Senior Data Analyst, Clinical Programs
Brighton Health Plan Solutions, LLC
Job Description
About The Role The Senior Data Analyst, Clinical Programs will be an analytically driven team player, responsible for understanding business needs and objectives, eliciting requirements from stakeholders, and analyzing data and processes to identify opportunities for improvement. This role will support BHPS Clinical Programs, Utilization Management, Complex Case Management, and Population Health Management. In this role, you will be challenged to think creatively while developing actionable insights to inform client and program strategy.
Primary Responsibilities Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates, readmissions, preventable hospitalizations, ER utilization) Develop statistical models that deliver meaningful insights on cost, utilization and clinical outcomes based on various data sources.
Develop algorithms for stratifying populations...