Job Description

Job Description

Job Description

Verda Healthcare, Inc. has a contract with the Center of Medicaid and Medicare Services (CMS) and Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan for 2024. We are looking for a Healthcare Data Analyst to join our growing company with many internal opportunities.

Are you ready to join a company that is changing the face of health care across the nation? Verda Healthcare health plan is looking for people like you who value excellence, integrity, caring and innovation. As an employee, youll join a team dedicated to improving the lives of our Medicare members. Our vision incorporates value-based health care that works. We value diversity.

Align your career goals with Verda Healthcare Health and we will support you all the way.

Position Overview

The Healthcare Data Analyst manages and organizes Verdas healthcare data using common industry standard technologies and solutions. They will work closely with Operations, Clinical, and IT leadership to analyze and interpret this data, playing a crucial role in researching and identifying trends and patterns that can inform Verda decision making and operations. They will develop an in-depth understanding of the underlying data and proper business uses to translate end-user data and information requirements into a format to aid various Verda teams in drawing insight from that data. This includes creating queries, visualizations, algorithms, and reports.

This role is responsible for collecting and integrating data from disparate sources, analyzing data to uncover trends and patterns, presenting information and suggesting improvements based on data analysis, understanding healthcare operations and systems, creating data models that capture a wide range of healthcare operations, and recommending ways to increase healthcare quality and reduce costs.

This role reports to the Chief Information Officer (CIO) and will work closely with other executive leadership including Chief Medical Officer (CMO), Chief Operations Officer (COO), and other executive leadership.

Job Description

• Develop and implement clinical decision support tools and analytics that assist Verda leadership in making evidence-based decisions, producing clinical guidelines, and evolving best practices.
• Develop and implement analytical trending reports to uncover patterns and communicate that information to suggest improvements.
• Build data models that support analytical and decision support efforts by collecting and integrating data from disparate internal and external sources.
• Based upon data analysis, recommend ways to increase healthcare quality or reduce health plan costs.
• Special Projects as assigned
• Ability to travel

Minimum Qualifications

• Bachelor's degree preferred in Healthcare Informatics, Computer Science, Statistics, Mathematics, or a related field
• Healthcare analytics certifications such as Certified Health Data Analyst (CHDA) or Certified Professional in Healthcare Information and Management Systems (CPHIMS) or equivalent preferred
• 3+ years experience with T-SQL, relational databases, and/or common data Microsoft analytics tools (i.e. PowerBI, SSRS,etc)
• Demonstrated experience in healthcare operational, clinical, and/or administrative data is preferred
• Demonstrated experience with health plan contracting or risk and capitation payment models is preferred

Professional Competencies

• Proficient in Microsoft Suite (Excel, PowerPoint, Project, Outlook, Word, Visio, etc.)
• Extensive experience in T-SQL use for queries, stored procedures and functions
• Experience with relational databases and common commercial analytics tools, including building data marts, data cubes, and other data visualization techniques
• Knowledge of medical terminology, including ICD-10, CPT and HCPCS.
• Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy.
• Ability to manage and prioritize multiple tasks, promote teamwork and fact-based decision making
• Critical listening, problem solving, and communication skills
• Ability to work independently and within a team environment
• Ability to work in a fast-paced, start-up culture with resiliency in a changing environment

Supervisory Responsibilities . This job has no direct supervisory responsibilities but could be required to perform as a team leader and act as a backup for the teams manager as needed.

Verda cares deeply about the future, growth, and well-being of its employees. Join our team today!

Job Type: Full-time

Benefits:

• 401(k)
• Dental Insurance
• Health insurance
• Life insurance
• Paid time off.
• Vision insurance

Schedule:

• 8-hour shift
• Monday to Friday/Weekends as needed

Ability to commute/relocate:

• Reliably commute or planning to relocate before starting work (Required)

PHYSICAL DEMANDS

Regularly sit/walk at a workstation in an office or cubicle setting. Must occasionally lift and/or move up to 25-50 pounds.

* Other duties may be assigned in support of departmental goals.

Job Tags

Full time, Contract work, Relocation, Shift work, Weekend work, Monday to Friday,

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