Senior Data Analyst, Clinical Programs

🕒 May 23

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟠 Senior

📉 Data Analyst

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Brighton Health Plan Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare Insurance • SaaS

Brighton Health Plan Solutions is a healthcare enablement company transforming the healthcare landscape through innovative technology and customized health plans. With over 30 years of experience in third-party administration, the company specializes in health plan management, direct contracting for employers, and integrated ancillary benefits. Brighton Health Plan Solutions provides advanced technology platforms to simplify administrative tasks and enhance member engagement. They serve as a crucial link in direct contracting between groups and health systems, providing administrative and provider contracting expertise. By aligning stakeholders and creating flexible health plan products, they strive to improve healthcare delivery and outcomes.

📋 Description

• Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates, readmissions, preventable hospitalizations, ER utilization) • Develop statistical models that deliver meaningful insights on cost, utilization and clinical outcomes based on various data sources. • Develop algorithms for stratifying populations and identifying high-risk members. • Leverage Predictive Analytics to measure the performance (ROI) of Disease Management and other Medical Management programs. • Conduct prospective savings analyses in support of clinical program initiatives. • Build and maintain client-facing reports, dashboards, and analyses. • Develop actionable data insights and advise on client strategy. • Participate in program performance review presentations with clinical program managers, client account managers, and external clients, as needed. • Manage internal and external client requests and timelines to ensure timely delivery. • Collaborate with Medical Management to provide ongoing support.

🎯 Requirements

• Bachelors' degree required, preferably in Mathematics, Statistics, Finance, Actuarial Science, Data Science, or related field. • 5-7 years of experience in healthcare analytics, preferably in a managed care setting. • Proficiency in SQL and Microsoft SQL Server Suite of Products (SSMS) required. • Proficiency in MS Excel required. • Advanced data analysis, financial modeling, and predictive analytics skills. • Experience with clinical program evaluation and outcomes reporting. • Experience with health plan performance reporting and cost and utilization analysis. • Experience with developing client-facing reports. • Experience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau). • Ability to explain technical concepts to a non-technical audience. • Ability to effectively manage and prioritize several concurrent projects. • Excellent oral and written communications skills. • Experience with Payer Care Management platforms (i.e. ZeOmega) a plus.

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off