Job description

The Clinical Data Analyst supports Healthcare Effectiveness Data and Information Set (HEDIS), quality and process improvement activities by producing healthcare outcome measurements that are used for internal and external reporting, tasks including data quality assurance, process programming, specification documentation, and report development.

The Clinical Data Analyst applies technical skills to design, develop, and generate data analytics using time management tools that may evolve into complex data analysis/data integration projects that this individual may be responsible for maintaining and storing.

The complex data analysis/integration projects are those, which may require periodic maintenance on a weekly, monthly, quarterly, biannual, or annual basis.

This position takes basic instructions or specifications and interviews with the internal clients for complete details sufficient for writing data queries based on ad hoc and ongoing health care measures. This position must comprehend the relationships between the field elements in encounters and claims, membership, and provider databases.

This position is a key resource to the Quality Performance Management (QPM) department on application use. This position supports the functions related to quality improvement activities inclusive of quarterly reports that demonstrate healthcare outcomes in comparison to targets or national averages/percentiles published by recognized organizations such as the National Committee for Quality Assurance (NCQA) and the Center for Disease Control (CDC). Acts as a Subject Matter Expert and serves as a resource and educator for other staff.

Responsibilities

This individual contributor is primarily responsible for assisting the Quality and Leadership team to support data-informed decisions, assisting with data and information gathering for targeted variables in an established systematic fashion, and assisting with data preparation for analytic efforts under the guidance of the Quality Director

This position assists with the execution of creative data analytic approaches leading to actionable outcomes and assists with data analysis interpretation under the guidance of Quality Director and Senior Leadership

Pursues self-development and effective relationships with others by sharing information with coworkers and customers; listening and responding to performance feedback; acknowledging strengths and weaknesses; and adapting to and learning from change, difficulties, and feedback

Completes work assignments by following procedures and policies and using data, and resources; collaborating with others to address business problems; adhering to established priorities, deadlines, and expectations; communicating progress and information to the Director of Quality before

Supports data-informed decisions under the guidance of Quality Director and Senior Leadership by assisting in the development of outcomes and process measures; documenting business requirements; adhering to data/information needs and data collection methods; supporting the measurement of impact of business decisions on clients, customers, and/or members; supporting end-users; and documenting processes and deliverables

Assists with data and information gathering for targeted variables in an established systematic fashion by cleaning and organizing data; querying, merging, and extracting data across sources; completing routine data refresh and update; and providing user support and documentation

Assists with data preparation for analytic efforts under the guidance of Quality Director and Leadership Team by cleaning data to ensure quality and accuracy based on provided guidelines; and consolidating data

Assists with data analysis interpretation under the guidance of Quality Director and Leadership Team by organizing reports and presentations telling a compelling story to stakeholders to enable and influence decision making