Senior Health Data Analyst

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: WellSense Health Plan is seeking a dedicated and experienced Senior Health Data Analyst to join our team on a full-time, regular basis. The Senior Health Data Analyst is a key member of the team and serves as a strategic partner to various functional areas throughout the organization to meet corporate objectives. Under the leadership and guidance of Senior Director of Clinical, Operational, and Payment Analytics, the analyst will focus on planning, developing and building of analytical tools to further assess and manage healthcare KPIs during key analytic exercises. The ideal candidate will have a strong background in health data analysis, excellent problem-solving skills, and the ability to communicate complex information clearly to stakeholders. Our Investment in You: • Full-time remote work • Competitive salaries • Excellent benefits Key Functions/Responsibilities: • Work closely with the Senior Director of Clinical, Operational, and Payment Analytics to develop, maintain, and leverage a best in class clinical analytics infrastructure to support the Plan’s Medical Management strategy. • Collaborate with cross-functional teams to understand data requirements and ensure the accuracy and integrity of data analysis • Lead the development of critical analytic processes comparing Plan’s performance against benchmarks to determine areas of focus and opportunity and help maintain industry competitiveness and intelligence. • Work closely with supervisor to present data and findings with insights to the clinical leadership teams to help launch performance improvement initiatives. • Work closely with all levels of Medical Management (including Case Management) leadership in determining how operational and clinical data might assist in addressing their needs. • Build and maintain dashboards that are critical to fine tuning operations. • Work closely with stakeholders to develop critical drill downs as needed to support the development of initiatives to target the areas of over-utilization. • Develop and maintain operational dashboards and performance measurement tools, and reports to measure impact of initiatives • Work with internal and external customers to elicit business data requirements; collaborates with data architects and develops code to meet the data needs of all constituents. • Understand processes and workflows within Medical Management Operations, and translate clinical and operational metric needs into business reporting requirements • Coordinate and participate in Medical Management Operations' technical initiatives, including the development of operational reports and technical specifications in support of all aspects of our UM initiatives. • Work to ensure continuous improvement and adoption of data management best practices • Ensuring compliance with data governance and privacy policies Qualifications: Education: • Bachelor’s Degree required Experience: • Experience in healthcare data analysis and reporting is required. • Three or more years conducting advanced analytics using SAS and/or SQL. • Must have deep understanding and hands-on experience with Tableau or other data visualization tools • Excellent problem solving and analytical skills • Self-motivated, takes initiative to identify opportunities for improvement and makes recommendations for improvement • Ability to work independently and collaboratively • Ability to communicate customers about data needs and explaining report methodologies • Working knowledge of utilizing Enterprise Data Warehouse • Ability to think out-of-the-box to handle any challenging and complex request • Experience managing multiple initiatives or projects at a given time • Ability to foster teamwork and positive attitude. Certification or Conditions of Employment: • Pre-employment background check Competencies, Skills, and Attributes: • Advanced SAS and/or SQL programming skills. • Proficient in Microsoft Excel. • Proficient in Tableau (Desktop and Server) • Some knowledge of Python scripting • Strong analytical and problem solving abilities. Ability to use all relevant data to support decision making. • Enjoy analytical challenges in a fast paced environment with strong ability for managing multiple projects simultaneously and meeting deadlines. About WellSense WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees Apply tot his job