Lead Clinical Analyst

This is a fully remote position, open to applicants in Florida.

📋 Description

• Oversee the design, development, and enhancement of comprehensive enterprise clinical performance dashboards (e.g., utilization, care management effectiveness, access metrics, and quality performance).

• Create both recurring and ad hoc analytics utilizing SQL, Excel, and Power BI.

• Convert intricate clinical datasets into strategic insights for executive leadership, operational teams, and quality stakeholders.

• Set data validation standards and guarantee accuracy, completeness, and integrity across reporting environments.

• Act as a senior subject-matter expert in clinical analytics methodologies, performance measurement, and reporting best practices.

• Collaborate with clinical and operational leadership to identify KPIs that align with enterprise performance objectives.

• Facilitate cross-functional collaboration with IT, data engineering, operations, and quality teams to enhance data architecture and reporting accessibility.

• Present insights and narratives to senior stakeholders in clear, actionable formats.

• Guide the prioritization of analytics initiatives that support organizational strategy and regulatory requirements.

• Mentor junior analysts and bolster analytics capabilities across teams.

• Collaborate with Compliance and clinical stakeholders to meet state, federal, and health plan reporting obligations, including NCQA, CMS, JOC.

• Develop performance metrics utilized in audits, accreditation readiness, and compliance monitoring.

• Ensure enterprise readiness for regulatory reviews through proactive analytics monitoring and documentation.

• Propel the automation of manual reporting workflows and the implementation of scalable reporting solutions.

• Establish documentation standards, reporting governance processes, and analytics best practices.

• Lead efforts to modernize clinical reporting infrastructure and enhance enterprise data usability.

• Identify opportunities to leverage analytics for performance optimization and improvement in cost-of-care.

⛳️ Requirements

• Bachelor’s degree (or equivalent experience) in public health, data analytics, health informatics, business, or a related field.

• 5+ years of experience with advanced proficiency in SQL, Excel, and Power BI.

• 3+ years of experience with healthcare datasets, including claims, utilization management/prior authorization, care management, and quality measures.

• Strong understanding of clinical workflows, utilization and network management analytics, and healthcare economics.

• Proven ability to translate complex analytics into executive-level insights and operational recommendations.

• Exceptional stakeholder engagement, communication, and strategic problem-solving skills.

• Self-motivated with the ability to manage multiple priorities independently.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and growth.

• Collaborative work environment with a focus on innovation.

• Flexible work arrangements to promote work-life balance.