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SCAN · 2 hours ago

Health Care Analyst III

Long Beach, CA

Full-time

Onsite

Mid, Senior Level

$92K/yr - $134K/yr

4+ years exp

SCAN Group is a not-for-profit organization dedicated to tackling pressing issues facing older adults in the United States. The Health Care Analyst III role involves conducting in-depth data analysis and interpretation related to Medicare Advantage and healthcare data, ensuring accurate reporting, and supporting various initiatives aimed at improving senior healthcare.

Elder CareHealth CareHome Health CareMedical

Comp. & Benefits

H1B Sponsor Likely

Responsibilities

Responsible for research and moderate analysis of Medicare Advantage and healthcare data specific to membership, provider, claims, authorizations, pharmacy, and financial information

Designs and produces timely and meaningful analysis and data interpretation regarding large health care related datasets, related to 5-Star ratings, HEDIS, state specific programs (such as QIP/PIP), programs issued by state agencies (such as DHCS or HSAG) and other associated company initiatives

Leads in development, implementation, and document quality assurance (QA) processes to ensure that reported data is accurate and reliable

Conducts data management, quality improvement studies, statistical analysis, and report generation. Presents findings to higher level Analysts as well as HCI mid and senior management

Performs moderate to complex analysis and interprets organizational data, including but not limited to data mining, data verification, mapping, scrubbing, and scrapping

Develops and deliver actionable and supportable findings within tight deadlines and changing requirements

Conducts investigative research to uncover root causes, interpret results, identify trends, and make recommendations for action

Works directly with internal and external stakeholders to troubleshoot and correct data anomalies

Manages multiple moderate to complex projects concurrently. Completes them accurately within a specified timeline by effectively prioritizing work and communicating workload issues to management

Leads in training, providing guidance, and supporting lower level Analysts

Serve as a point of contact for internal and external customers and resolves both routine and more complex questions and problems. Escalates only the most complex issues to higher levels as needed

Ensures understanding of business needs by proactively monitoring and clarifying the technical responses to business requirements on all Medicare related projects

We seek Rebels who are curious about AI and its power to transform how we operate and serve our members

Actively support the achievement of SCAN’s Vision and Goals

Other duties as assigned

Qualification

Data analysisHEDIS reportingSQL proficiencyStatistical analysisPower BIHealthcare data experienceInterpersonal communicationWritten communicationOral communication

Required

Bachelor's or above degree in Math, Statistics, Biostatistics, Computer Science, or other quantitative disciplines required

5+ years of analytical experience, or 4+ years of analytical experience in a Healthcare/Managed Care environment required

MS Office required

Proficiency with MS SQL (queries) required

Excellent technical, interpersonal written and oral communication skills required

Preferred

Experience with HEDIS is preferred

Experience with medical claims / encounters data is preferred

SQL Server Reporting Services and SQL Server Integration Services experience preferred

SAS (Statistical Analysis System) experience preferred

Power BI tool experience preferred

Benefits

An annual employee bonus program

Robust Wellness Program

Generous paid-time-off (PTO)

11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days

Excellent 401(k) Retirement Saving Plan with employer match

Robust employee recognition program

Tuition reimbursement

Company

SCAN

About SCAN Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years.

Founded in 1977

Long Beach, California, USA

1001-5000 employees

https://www.thescangroup.org/

H1B Sponsorship

SCAN has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (5)

2024 (3)

2023 (6)

2022 (6)

2021 (5)

2020 (6)