Sr. HC Information and Data Analyst

About the Role

Join Kelsey-Seybold Clinic, part of the Optum family of businesses, and work with one of the nation's leading health care organizations. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. The Healthcare Finance (HCF) Analytics team provides consultation to the Kelsey-Seybold executive team and select operational departments, focusing on identifying revenue and cost savings opportunities, supporting new product development, ensuring regulatory compliance, and reconciling incentive arrangements and payments.

If you are located in Pearland, TX, you will have the flexibility to work remotely.

Responsibilities

• Create and produce financial reports, analysis, and reconciliations to understand key drivers of business units or service lines.
• Independently access and validate data from multiple sources to meet analytical project requirements.
• Implement appropriate measurement and analytical methods to achieve project objectives.
• Produce summary, detail, and dashboard reports in a professional, concise, and readable format.
• Prepare monthly, quarterly, and annual reconciliations and analyze trends.
• Identify potential problems with analysis assumptions and data quality; resolve or escalate as needed.
• Provide actionable insights and recommendations based on analysis.
• Develop analyses and models to estimate the impact of different scenarios for business decision-making.
• Help develop and maintain systems and processes for reporting and analysis.
• Develop and implement quality assurance procedures to ensure accuracy of data and reports.
• Create and maintain documentation of report processes and logic.
• Coordinate with the Business Intelligence (BI) team to ensure data accuracy and completeness.
• Identify opportunities for automation of reports and processes; work with BI to implement.
• Contribute to departmental expertise through team meetings, trainings, and independent research.
• Manage ad hoc projects of varying complexity while completing routine workload.
• Present findings and analysis to the HCF Management team, KS Executive team, and internal/external customers.
• Train and coach less-experienced analysts on data retrieval, programming, and analysis techniques.

Requirements

• Bachelor's Degree in Finance, Economics, Mathematics, Healthcare Administration, or related field.
• 5+ years of experience in data analysis, decision support, medical economics, healthcare informatics, or managed healthcare.
• Experience with SQL or other programming tools (including Visual Basic and Excel macros).
• Experience writing, debugging, and documenting complex queries against relational databases.
• Demonstrated initiative and problem-solving skills.
• Advanced proficiency in Microsoft Excel.
• Basic knowledge of Microsoft PowerPoint and Microsoft Word.
• Fluent in English, both verbal and written; effective communicator.
• High level of accuracy with excellent attention to detail.
• Solid organizational and time management skills.
• Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines.
• Superior analytical skills with the ability to communicate complex information clearly.

Preferred Qualifications

• Experience in the healthcare industry with understanding of healthcare data (claims data, ICD10, Medicare Advantage, Health Insurance Marketplace, capitated payment models).
• Experience with statistical software (SAS, R, Minitab, SPSS).
• Hands-on experience with encounter submission related to CMS risk adjustment claims.
• Demonstrated ability to analyze and report on business units, products, or service lines with minimal supervision.
• Familiarity with EPIC and Clarity reporting data warehouse.
• Knowledge of Crystal Reports, Microsoft Access, or SSRS.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Pay

The salary for this role will range from $91,700 to $163,700 annually based on full-time employment, depending on factors such as local labor markets, education, work experience, and certifications.