Healthcare Analytics & Insights

Prosum
  • Denver, CO
  • $80,000 Per Year
  • Instant Apply
30+ days ago

Job Description

Healthcare Data Analyst
Location: Denver, CO (Hybrid – 2 days onsite)
Salary Range: $80,000–$115,000
Employment Type: Full-Time
Position Overview
We are seeking a Healthcare Data Analyst with strong analytical, data visualization, and business consulting skills to support strategic initiatives within a managed care environment.

This role goes beyond traditional reporting and dashboard development. The ideal candidate will partner with business leaders and stakeholders to understand complex business challenges, analyze healthcare data, identify trends and root causes, and translate findings into actionable recommendations that influence business decisions.

The successful candidate will bring advanced Tableau expertise, strong SQL skills, healthcare industry knowledge, and the ability to independently manage analytical initiatives from initial requirements gathering through delivery of insights and recommendations.
Key Responsibilities
Business Consulting & Stakeholder Engagement

  • Partner with business leaders, project managers, technical teams, and external vendors to identify business challenges and analytical needs.

  • Lead requirements-gathering discussions, asking thoughtful questions to uncover underlying business objectives when stakeholders may not have clearly defined requirements.

  • Translate business needs into analytical approaches, technical specifications, dashboards, and reporting solutions.

  • Present complex analytical findings through compelling data visualizations and clear, actionable recommendations.

  • Build strong relationships with stakeholders and influence business decisions through data-driven insights.

  • Independently manage analytical initiatives from initial discovery through analysis, recommendations, and final presentation.

Healthcare Data Analysis & Insights

  • Analyze large, complex healthcare datasets, including claims, encounters, membership, provider, pharmacy, financial, clinical, and care management data.

  • Apply statistical analysis, forecasting, predictive modeling, and root cause analysis to identify trends, performance drivers, and opportunities for improvement.

  • Support analytical initiatives involving Medicaid, Medicare, HEDIS, Medicare Star Ratings, quality of care, utilization, and other managed care programs.

  • Evaluate healthcare operational and financial performance, including per-member-per-month (PMPM) costs, medical loss ratio (MLR), provider performance, and value-based care initiatives.

  • Assess data sources for accuracy, completeness, and business relevance to ensure reliable analysis and recommendations.

  • Identify opportunities to improve operational efficiency, quality outcomes, and financial performance.

Data Visualization, Reporting & Technical Development

  • Design, develop, and maintain advanced Tableau dashboards and interactive visualizations that communicate meaningful business insights.

  • Develop SQL queries to extract, manipulate, reconcile, and validate complex healthcare datasets.

  • Evaluate data sources and technical approaches to support reporting, analytical, and external data extraction requirements.

  • Develop and maintain reporting solutions using Tableau, Power BI, Microsoft BI tools, and other relevant technologies.

  • Document technical specifications, data mappings, reporting logic, and solution designs.

  • Perform unit testing, data validation, and quality assurance to ensure analytical accuracy.

  • Coordinate with stakeholders to validate deliverables and obtain final acceptance.

  • Support production deployment, reporting schedules, ongoing maintenance, and change management processes.

Project Coordination & Delivery

  • Participate in planning, scoping, designing, and delivering data analytics and information management initiatives.

  • Coordinate with business owners, technical teams, vendors, and project leadership to ensure deliverables meet business expectations and timelines.

  • Communicate project status, timelines, potential risks, and recommendations to stakeholders.

  • Assist with managing and reprioritizing analytical initiatives based on evolving business needs.

  • Provide technical and administrative support for business intelligence platforms and reporting tools.
Required Qualifications
Education

  • Bachelor's degree required.

Experience

  • 1–3 years of technical experience working with healthcare data structures and understanding the business applications of managed care data required.

  • Strong experience performing complex data analysis and translating findings into actionable business insights.

  • Advanced Tableau experience, including developing interactive dashboards, visualizations, and data-driven presentations.

