Senior Healthcare Data Analyst - Revenue Analytics
About the role
At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body. When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others - and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you'll see firsthand the impact you have on our members, knowing you can make a true difference in their lives. Why Join our Team At Lucet, we’re committed to creating a workplace where top talent thrives both personally and professionally. We offer a dynamic, mission-driven environment where your work has real impact, your unique background and experience are valued, and no two days are alike. If you’re passionate about meaningful work and delivering impactful results, we encourage you to apply!
Responsibilities
- The Sr Analyst, Healthcare Data will be a business consultant to the rest of the organization in providing reports and analysis to support Lucet’s clinical and operational performance.
- Translate evaluation questions into analytic plans, construct analytic datasets, produce appropriate data summaries, and conduct valid data comparisons and statistical tests, with particular focus on Medicare Advantage and commercial risk adjustment programs, HCC analytics, claims and encounter data, provider documentation insights, and risk score performance.
- Risk Adjustment Analytics & Performance: Lead analytics for Medicare Advantage and commercial risk adjustment programs, including HCC opportunity identification, coding gap analysis, suspecting logic, chart review support, and encounter/claims data validation; measure and monitor risk adjustment program performance, providing insights that drive accurate documentation, compliant coding, and improved financial and clinical outcomes.
- Population Health & Clinical Collaboration: Partner with clinical strategy, care management, coding, compliance, provider engagement, and operational teams to identify target populations, define intervention cohorts, and develop actionable reporting and dashboards; serve as a population health consultant, analyzing member populations and recommending strategies, programs, and service offerings that improve health outcomes and care delivery.
- Financial Analysis & Business Insights: Evaluate the financial impact of proposed contracts, RFPs, RFIs, and other strategic initiatives to support business decisions and organizational planning; analyze and report on operational, clinical, and financial data to help