Healthcare Data Analyst III (Hybrid)

Job Requisition ID: 9797

Position Summary/Position

Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst III (HDA III) is a critical thinker who will engage with senior leaders to design well-constructed analyses derived from large data sets in support of the Health Plan’s business needs. Responsible for leading and executing technical, analytical, and reporting efforts for the Health Plan’s Clinical and Provider departments, programs, and quality activities. The HDA III will work cross-functionally with department leaders to deliver actionable analyses / results. In addition to technical data concepts, the HDA must have a strong understanding of research methods and statistical concepts to design reliable studies/analyses, and payment algorithms and have the ability to lead technical teams.

Major Functions (Duties and Responsibilities)

1. Serve as technical lead in analysis and reporting efforts that support the Health Plan’s Clinical and Provider teams, programs, and quality activities.
2. A critical thinker who will engage with senior leaders to design well-constructed analyses derived from large datasets in support of business needs.
3. Significant participation and leadership in analysis, interpretation, and translating of complex health plan data, issues, trends, and relationships into effective strategies and action plans.
4. Present findings of analyses to various staff levels including executive team, leadership team and staff levels. Present results in formats that are easy to understand and appropriate to the audience.
5. Exercises timely and accurate data mining techniques and develops new or modifies existing reports that ensure consistent and congruent conclusions to data analysis.
6. Use analytical skills to determine solutions and resolve problems.
7. Ability to determine the appropriate statistical modeling methodologies needed in the development of health plan, provider, and member analysis, and the ability to perform the statistical tests and/or guide others in performing the tests.
8. Develops and prepares reports to support IEHP’s clinical and provider units utilizing available analytics and data mining tools, including but not limited to: Microsoft Applications (including MS Access), SAS, SPSS, Crystal Reports, system-specific reporting tools (e.g., MedHOK, CRM,) or other related reporting software.
9. Responsible for evaluating report requests to determine requestor’s needs and objectives, identifying correct methodology for extracting data including data sources and criteria, and ensuring the delivered report is accurate, timely, and formatted appropriately.
10. Responsible for understanding the various data sources available within IEHP for reporting and analysis, as well as a clear understanding of IEHP business operations to be able to appropriately guide the development of quality program activities, including analysis and reporting.
11. Responsible for managing assigned projects and effectively communicating project team to ensure project deliverables and deadlines are met. Effective communication with the QS leadership team is critical if any project deadlines are in jeopardy of being met, well in advance.
12. Document and ensure assigned project / technical staff document all analysis / reporting projects following established protocols, ensuring replication of results by an independent reviewer.
13. Designs and enhances databases to support reporting and analysis needs, including testing, validating, and maintaining data integrity and accuracy, across multiple databases.
14. Demonstrate a commitment to incorporate LEAN principles into daily work.
15. Establish and maintain effective working relationships with others throughout the organization.

Major Functions (Duties and Responsibilities) Cont

Supervisory Responsibilities

Leading: Guides Others

Experience Qualifications

Six (6) years of relevant work experience. Significant experience using quantitative data analysis to solve business problems. Significant experience applying statistical methods to answer data questions. Demonstrated experience working with large data sets and relational database structures.

Preferred Experience

Education Qualifications

Master’s degree in Data Science, Informatics, Public Health, Epidemiology, or related field from an accredited institution required.

Preferred Education

Professional Certification

Professional Licenses

Drivers License Required

No

Knowledge Requirement

Significant understanding of statistical methods. Working knowledge of data analysis, study methodology, and preparing professional documents.

Skills Requirement

Strong problem solving skills, excellent interpersonal/ communication skills. Proficient in Microsoft Access, SAS, SSRS or other statistical software required. Proficiency in Microsoft Excel, Word and Power Point required.

Abilities Requirement

Ability to lead other technical staff toward accomplishing project deliverables within established deadlines. Ability to explain complex data analyses and findings in a way that is easy to understand and appropriate to the audience. Ability to present reports / data analysis findings in group settings, including leadership team. Strong attention to detail. Ability to manage multiple projects with time-sensitive deadlines a must.

Commitment to Team Culture

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions

Position is eligible for Hybrid work location upon completing the necessary steps and receiving HR approval. All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership.

Work Model Location

Hybrid

Physical Requirements

Hearing: One-on-One - FREQUENTLY
Communicate: Information/ideas verbally - FREQUENTLY
Near Visual Acuity - FREQUENTLY
Regular contacts: co-workers, supervisor - FREQUENTLY
Memory - FREQUENTLY
Understand and follow direction - FREQUENTLY
Regular and reliable attendance - CONSTANTLY
Keyboarding: 10-Key - FREQUENTLY
Keyboarding: Touch-Screen - FREQUENTLY
Keyboarding: Traditional - FREQUENTLY
Indoors - FREQUENTLY
Sitting - CONSTANTLY
Lighting - CONSTANTLY

A reasonable salary expectation is between $103,708.80 and $132,225.60, based upon experience and internal equity.
Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region, designated as “Great Place to Work.” With a provider network of more than 5,000 and a team of more than 3,000 employees, IEHP provides quality, accessible healthcare services to more than 1.5 million members. And our Mission, Vision, and Values help guide us in the development of innovative programs and the creation of an award-winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and make a difference with us! IEHP offers a competitive salary and stellar benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.