  • Strong SQL querying, data extraction, manipulation, and validation skills.

  • Experience gathering business requirements and collaborating directly with stakeholders to define analytical solutions.

  • Experience working independently to investigate business problems, identify root causes, and present recommendations.

  • Strong understanding of data quality, data integrity, and analytical methodologies.
Preferred Qualifications

  • Experience with Medicaid, Medicare, and managed care operations.

  • Knowledge of healthcare business functions, including claims processing, membership administration, provider management, financial administration, pharmacy operations, and care management.

  • Familiarity with HEDIS, Medicare Star Ratings, healthcare quality measures, utilization management, PMPM, MLR, and value-based care.

  • Experience with statistical modeling, forecasting, and predictive analytics.

  • Experience with Microsoft BI technologies, including SSIS, SSAS, SSRS, and Power BI.

  • Understanding of the software development lifecycle (SDLC), reporting development, and change management processes.

  • Experience developing and maintaining data extracts, analytical applications, and business intelligence solutions.
Key Competencies

  • Consultative Mindset: Ability to understand business challenges, ask the right questions, and recommend solutions rather than simply fulfilling reporting requests.

  • Analytical Problem-Solving: Strong critical thinking skills with the ability to investigate complex datasets, identify root causes, and develop meaningful insights.

  • Data Storytelling: Ability to transform complex information into clear, compelling visualizations and recommendations for business leaders.

  • Stakeholder Management: Excellent communication, relationship-building, and consulting skills, with the ability to engage both technical and nontechnical audiences.

  • Independent Execution: Self-directed professional who can manage analytical projects with minimal oversight.

  • Technical Expertise: Strong proficiency in Tableau, SQL, healthcare data analysis, and business intelligence methodologies.

Numbers & Facts

LocationDenver, CO

Skills

  • Administrative Managementunmatched
  • Administrative Skillsunmatched
  • Analysis Skillsunmatched
  • Business Administrationunmatched
  • Business Intelligenceunmatched
  • Business Intelligence Softwareunmatched
  • Business Skillsunmatched
  • Business Solutionsunmatched
  • Change Managementunmatched
  • Claims Processingunmatched
  • Communication Skillsunmatched
  • Consultingunmatched
  • Data Analysisunmatched
  • Data Managementunmatched
  • Data Qualityunmatched
  • Data Setsunmatched
  • Data Structuresunmatched
  • Data Visualizationunmatched
  • Financial Administrationunmatched
  • Forecastingunmatched
  • Healthcareunmatched
  • Healthcare Effectiveness Data and Information Set (HEDIS)unmatched
  • Healthcare Qualityunmatched
  • Identify Issuesunmatched
  • Leadershipunmatched
  • Logic Designunmatched
  • Managed Careunmatched
  • Medicaidunmatched
  • Medicareunmatched
  • Microsoft Product Familyunmatched
  • Operational Auditunmatched
  • Operational Improvementunmatched
  • Operational Strategyunmatched
  • Operations Managementunmatched
  • Pharmacyunmatched
  • Power BIunmatched
  • Predictive Modelingunmatched
  • Problem Solving Skillsunmatched
  • Production Supportunmatched
  • Project Trackingunmatched
  • Project/Program Coordinationunmatched
  • Project/Program Managementunmatched
  • Quality Assuranceunmatched
  • Quality of Careunmatched
  • Reporting Dashboardsunmatched
  • Requirements Managementunmatched
  • Root Cause Analysisunmatched
  • SQL (Structured Query Language)unmatched
  • Software Development Lifecycle (SDLC)unmatched
  • Statisticsunmatched
  • Storytellingunmatched
  • Strategic Planningunmatched
  • Tableauunmatched
  • Technical Supportunmatched
  • Technical Writingunmatched
  • Test Dataunmatched
  • Testingunmatched
  • Trend Analysisunmatched
  • Unit Testunmatched
  • Utilization Managementunmatched
  • Vendor/Supplier Selectionunmatched

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