Description
UCLA HEALTH
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Description
As the Business Data Analyst for our Medicare Advantage Risk
Adjustment team, you will be responsible for producing accurate and insightful
department measurements used in both internal and external reporting.
You will:
- Ensure data quality and accuracy through
rigorous assurance checks. - Develop and maintain reports, from ad hoc
requests to scheduled production reports. - Write clear specifications and design data
queries for healthcare performance measures. - Apply technical expertise to gather requirements
and translate them into effective reports and data integration projects. - Manage complex data projects that require
periodic updates on weekly, monthly, quarterly, or annual cycles. - Collaborate closely with Decision Support
Services and Health Outcome & Analysis teams to transition ongoing reports
into production environments. - Interpret and document detailed written and
verbal specifications, ensuring a comprehensive understanding of data
relationships across encounters, claims, membership, and provider databases. - Develop or apply technical specifications for
healthcare measures from organizations such as CMS, DHCS, NCQA, and others. - Serve as a key departmental resource for
application use related to risk adjustment coding guidelines and gap closure
reporting.
Salary Range: $78,500 – $163,600/annuallyQualifications
We are seeking an analytical, self-directed, detail-oriented individual
with:
- A Bachelor’s
degree in an IT related field or equivalent experience - A Master’s
degree in related field, preferred - 3-5+ years
in healthcare IT experience, highly desired - 3-5+ years
of experience with Epic Clarity reporting - 3-5 years of
experience building and maintaining Tableau dashboards - Proven
experience generating reports using healthcare data, with a focus on
encounter/claims, membership, and provider datasets, required - Solid
understanding of common healthcare measurement frameworks and definitions,
including Risk Adjustment HCC models from CMS, required - Strong
analytical and problem-solving capabilities - Ability to
work independently with minimal supervision while managing priorities
effectively. - Excellent
communication skills to engage with stakeholders across all levels and gather
clear requirements. - Demonstrated
ability to set, track, and meet goals within established timelines. - Proficient
in SQL programming, particularly on MS SQL Server and Oracle platforms,
required - Familiarity
with statistical methods and their application in data analysis, required - Knowledge of
data warehouse architecture, data structures, and best practices in reporting. - Extensive
understanding of healthcare industry standards, workflows, policies,
procedures, and system environments. - Strong
metadata management skills with the ability to analyze complex datasets. - Skilled in
translating business questions and requirements into actionable reports,
database views, and BI query objects.