Healthcare Business Analyst

Responsible for extracting and understanding data. IPA and managed care experience understanding CPT and ICD Codes.

Key Responsibilities:

Financial Data Analysis: Compile and interpret financial data to aid in decision-making.

Contract Analysis: Review and analyze professional and facility contract costs, and recommend improvements.

Contract Modeling: Model hospital contract changes for internal and external reporting.

Database Management: Oversee the population and accuracy of analytics reporting databases.

Automation: Develop scripts and programming logic for process automation and reporting.

Provider Support: Assist medical management teams in identifying effective providers using data from various sources.

Machine Learning: Create and deploy predictive analytics models using machine learning algorithms.

Data Extraction and Analysis: Extract, process, clean, and validate data from multiple sources; analyze for patterns and develop prediction systems.

Collaboration: Work with staff to develop and present dashboards/reports to stakeholders; ensure report integrity.

Ad-hoc Reporting: Handle ad-hoc reports, analysis, and research requests as needed.

Skills

Business analysis, Health care, Data, Analysis, Business systems analysis, Sql, power bi, python, power query

Top Skills Details

Business analysis,Health care,Data,Analysis,Business systems analysis,Sql,power bi,python,power query

Additional Skills & Qualifications

Education:

Bachelor's Degree in Business Administration, Finance, Economics, Mathematics, Statistics, or a closely related field.

Master's Degree in Health Care Administration, Data Science, Statistics, or a related field (preferred).

Experience:

3-4 years in analytics, finance, or the healthcare industry.

4-5 years in predictive analytics and data mining (preferred).

Technical Skills:

Power Query (preferred).

Advanced proficiency in SQL, including advanced joins, subqueries, tables, indexes, and stored procedures.

Knowledge in Python or R a plus

Soft Skills:

Effective communication with all levels of the organization, providers, and others.

Ability to work independently with minimal supervision and multitask.

Collaborative and able to contribute to a cross-functional team.

Critical and analytical thinking, creativity, and judgment for problem-solving and goal accomplishment.

Ability to derive conclusions from facts or premises.

Additional Information:

Potential for full or hybrid telecommuting position at the discretion of company

Residency in California is required.

NOTES:

• Priorities: Healthcare knowledge

o Ipa, Medical group

• Someone more seasoned

o At least 4 years in healthcare

• Technical skills

o SQL - proficient knowledge (not necessarily advanced)

o Stronger in Healthcare than SQL

o Excel

• Sort of like a lead position; someone that can hit the ground running

• Education: more in healthcare

• This position deal with millions of records

o Procedure codes, CPT codes

o Work with claims, data, understand the data

• Have to have knowledge in healthcare

o Very analytical

o Understands metrics

o Not financial side

o Hospitals experience (not Pharmacy)

• Remote

o Must reside in CA

o Preferably southern CA