Healthcare Analyst II

Position Overview

The Healthcare Analyst II will be responsible for analyzing health care electronic medical record and claims data to track and trend health care utilization and quality of care for the population health business model. This role requires accessing complex databases and producing reports for external and internal customers to monitor health care quality within the CMP network and promote clinical integration. The analyst will integrate complex databases and use the MedInsight tool to create reports that meet quality, utilization objectives and NCQA accreditation requirements. Location: Administrative Regional Training Cntr. Schedule: Days, 8-4. This position is a hybrid role requiring residency in the Buffalo-Niagara Falls, New York region.

Key Responsibilities

• Analyze electronic medical record and claims data to track health care utilization and quality.
• Produce reports for both external and internal customers to monitor health care performance.
• Integrate data from complex databases and use the MedInsight tool to generate actionable reports.
• Promote clinical integration and support NCQA accreditation requirements through data analysis.

Required Qualifications

• Education: Bachelor's Degree or equivalent in business, mathematics, statistics, information technology, or health care management related field required.

Preferred Qualifications

• Two (2) years of relevant experience in actuarial or data analysis; alternatively, three (3) years of relevant experience in healthcare analytics.
• Prior experience with Crimson Market Advantage, Crimson Population Risk Management, or similar population health tools preferred.
• Prior experience with Milliman MedInsights preferred.
• Prior experience with MicroStrategy or other business intelligence application suites/platforms preferred.
• Proficient in Microsoft Office applications (Word, SQL, Excel, Access, PowerPoint) and experienced with reporting software such as Crystal Reports.
• Experience with Microsoft SQL Server Management Studio, Integration Services, and/or Business Intelligence Studio is a plus.
• Ability to translate user reporting requests into final, accepted reporting solutions.
• Basic or applied knowledge of issues related to public health, hospitals, physicians, health networks, or finance.
• Strong verbal and written communication skills with a high level of interpersonal abilities.