Sr. Healthcare Informatics Analyst

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Job Title: Sr. Healthcare Informatics Analyst
REMOTE WORK
Contract Length: 6+ Months

Job ref# 247282

Seeking a Senior Healthcare Informatics Analyst to provide advanced analytics focused on understanding and improving healthcare utilization, outcomes, provider performance, and medical cost management. This role develops analytical solutions supporting patient-level healthcare insights, risk-adjusted revenue optimization, population health initiatives, and strategic decision-making. The analyst will partner with business stakeholders and IT to design predictive models, perform complex analytics, and deliver actionable business intelligence.

Required Qualifications

• Bachelor's degree in Healthcare Administration, Statistics, Economics, Analytics, Computer Science, or a related field (or equivalent experience)
• Minimum 4 years of healthcare analytics, healthcare IT, or management consulting experience
• Healthcare industry experience (required)
• Strong experience building predictive models
• Strong knowledge of the U.S. healthcare delivery system in a payer or provider environment
• Experience using SQL and one or more analytical tools such as SAS, R, Python, or Tableau
• Strong analytical, critical thinking, and problem-solving skills
• Experience translating business requirements into analytical models and business intelligence solutions
• Experience performing descriptive and advanced statistical analyses
• Experience validating data quality, completeness, and consistency
• Excellent written and verbal communication skills
• Ability to communicate technical concepts to technical and business stakeholders

Preferred Qualifications

• Medicare Advantage experience
• Master's degree in a related field
• Experience with outcome research or controlled study design
• Advanced SAS and SAS Enterprise Miner experience
• Understanding of provider payment methodologies
• Population health management experience
• Risk adjustment experience
• Knowledge of commercial risk optimization and Medicare Advantage risk optimization
• Experience with clinical grouping methodologies including DRG, APC, ETG, MEG, DxCG, and HCC
• Knowledge of healthcare quality metrics including HEDIS and AHRQ

Key Responsibilities

• Lead selection of analytical, business intelligence, and statistical methodologies to support strategic decision-making
• Develop predictive models, business intelligence solutions, and advanced analytical attributes
• Analyze patient utilization, provider performance, healthcare outcomes, medical costs, and risk-adjusted revenue opportunities
• Utilize enterprise data warehouse (EDW) and non-EDW data sources to develop analytical solutions
• Partner with business units and IT to define business requirements and translate them into analytical models
• Serve as the analytics advisor for cross-functional initiatives
• Perform descriptive, predictive, and statistical analyses using advanced analytical techniques
• Conduct peer data quality reviews to ensure accuracy, completeness, and consistency
• Present analytical findings and recommendations to business and technical stakeholders
• Support strategic planning through healthcare analytics and data-driven decision making