Sr. Healthcare Informatics Analyst (Medicare Advantage)

RemoteRemoteFull TimeSeniorPosted 1 month agoVisa sponsorship availableHidden Gem · Himalayas

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Required skills

Medicare Advantage
analytics
healthcare
SQL
SAS
Python
Tableau
predictive models
US healthcare delivery system
payer

Nice to have

outcome research
controlled study design
SAS Enterprise Miner
provider payment methodologies
population health management
risk adjustment

Role summary

Glint Tech Solutions is seeking a Senior Healthcare Informatics Analyst for a leading healthcare payer client. This fully remote role requires 4+ years of experience in healthcare analytics, with a focus on Medicare Advantage. Responsibilities include providing independent analytics on healthcare value, utilization, and outcomes; developing attributes for patient utilization, provider performance, and revenue optimization; supporting medical cost management; and leading problem-solving initiatives. Proficiency in SQL, SAS, R, Python, or Tableau, and experience building predictive models are mandatory. Basic knowledge of the US healthcare system is also required.

Job Title: Sr. Healthcare Informatics Analyst (Medicare Advantage)Location: 100% Remote (candidate must reside in an approved state: AL, AR, DE, FL, GA, ID, IN, IA, KS, KY, MS, MO, NH, NE, NC, OK, SC, SD, TN, TX, UT, VA, WV, WI)

Company OverviewGlint Tech Solutions is a women-owned, global IT staffing and recruiting firm serving enterprise clients across the USA and Canada.

Project DescriptionA leading healthcare payer client is seeking a Senior Healthcare Informatics Analyst who will independently provide analytics to understand and improve how healthcare is valued, utilized, and provided. This role develops analytic attributes related to patient-level health utilization/outcomes, provider performance measures, risk-adjusted revenue optimization, medical cost management, and patient/provider engagement behavior, collaborating with business areas and IT to lead problem solving, solution development, and strategic planning.

Key Responsibilities

Independently provide analytics to understand and improve how healthcare is valued, utilized, and provided
Develop analytic attributes pertaining to patient-level health utilization/outcomes, provider performance measures, and risk-adjusted revenue optimization
Support medical cost management and analysis of patient/provider engagement behavior attributes
Lead problem solving, solution development, and strategic planning in collaboration with other business areas and IT
Ensure compliance with all laws and regulations associated with duties and responsibilities

Mandatory Skills

Healthcare experience required, with Medicare Advantage trend analysis experience
Bachelor's degree in healthcare administration, statistics, economics, analytics, or computer science (4 years of relevant experience may substitute; Master's preferred)
4+ years of healthcare, analytics, IT, or management consulting experience
Strong critical thinking, analytical, and problem-solving skills
Experience building predictive models
Strong knowledge of SQL, SAS, R, Python, Tableau, or similar query/analytic/visualization tools
Basic knowledge of the U.S. healthcare delivery system in a payer or provider setting

Nice-to-Have Skills

Strong knowledge of outcome research design and controlled study design
Advanced knowledge of SAS, including Enterprise Miner
Strong understanding of provider payment methodologies, population health management, and risk adjustment
Strong understanding of clinical groupers, including episode and risk groupers (DRG, APC, ETG, MEG, DxCG, HCC)
Strong understanding of quality metrics (HEDIS, AHRQ)
Knowledge of commercial risk optimization and MA risk optimization

Originally posted on Himalayas

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