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Senior Clinical Data Analyst - Job Opportunity at The Health Plan of West Virginia Inc

Wheeling, US
Full-time
Senior
Posted: February 27, 2025
Hybrid
USD 85,000 - 120,000 per year based on location, seniority, and healthcare analytics market demands

Key Responsibilities

Strategic healthcare data analysis and insights generation across multiple data sources to drive organizational decision-making
Development and maintenance of sophisticated reporting systems and dashboards for tracking key performance metrics
Cross-functional collaboration with stakeholders to translate complex data insights into actionable business strategies
Regulatory compliance monitoring and impact assessment on business operations
Leadership in data-driven process improvement initiatives

Requirements

Education

Bachelor's or Master's Degree in clinical, behavioral health, healthcare, economics, or statistical fields

Experience

Not explicitly stated but senior-level position implies 5+ years

Required Skills

Data collection, analysis, and visualization Excel, SQL, and Power BI Healthcare reimbursement knowledge Value-based care understanding Population health management expertise HEDIS/STARS quality data familiarity Strong communication and interpersonal skills Independent decision-making capability Multi-tasking and adaptability
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Sauge AI Market Intelligence

Industry Trends

Healthcare analytics is experiencing rapid growth due to the industry-wide shift towards value-based care and population health management. The role reflects the increasing importance of data-driven decision making in healthcare organizations. The emphasis on HEDIS/STARS metrics indicates a focus on quality measures and regulatory compliance, which is becoming increasingly critical in healthcare reimbursement models. The hybrid work model (3 days on-site) aligns with current healthcare industry trends, balancing remote work flexibility with the need for in-person collaboration in healthcare settings.

Role Significance

Likely part of a 5-10 person Medical Economics team, collaborating with Clinical Services department
Senior position with significant influence on organizational strategy and decision-making processes

Key Projects

Population health analytics and trend analysis Quality metrics tracking and improvement initiatives Cost containment and efficiency optimization programs Regulatory compliance and reporting projects

Success Factors

Deep understanding of healthcare data ecosystems and quality metrics Strong ability to translate complex data into actionable insights Excellent stakeholder management and communication skills Adaptability to rapidly changing healthcare regulations and requirements

Market Demand

High demand role with strong growth potential due to healthcare industry's increasing reliance on data analytics and quality metrics

Important Skills

Critical Skills

Healthcare data analysis and interpretation skills are essential for driving quality improvements and cost efficiencies SQL and Power BI proficiency for handling large healthcare datasets and creating meaningful visualizations Understanding of healthcare reimbursement models and quality metrics for accurate analysis and reporting

Beneficial Skills

Knowledge of emerging healthcare analytics tools and methodologies Experience with predictive modeling and population health analytics Understanding of healthcare regulatory environment and compliance requirements

Unique Aspects

Combination of clinical and analytical expertise requirements provides unique career development opportunities
Direct involvement in population health management and value-based care initiatives
Balance of technical and strategic responsibilities with significant stakeholder interaction

Career Growth

2-4 years in role before advancement, depending on performance and organizational growth

Potential Next Roles

Director of Healthcare Analytics Healthcare Data Science Manager Population Health Analytics Director Clinical Operations Analytics Leader

Company Overview

The Health Plan of West Virginia Inc

Regional health plan provider focused on managed care services in West Virginia

Significant regional player in the managed care space with established presence in West Virginia
Strong local market position with potential for regional expansion
Professional healthcare environment with emphasis on data-driven decision making and quality improvement
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