Job Description

Job Description

A Healthcare Data Analyst is responsible for analyzing clinical, financial, and operational data to support decision-making within healthcare organizations. They transform complex datasets (e.g., claims, EHR, risk adjustment data) into actionable insights that improve patient outcomes, optimize performance, and ensure regulatory compliance. Key responsibilities include data extraction, validation, trend analysis, reporting, and building dashboards to monitor KPIs and business performance.

• Analyze healthcare datasets (claims, membership, utilization, risk scores)
• Develop dashboards, reports, and KPI tracking frameworks
• Support risk adjustment, quality improvement, and financial forecasting
• Perform data validation, trend analysis, and variance reporting
• Ensure compliance with CMS/HHS guidelines and HIPAA standards
• Partner with clinical, finance, and operations teams to drive insights

Analytical & Business Skills

• Data analysis and interpretation
• Healthcare domain knowledge (claims, RA, HCC, utilization)
• KPI development and performance measurement
• Problem-solving and critical thinking
• Attention to detail and data accuracy
• Develop and deploy predictive models to: Identify suspect conditions, Predict high-risk members and Improve
• coding capture strategies
• Apply ML techniques (classification, regression, clustering) for: Provider performance segmentation & Member risk stratification

Technical Skills

• Strong SQL knowledge, Stored Procedures, Python, Snowflake, Power BI, Machine learning
• Data modeling and data validation techniques
• Statistical analysis (basic to intermediate)
• Dashboard design and data storytelling

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