Senior Analyst, Healthcare jobs in United States
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Community Care Cooperative (C3) · 2 weeks ago

Senior Analyst, Healthcare

Community Care Cooperative (C3) is a non-profit Accountable Care Organization focused on improving health and wellness through innovative partnerships. The Senior Analyst, Healthcare will analyze healthcare data to drive performance improvement and support strategic initiatives, collaborating closely with various stakeholders to translate analytical findings into actionable insights.

Health CareHospitalNon ProfitSocial

Responsibilities

Analyze the performance of Value-Based Care (VBC) contracts, develop financial models to assess impact, and identify opportunities for improvement and cost containment
Evaluate cost, utilization, and quality data to identify trends, cost drivers, and areas for performance improvement across lines of business (e.g., Medicaid and Medicare)
Design and perform complex analyses for a variety stakeholders within C3 and FQHC partners using custom SQL queries, or other analytical tools
Track and analyze key performance indicators (KPIs) across utilization, quality, member outcomes, and operational efficiency
Support strategic initiatives and performance improvement efforts through data-driven insights and actionable recommendations
Translate complex analytical findings into clear, concise, and actionable summaries tailored to various audiences
Develop and maintain dashboards, scorecards, and executive-level reports to support internal leadership and external partners
Prepare supporting materials for risk-based contracts to be presented to internal leadership and governance committees, including the Finance Committee and Board of Directors
Ensure timely and accurate production of reports in compliance with regulatory and contractual requirements
Collaborate with data and IT teams to resolve data quality issues and enhance the reporting infrastructure
Query and analyze large datasets to generate production and ad hoc reports for internal and external stakeholders; support data validation and data preparation efforts
Manage internal data requests by clarifying stakeholder needs, conducting analyses, and effectively communicating results to end users
Develop and maintain end-user reporting tools and manage report distribution to ensure timely access to standard, ad hoc, and self-service reporting while maintaining PHI security and compliance
Triage and document stakeholder requests, and support the development of accurate, timely responses related to total cost of care and related initiatives
Perform other duties and contribute to projects as assigned to support team and organizational goals
May supervise or play lead role with lower level or less experienced analysts
If serving as direct supervisor, carries out supervisory responsibilities within areas of responsibility in accordance with the organization's policies and applicable laws. Provides direction and support to staff to assure departmental effectiveness and efficiency
Responsibilities as a supervisor will include interviewing, selecting, orienting and training employees; planning, assigning, and directing work; evaluating performance; rewarding and disciplining employees; reviewing personnel actions of subordinates and addressing complaints and resolving problems
Other duties as assigned

Qualification

SQLFinancial modelingHealthcare data analysisSASRPythonExcelCollaborationAttention to detailInitiative

Required

Experience working with large datasets using computational tools. Proficiency in SQL or a similar query language is required; experience with tools such as SAS, R, or Python is a plus
Strong proficiency in financial modeling, forecasting, and scenario analysis, with advanced knowledge of Excel and experience using financial planning tools with a proven ability to develop dynamic models that support strategic decision making, ROI evaluation and forecasting in a complex business environment
Skilled at conducting online research on healthcare-related topics, including industry trends, policy updates, and competitor activity, and summarizing key insights in a clear, useful format
Knowledge of claims-based healthcare data and payment methodologies, including experience with MassHealth or other Medicaid/Medicare datasets
Demonstrated ability to take initiative and apply sound judgment, discretion, and decision-making to achieve objectives with minimal supervision
Works effectively with others, values diverse perspectives, and contributes to a collaborative environment to get the job done
Comfortable managing multiple tasks and priorities in a dynamic work environment
Produces accurate, high-quality work with strong attention to detail, especially in the completion of final deliverables to internal and external stakeholders
Bachelor's degree required
Seven or more years of experience in health care or analytics is required

Preferred

Familiarity with clinical and administrative data available in Electronic Health Records (EHRs); understanding how to leverage this data for analysis is highly desirable
Experience with anti-racism activities, and/or lived experience with racism is highly preferred
Graduate degree in business, economics, statistics, public health, or related fields strongly preferred
Prior experience in a supervisory or lead role preferred

Company

Community Care Cooperative (C3)

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Community Care Cooperative (C3) exists to deliver great health care to all by offering a series of health plans uniquely tailored to meet each individual’s medical needs, no matter what road they are on in their healthcare journey.