Health Informatics Analyst - Remote

Job Summary

The Health Informatics Analyst leverages data and informatics expertise to analyze clinical, financial, and operational information, providing insights that inform strategic decision-making and improve patient and business outcomes. This role designs and executes data-driven solutions using advanced tools and methodologies (e.g., SQL, Excel) to identify trends, address complex challenges, and support evidence-based decision-making. The position acts as a critical partner across business functions and translates complex data into actionable intelligence that drives efficiency, compliance, and long-term organizational growth.

Responsibilities

• Analyze, mine, and document complex healthcare claims and authorizations data sets to identify patterns and trends using scripting, data blending, data visualization, and statistical programming languages to help translate high-level business problems into well-informed potential strategies and solutions
• Partner with stakeholders to understand needs, ensure proper collection of data sources, acquire data, and organize data into a format that is readily available
• Interpret results and present data as a compelling story that answer stakeholder questions, provide insights, and drive insightful decisions for leaders at all levels of the organization
• Identify and solve problems through data analytics and statistical modeling, and determine the best approach in methodology
• Perform ad hoc analyses of varying complexity and duration, delivering actionable insights aligned to business needs
• Provide status reports that deliver clear, detailed descriptions of project progress, including time allocation by task
• Coordinate and mentor analytics efforts performed by in-house staff or external consultants to ensure timely and accurate project delivery
• Other duties as assigned

Minimum Qualifications

• Bachelors degree in Health Informatics, Computer Science, Data Science, Statistics, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED required
• 2 years of work experience in healthcare analytics
• Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Ability to manage multiple projects with tight deadlines
• Strong analytical and problem-solving skills with attention to detail
• Effective communicator able to translate and explain technical data and insights to non-technical audience
• Knowledge of pharmacy benefit structures, drug pricing and claims processing
• Familiarity with drug coding systems (NDC) and medical coding (ICD, CPT, HCPCS)

Preferred Qualifications

• Experience in a PBM, health plan, or payer organization
• Experienced with transact-SQL (MS SQL or Oracle)
• Experience with SAS, GCP, Python and/or other data mining tools
• Experience working with large datasets, including data warehousing and business intelligence tools
• First Databank, Medi-Span Experience