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About the Role

IPRO’s Managed Care Department seeks a Senior Data Analyst to perform complex analyses, translate results into actionable summaries, and ensure the quality and integrity of programs and deliverables. This role identifies opportunities for process improvement and workflow enhancement within the department.

Responsibilities

• Analyze MCO encounter data for accuracy, completeness, and consistency.
• Conduct quality assurance and validation activities for programs, measures, rates, reports, and analytic deliverables.
• 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.
• Translate internal/external client business requirements into actionable instructions.
• Represent department leadership on customer and client calls for specific areas of subject matter expertise.
• Ensure all analyses use high-quality data and work with data management staff to ensure complete, accurate, and timely data.
• Demonstrate the ability to multitask and manage many simultaneous projects to meet deadlines with attention to detail.
• Support continuous quality improvement and contribute to improving data and analytics sophistication and efficiency.
• Design analytics (reports, Tableau dashboards) to respond to complex requests.
• Develop advanced quantitative approaches to address client needs.

Requirements

• Strong healthcare analytical skills.
• Demonstrates advanced expertise in healthcare data domains, including claims, encounters, eligibility, provider information, and electronic health records (EHR).
• Ability to interpret and analyze complex datasets to drive actionable insight.
• Ability to solve complex business problems through the design and development of efficient, high-quality analytic solutions.
• Ability to distill complex technical content into audience-specific and layperson-friendly terms.
• Ability to work independently and as a member of a team.
• Strong time management skills with the ability to meet deadlines and client deliverables.
• Stellar communications skills, both written and oral.
• Strong people skills with the ability to interact effectively with external customers.
• Mastery in MS Excel, MS PowerPoint, and MS Word.
• Experience with SAS programming.
• Familiarity with HEDIS, CMS Protocols or HIPAA encounter file formats strongly preferred.
• Previous experience working with healthcare data (HEDIS and/or CMS Adult & Child Core Set performance measures), preferred.
• Two (2) years of SAS programming experience related to data manipulation and reporting.
• Knowledge of SAS Macros and PROC SQL strongly preferred.
• Previous experience working with Tableau, Python and/or MS Power Automate is strongly preferred.

Skills

• SAS programming
• Tableau
• Python
• MS Power Automate
• MS Excel
• MS PowerPoint
• MS Word
• Data analysis
• Quality assurance
• Data validation
• Healthcare data analysis
• Claims data
• Encounter data
• Eligibility data
• Provider information
• EHR data
• HEDIS
• CMS Protocols
• HIPAA encounter file formats
• SAS Macros
• PROC SQL

Location

• Jericho, NY

Work Type

• Office-based

Experience Level

• Senior
• Two (2) years experience working in the health care field or equivalent experience in an MCO, preferred.
• Will consider a Master’s degree and one (1) year of experience.

Education Level

• Bachelor’s degree in an analytical, research or health-related field, required.
• Master’s degree in public administration, public policy, public health or related social science with coursework including both statistical and process analysis, preferred.

Salary/Compensations

• $75,000.00 – $85,000.00

About the Company

• IPRO is an Equal Opportunity Employer.

Equal Opportunity

• All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.