[Remote] Senior Data Analyst, Clinical Programs

Note: The job is a remote job and is open to candidates in USA. Brighton Health Plan Solutions is seeking a Senior Data Analyst for Clinical Programs. This role involves analyzing data and processes to identify opportunities for improvement and supporting various clinical initiatives through actionable insights.ResponsibilitiesMonitor 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 sourcesDevelop algorithms for stratifying populations and identifying high-risk membersLeverage Predictive Analytics to measure the performance (ROI) of Disease Management and other Medical Management programsConduct prospective savings analyses in support of clinical program initiativesBuild and maintain client-facing reports, dashboards, and analysesDevelop actionable data insights and advise on client strategyParticipate in program performance review presentations with clinical program managers, client account managers, and external clients, as neededManage internal and external client requests and timelines to ensure timely deliveryCollaborate with Medical Management to provide ongoing supportSkillsBachelors' degree required, preferably in Mathematics, Statistics, Finance, Actuarial Science, Data Science, or related field5-7 years of experience in healthcare analytics, preferably in a managed care settingProficiency in SQL and Microsoft SQL Server Suite of Products (SSMS) requiredProficiency in MS Excel requiredAdvanced data analysis, financial modeling, and predictive analytics skillsExperience with clinical program evaluation and outcomes reportingExperience with health plan performance reporting and cost and utilization analysisExperience with developing client-facing reportsExperience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau)Ability to explain technical concepts to a non-technical audienceAbility to effectively manage and prioritize several concurrent projectsExcellent oral and written communications skillsExperience with Payer Care Management platforms (i.e. ZeOmega) a plusCompany OverviewBrighton Health Plan Solutions is a health care company that specializes in health plan management service. It was founded in 2016, and is headquartered in New York, New York, USA, with a workforce of 201-500 employees. Its website is https://brightonhps.com.