SpectraMedix is a leading healthcare analytics organization dedicated to empowering health plans and providers in their transition to value-based care. Our VBP Analytics Suite offers actionable insights into quality, risk, utilization, and financial performance, enabling stakeholders to execute intricate value-based arrangements effectively.
Job Title: Senior Healthcare Data Analyst
Location: East Windsor, NJ (Remote acceptable)
Experience Level: 6–8 Years
Employment Type: Full-time
Job Description
Role Overview
We are looking for an experiencedSenior Healthcare Data Analystwith a strong understanding of healthcare data, payer operations, and clinical quality measurement. The ideal candidate will be proficient in SQL and have extensive experience working withHEDISmeasures,claims, andpayer data setsto drive performance in value-based models.
Key Responsibilities
Analyze and report onHEDIS,eCQM,Stars, and other quality measures.
Extract and analyze healthcare data from multiple sources (e.g., claims, enrollment, EMR).
Develop and maintain documentation for business requirements, data mapping, and specifications.
Work with business stakeholders to understand and deliver quality-focused data insights.
Support UAT, data validation, and test case development.
Collaborate with teams for planning, design, and enhancement of analytics solutions.
Participate in internal and client reviews related to measure specifications and compliance.
Qualifications
6–8 years of experience as a Business/Data Analyst inUS Healthcare, particularlypayers or health plans.
Proficient in SQL for data extraction and analytics.
In-depth knowledge of healthcare codes and formats:ICD-10, CPT, HCPCS, 837I/P, HL7, FHIR.
Hands-on experience withHEDIS,eCQMs,MIPS,DSRIP, etc.