ability to extract and validate data from source systems strongly preferred.
• Healthcare analytics experience, particularly with clinical or authorization related data, strongly preferred.
• Advanced Excel skills, including complex formulas, pivot tables, and data validation, strongly preferred.
• Demonstrated analytical and trend analysis skills with the ability to identify insights, issues, and opportunities for improvement, strongly preferred.
• Experience managing projects or heavy involvement in project implementation.

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• 4+ years of statistical analysis or data analysis experience.

Skills

• Power BI experience, including building dashboards and data models from source data.
• SQL coding experience with the ability to extract and validate data from source systems.
• Advanced Excel skills, including complex formulas, pivot tables, and data validation.
• Healthcare analytics experience, particularly with clinical or authorization related data.
• Experience managing projects or heavy involvement in project implementation.

Benefits

Comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Pay

$70,100.00 - $126,200.00 per year

Schedule

This role primarily supports Eastern Time hours.