Clinical Analyst

Demonstrates quality and competency in developing efficient and effective solutions to complex business problems, and will respond with equanimity in a dynamic environment. Builds analyses and reports using persuasive data visualization and oral and written communication skills that can translate complex analytic findings and concepts to a varied audience of users.

• Performs exploratory data analysis and data mining of healthcare claims and authorizations data.
• Designs, documents, develops and rolls out financial, clinical and utilization analyses using a variety of computing tools.
• Performs adhoc analyses that will vary in duration and complexity
• Participates in defining issues to be studied as well as the methodology to be used in addressing these issues.
• Interprets results and preparation of data findings in easily understandable format for varying levels of the organization
• Develops/maintains subject matter expertise in data extraction and quality assurance as well as current and historical cost experience and trend drivers
• Utilizes SQL, Excel, and other BI tools to define, extract, validate, shape, and interpret data to meet business needs.
• Owns accountability for accuracy of work product.

Other Job Requirements

Responsibilities

Experienced in an analytics environment or field (healthcare, economics, epidemiology, statistics, other).
Strong verbal and written communication skills.
Ability to forge effective business relationships across functional groups.
Ability to effectively liaison between technical and non-technical groups.
Strong analytical and problem-solving skills.
Must be able to provide accurate estimates of work effort and deliver results within a committed time frame.
MS Suite power user; Expert level knowledge of SQL, Qlikview, Tableau or similar business intelligence tools, experience in SPSS, SAS, R, Python, MatLab or other analytic tool.
Demonstrated experience working with healthcare medical claims, normalized and denormalized data structures; and will have experience manipulating data using SAS, SPSS, R, Python, SageMaker, SQL, Tableau, Qlik, Power BI, SnapLogic and/or other data mining tools.
An understanding of CPT, NDC and/or GPI, ICD, revenue and billing codes is critical.
Demonstrated quality and competency in developing efficient and effective solutions to complex business problems and ability to respond with equanimity in a dynamic environment.
Ability to build analyses and reports and display persuasive data visualization, oral and written communication skills that can translate complex analytic findings and concepts to a varied audience of users.

General Job Information

Title

Clinical Analyst

Grade

24

Work Experience - Required

Analytics/Informatics, Healthcare

Work Experience - Preferred

Education - Required

Education - Preferred

A Combination of Education and Work Experience May Be Considered., Bachelor's

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:

$58,440

Salary Maximum:

$93,500

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.