Business Analyst - Healthcare

The role of the Healthcare Business Analyst will be to analyze and translate requests from business users of the Decision Support platform of services, which include a data warehouse and analytical tools. The analyst will work closely with report writers and developers to understand and implement the requirements. They will also review the final product of these activities for completeness and accuracy.

Current reporting tasks require Decision Support to determine the effectiveness and efficiency of quality, cost, and strategic initiatives and generate actionable data that is used to improve health outcomes of our patients. The Analyst must have strong analytical skills with an eye for detail, as these programs have a direct impact at the clinician and patient levels.

The analyst will work closely with the Clinical Executive Leadership. Additionally they will be encouraged to use knowledge of CareMount business practices and current industry trends to identify forward-thinking analyses and dashboards that will be useful to executive leadership and others in the organization.

Key Responsibilities (including but not limited to the following):

  • Analyzing business requests to translate them into report and application design requirements for BI Developers
  • Assuring quality of final work products from BI Developers.
  • Participate in data governance activities to ensure that data is presented consistently across all business units and the organization as a whole.
  • Participating in the development of analytical tools and data reports that will monitor organizational progress against health outcomes measures.
  • Maintain a calendar and monitor FTP sources for payer claim line files and reports.

Education and Experience Requirements:

  • Four-year degree from an accredited institution required; Master's degree in a data-related field preferred.
  • Knowledge and experience in SQL.
  • Previous experience working with large databases, e.g. health insurance claims databases, data warehousing, and/or database administration preferred; experience with encounter submissions a plus.
  • 2-4 years of experience working in a health data role in managed care, population health, or health insurance preferred.
  • Strong organizational skills and attention to detail.
  • Strong written and verbal communication skills.
  • Advanced knowledge of Microsoft Excel; including pivot tables, linked spreadsheets, lookup formulas, and graphing; proficiency in Microsoft Word and PowerPoint.

Full COVID-19 vaccination is an essential requirement of this role. CareMount Medical/CareMount Health Solutions will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.

Strongly Preferred

  • Familiarity with Data Warehouse concepts
  • Experience with Microsoft Power BI
  • Experience with other leading Analytical tools (Tableau, Qlik, SSRS)
  • Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service) and other payment mechanisms.
  • Experience in conducting medical cost and revenue analyses using claims and other data sources.
  • Experience with statistical modelling and associated tools (R, SAS) is a plus

Salary Range
$59,000.00 - 85,000.00
per Year
Salary range estimated by
Chappaqua, NY 10514, US
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