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The Clinical Data Analyst III supports Healthcare metrics, quality and process improvement activities by producing healthcare outcome measurements that are used for internal and external reporting, the tasks including data quality assurance, process programming, specification documentation and report developing. The Clinical Data Analyst III designs, develops, and generates production and similar reports that may evolve into complex data analysis/data integration projects that this individual may be responsible for maintaining. This position works with Information Systems analysts when ongoing reports can be accurately transferred for production. The Clinical Data Analyst III interprets and documents both written and verbal specifications. This position takes basic instructions or specifications and interviews with the client for complete details sufficient for writing data queries based for 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 supports the functions related to quality improvement activities inclusive of quarterly reports that demonstrate health care outcomes in comparison to targets or national averages/percentiles published by recognized organizations such as National Committee for Quality Assurance (NCQA) and Center for Disease Control (CDC). Acts as a Subject Matter Expert, serves as a resource and mentor for other staff.
Job Responsibility:
Design, develop and maintain complex ongoing data projects
Design, develop, and generate ad hoc/production reports
Produce automatic, robust, timely and accurate results based on client specifications
Produce complete documentation, QC reports and periodic results as scheduled
Investigate and document organizational data flow and sources
Develop analytical programs, databases, routine procedures using SAS or SQL programming language
Applies subject expertise in evaluating business operations and processes
Consults across business operations, providing mentorship, and contributing specialized knowledge
Provides training, recommends process improvements, and mentors junior level staff
Communicate with stakeholders/clients/collaborators regarding project details and plans
Requirements:
Bachelor's Degree
At least 4 years of experience in designing, developing, generating and analyzing ad hoc/production reports in Healthcare/Managed Care setting
Must be able to apply and/or develop technical specifications for health care measures such as those used by National Committee for Quality Assurance (NCQA), HEDIS, Centers for Medicare and Medicaid Services (CMS), and State
Must demonstrate advanced SQL and/or SAS skills in developing programs and procedures for analytics and quality assurance
Must be able to present data in a format that is appropriate for analysis
Must demonstrate an aptitude in learning and expanding abilities to use new applications with basic training
Must be a self-starter and can multi-task and can take charge of assigned projects
Must be able to make recommendations to the clients that demonstrate strengths and limitations of the organization's ability to meet the request
Nice to have:
Experience as a Clinical Data Analyst
Working knowledge of SAS Proc SQL, SAS Macro and database related SAS skills are highly preferred