Healthcare Informatics Data Analyst
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Job description
The Healthcare Informatics Data Analyst supports the organization’s business intelligence and informatics initiatives through advanced data analysis, performance measurement, and reporting activities. This role is responsible for evaluating clinical, operational, financial, and population health data to support value-based care initiatives and regulatory compliance requirements.
The Healthcare Informatics Data Analyst collaborates with clinical leadership, medical management teams, finance, provider relations, and operational leadership to develop data-driven insights that improve patient outcomes and organizational performance. This role supports development of data infrastructure and reporting tools that enable evidence-based decision-making across the organization.
The Informatics Data Analyst ensures integrity of healthcare data systems and supports continuous improvement initiatives aligned with quality, efficiency, and regulatory standards.
Core Responsibilities
- Supports the Informatics department and develops business processes and systems to ensure integrity of the member data, establishing and maintaining data infrastructure systems of the organization.
- Works with clinical and operations teams to identify clinical health status, and economic outcome metrics for measurement and reporting.
- Works with the Medical Management and Informatics staff in designing, building, conducting and analyzing clinical and financial outcomes studies.
- Works across departmental areas to create formal specifications for both internal and external reports in compliance with state and federal regulations for data exchanges/file feeds.
- Conducts health data economic analysis for Operational team, Medical Management, Finance, and Contracting/Network Development Departments. Analyzes provider financial and clinical data to develop and produce physician performance reports.
- Prepares state-required and/or departmental reports related to health care quality improvement
initiatives including HEDIS and disease management programs.
- Manages multiple data related projects to completion across multiple departments.
- Works with the Information Systems department to further develop data access tools and analyze the functionality of external products.
- Manages databases and data warehouse, develops and supports new business applications, and
implements a technical quality assurance process that ensures that all software development is
properly specified, documented, tested, implemented, and feedback received for improvements.
Requirements
- Bachelor’s degree in Computer Systems Analysis, Healthcare Informatics, Data Processing, Management Information Systems, or related discipline required
- Formal informatics training preferred including SQL, SAS, or other statistical programming tools
- Minimum of 5 years experience performing healthcare quantitative analysis
- Minimum of 5 years experience in healthcare data analytics or population health reporting
- Experience working with healthcare data sets including clinical, financial, and quality metrics
- Experience supporting HEDIS, quality improvement, or disease management reporting
- Strong analytical and statistical modeling skills
- Experience working with healthcare electronic data exchange standards
- Experience working with business intelligence tools and data visualization platforms
- Strong communication skills translating data insights into operational recommendations
- Experience managing multiple data projects simultaneously
About the company
Ponos Management, Inc is a mission-driven healthcare organization dedicated to improving outcomes for Medicaid populations through a physician-led, value-based care model. Our integrated approach addresses social, behavioral, physical, and economic barriers to care by delivering coordinated services designed to improve quality of life and reduce unnecessary hospital utilization.
Ponos Care supports individuals living with complex and chronic conditions by providing personalized care pathways that integrate medical treatment, behavioral health services, and community-based resources. Through collaboration with interdisciplinary teams, we ensure members receive holistic and continuous care that supports long-term stability and improved health outcomes.
Ponos Care continues to expand nationally, delivering innovative care management and eligibility alignment solutions that improve member outcomes and support healthcare system efficiency.
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