Highmark Health Logo

Highmark Health

Senior Analytic Data Analyst - FEP HEDIS Quality Analytics

Posted 14 Days Ago
50 Locations
Senior level
50 Locations
Senior level
This role analyzes healthcare data for the Federal Employee Program, focusing on data validation, cleansing, and accuracy while guiding junior analysts and managing stakeholder relationships.
The summary above was generated by AI

Company :Highmark HealthJob Description : 

JOB SUMMARY

This job understands healthcare data from end-to-end and analyzes raw data and analytic data for the enterprise.   This role is focused on the FEP (Federal Employee Program) and will work with a team of analysts to assist in the development and deployment of analytics to assist in the betterment of HEDIS Quality performance improvement.  The incumbent cleanses, validates, audits, and compares data from various sources.  Provides business process and industry domain knowledge to projects while working with engineering and business teams on requirements and outcomes. The incumbent delivers data profiling, conducts testing and systems validation to troubleshoot data anomalies, monitors data management metrics and data loads. Working with data quality teams ensure business alignment and analytic value of derived data is met. Provides guidance and education for Associate and Intermediate staff.  Responsible for customer relationship management.

ESSENTIAL RESPONSIBILITIES

  • Verify analytic data for the enterprise by conducting end-to-end analysis of data, including cleansing, validating, auditing, and comparing data from various sources.
  • Confirm the accuracy of new data sources used by the analytic entities of the enterprise.  This includes all aspects of the process from testing of source data to the interconnections of this data to internal sources.
  • Routinely monitor data sources used for analytics to assure the continued updates of data are meeting quality standards
  • Drive functional efforts for programs across specific projects, including guidance and education of Intermediate and Associate individual contributors.  Responsible for management of relationships with customers on the function, or domain of analytics.
  • Responsible for requirements solicitation from key stakeholders leveraging expert knowledge.
  • Other duties as assigned.

EDUCATION

Required

  • Bachelor's Degree in Computer Systems Analysis, Data Processing, Healthcare Informatics, Management Information Systems or closely related discipline

Substitutions

  • None

Preferred

  • Master's Degree in Management Information Systems or Healthcare Informatics

LICENSES OR CERTIFICATION

Required

  • None

Preferred

  • None

EXPERIENCE

Required

  • 5 - 7 years of Business Analyst Experience, or
  • 5 - 7 years of Data Analytics Experience, or
  • 5 - 7 years of Healthcare Industry Experience

Preferred

  • 5 - 7 years of Data Warehousing Experience

LICENSES AND CERTIFICATIONS

Required

  • None

Preferred

  • None

SKILLS

  • SQL
  • SAS
  • Microsoft Office
  • Problem-Solving
  • Communication Skills
  • Requirements Analysis
  • Testing Skills

Language (other than English)

None

Travel Required

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Type

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required 

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Never

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. 

Pay Range Minimum:

$67,500.00

Pay Range Maximum:

$126,000.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at [email protected]

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Top Skills

MS Office
SAS
SQL

Similar Jobs

2 Days Ago
Remote
52 Locations
Mid level
Mid level
Artificial Intelligence • Computer Vision • HR Tech • Machine Learning • Software
The Media Account Manager will develop new business, manage client accounts, and optimize media strategies in recruitment advertising.
Top Skills: Data AnalysisJob Board ManagementMedia SolutionsProgrammatic CampaignsRecruitment Advertising
2 Days Ago
Remote
49 Locations
Junior
Junior
Healthtech
The Business Analyst II will analyze data, support business initiatives, enhance performance management, and lead coordination among business units, contributing to process improvements.
Top Skills: Managed Care Information Systems
3 Days Ago
50 Locations
Mid level
Mid level
Healthtech
The Quality Analyst compiles and analyzes data on complex claims, audits processes, identifies fraud, trains staff, and generates reports.
Top Skills: Microsoft Office ProductsReporting Software

What you need to know about the Kolkata Tech Scene

When considering the industries shaping India's tech scene, gaming might not immediately come to mind. However, in the last decade, increased internet usage and greater access to mobile devices have catapulted the industry to new heights, with Kolkata-based companies like Virtualinfocom, Red Apple Technologies and Digitoonz, at the forefront, driving the design and animation of new gaming titles for players.

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account