Sr Data Analyst - HCS

About SCAN

SCAN 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 www.thescangroup.org, www.scanhealthplan.com or follow us on LinkedIn; Facebook; and Twitter.

The Job

As 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 Will

• Collaborate with internal clients to develop and maintain reports and dashboards
• Manage, clean, and transform data for analysis and reporting
• Perform complex data analysis to identify performance outliers, fraud, waste, and compliance issues
• Create ad-hoc and routine reports to monitor healthcare service performance and regulatory compliance
• Develop and implement reporting solutions to detect and mitigate risks, including FWA and system deficiencies
• Ensure data quality and audit data processes for accuracy and reliability
• Lead and project manage initiatives using agile methodologies, ensuring projects are completed on time and meet stakeholder expectations
• Mentor junior colleagues to strengthen the team’s analytical capabilities
• Maintain and support compliance reporting, ensuring timely submission to internal and external agencies
• Monitor data analytics activities with vendors and troubleshoot issues as needed
• Stay current with industry regulations and healthcare data standards to ensure effective risk management
• Actively support the achievement of SCAN’s Vision, Goals, and Ways of Working
• Other duties as assigned

Your Qualifications

• Bachelor’s degree in information systems-related field, or equivalent work experience, required
• Master’s degree in an analytic related field preferred
• 5 years of experience in developing complex reports
• 1 to 2 years of Healthcare industry experience is required
• Experience with machine learning and AI concepts a plus
• Advanced 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 healthcare
• Strong analytical, communication, and problem-solving skills
• Proficient in health plan operations, claims, and encounter data
• Familiarity with CMS regulations (Part C, Part D, SNP), DHCS, and Medi-Cal
• Experience with Snowflake and SQL Server tools (T-SQL, SSRS, SSIS)
• Ability to mentor and collaborate with cross-functional teams
• Strong technical knowledge in database design and query development
• Knowledge of medical terminology and clinical codes (ICD, CPT)
• Experience with project management methodologies, including agile, and proficiency with project management tools such as Azure DevOps

What's in it for you? 

• Base Pay Range: $92,400 to $147,800 annually
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• An 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.

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Salary : $92,400 - $147,800