Lead Data Solutions Analyst

Company :

Job Description : 

JOB SUMMARY

We are seeking a highly skilled and adaptable Data Analyst to drive the reliable movement, transformation, and storage of complex healthcare data using Fast Healthcare Interoperability Resources (FHIR) standards. In this pivotal role, you are a specialized expert in healthcare data, leveraging their analytical skills and specific knowledge of Highmark's enterprise data to improve health outcomes, optimize costs, and enhance the member experience. This includes ensuring data quality, integrity, and security across various platforms, from initial concept to ongoing support.

This role is essential for the secure and efficient exchange of patient clinical outcome data and payer claim and membership data between payers and providers. Your expertise will be critical in ensuring compliance with federal and Blue Cross Blue Shield Association (BCBSA) mandates and directly contributing to Highmark Health's strategic "quintuple aim" objectives: reducing the cost of care, addressing health equity and access, improving health outcomes, and enhancing both customer and clinician/provider experiences.

Key Skills:

• Fast Healthcare Interoperability Resources (FHIR)
• Cloud & Big Data Platforms:  Google Cloud Platform (GCP), Google Healthcare Data Engine (HDE), BigQuery, PostgreSQL
• EHR Systems: Epic, Cerner (and similar)

Key Skills:

• Fast Healthcare Interoperability Resources (FHIR)
• ETL Tools & Scripting Languages: Python, PySpark
• Cloud & Big Data Platforms: Databricks, Google Cloud Platform (GCP), Google Healthcare Data Engine (HDE), BigQuery, PostgreSQL
• EHR Systems: Epic, Cerner (and similar)
• Fast Healthcare Interoperability Resources (FHIR)
• Google Cloud Platform (GCP)
• Google Healthcare Data Engine (HDE)
• Big Data platforms such as BigQuery, PostGres
• Electronic Health Record (EHR) systems such as Epic, Cerner, etc.

ESSENTIAL RESPONSIBILITIES

• Lead in working with customers,  Data Software Engineers, Data Architects, Capability Managers, and other team members to capture capability needs and drive quality data and reporting business solutions on complex issues. Create and maintain deliverables such as data set creation, operational reports, and analytical dashboards.

• Collaborate with or lead cross-functional teams, leveraging diverse data skills and perspectives to proactively identify and address data-related challenges across project phases, driving data-driven insights and solutions to ensure successful project delivery.

• Provide required business and/or subject matter expertise for both project and production related activities on complex issues, including new strategic programs or initiatives impacting current and existing systems.

• Ensure compliance for required standards and all necessary approvals have been obtained throughout the project lifecycle.

• Interface with the business areas, customers, partners, vendors, technical staff and project teams to drive value, return on investments and innovative solutions. This includes providing alternative solutions, including vendor solution acquisitions, with maximum benefits while reducing cost (e.g. cost benefit analysis, pros/cons of solutions).

• Lead in supporting various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts.

• Communicate in an exemplary manner with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.

• Provide thought leadership and strategic direction in Data, Product and Technology Solutions.

• Other duties as assigned or requested.

EXPERIENCE

Required

• 7 years of experience in IS/IT

Preferred

• 5 years of experience in Process Improvement

• 3 years of experience in Project Management
• 3 years of experience in Health Insurance Industry
• 3 years of experience in Healthcare Industry

SKILLS

• Advanced Analytical Skills

• Advanced Problem-Solving

• Advanced Communication Skills

• Report Writing

• SQL

• Project Management

• Customer Service

• Leadership

EDUCATION

Required

• Bachelor’s degree in Business Administration, Business Management, Information Technology, Information Systems or related field

Substitutions

• None

Preferred

• Master's degree in Business Administration, Business Management, Information Technology, Information Systems or related field

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• Scaled Agile Framework (SAFE)
• Project Management Professional (PMP

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office- or Remote-based

Teaches / trains others

Occasionally

Travel from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

No

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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