As part of IPRO’s Managed Care Department, the Senior Data Analyst performs complex analyses using advanced technical expertise and translates analytical results into clear, actionable written summaries. A primary responsibility of this role is to ensure the quality, accuracy, and integrity of programs, measures, rates, and analytic deliverables through established quality assurance and validation processes. The Senior Data Analyst is also responsible for identifying opportunities to improve efficiency, streamline workflows, and enhance analytical processes across the department. Duties to include but not limited to:
- Analyze MCO encounter data for accuracy, completeness and consistency.
- Conduct quality assurance and validation activities for programs, measures, rates, reports, and analytic deliverables to ensure accuracy, completeness, consistency, and compliance with established specifications and methodologies.
- Identify and develop queries using complex data analyses to support program evaluation, quality measurement, and operational decision-making.
- Collaborate with management, analysts, programmers, and subject matter experts to ensure deliverables meet business requirements, regulatory standards, and client expectations.
- Identify opportunities to automate processes, streamline workflows, and improve the effectiveness of analytic and quality assurance activities
- Translates internal/external client business requirements into actionable instructions for meeting client needs.
- Represent department leadership on customer and client calls for specific areas of subject matter expertise, as needed.
- Ensures all analyses use high-quality data. Develops strong understanding of data sources and works with IPRO and client data management staff to ensure complete, accurate, and timely data.
- Demonstrates the ability to multitask and manage many simultaneous projects and last-minute emergencies to meet deadlines while still maintaining a strong attention to detail.
- Supports continuous quality improvement. Contributes regularly to improving data and analytics sophistication and efficiency within the department and across the IPRO enterprise.
- Design analytics (reports, Tableau dashboards) to respond to very complex requests. Develops advanced quantitative approaches (drawing on a range of methodologies) to address client needs.
This position is office based at our Jericho, NY office.
QUALIFICATIONS:
- Strong healthcare analytical skills. Creates solutions that broadly support the business across clients.
- Demonstrates advanced expertise in healthcare data domains, including claims, encounters, eligibility, provider information, and electronic health records (EHR), with the ability to interpr