Sr Data Analyst - HCS

About SCANSCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit or follow us on LinkedIn; Facebook; and Twitter.The JobAs a key member of the Enterprise Analytics team, you will collaborate with internal clients to develop and maintain reports and dashboards that drive healthcare service improvements and mitigate risks. You will manage, transform, and analyze data to ensure compliance, identify performance outliers, detect fraud, and support data-driven decision-making, while leading projects using agile methodologies and project management tools like Azure DevOps. You WillCollaborate with internal clients to develop and maintain reports and dashboardsManage, clean, and transform data for analysis and reportingPerform complex data analysis to identify performance outliers, fraud, waste, and compliance issuesCreate ad-hoc and routine reports to monitor healthcare service performance and regulatory complianceDevelop and implement reporting solutions to detect and mitigate risks, including FWA and system deficienciesEnsure data quality and audit data processes for accuracy and reliabilityLead and project manage initiatives using agile methodologies, ensuring projects are completed on time and meet stakeholder expectationsMentor junior colleagues to strengthen the team's analytical capabilitiesMaintain and support compliance reporting, ensuring timely submission to internal and external agenciesMonitor data analytics activities with vendors and troubleshoot issues as neededStay current with industry regulations and healthcare data standards to ensure effective risk managementActively support the achievement of SCAN's Vision, Goals, and Ways of WorkingOther duties as assignedYour QualificationsBachelor's degree in information systems-related field, or equivalent work experience, requiredMaster's degree in an analytic related field preferred5+ years of experience in developing complex reports1 to 2 years of Healthcare industry experience is requiredExperience with machine learning and AI concepts a plusAdvanced proficiency in data automation and analytics tools (SQL, Alteryx, R, Python)Expertise in data visualization tools (Tableau, Power BI)Knowledge of regulatory compliance, fraud detection, and risk management in healthcareStrong analytical, communication, and problem-solving skillsProficient in health plan operations, claims, and encounter dataFamiliarity with CMS regulations (Part C, Part D, SNP), DHCS, and Medi-CalExperience with Snowflake and SQL Server tools (T-SQL, SSRS, SSIS)Ability to mentor and collaborate with cross-functional teamsStrong technical knowledge in database design and query developmentKnowledge of medical terminology and clinical codes (ICD, CPT)Experience with project management methodologies, including agile, and proficiency with project management tools such as Azure DevOpsWhat's in it for you? Base Pay Range: $92,400 to $147,800 annuallyAn annual employee bonus programRobust Wellness ProgramGenerous paid-time-off (PTO)11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer daysExcellent 401(k) Retirement Saving Plan with employer matchRobust employee recognition programTuition reimbursementAn opportunity to become part of a team that makes a difference to our members and our community every day!We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.#LI-JB1 #LI-Hybrid Equal Opportunity EmployerProtected VeteransIndividuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Created: 2025-01-15