Jefferson Health
Healthcare Data Analyst - Jefferson Health Plan
Philadelphia, PA · Full-time · Posted Oct 27, 2026
- Experience
- 2 years or more of clinical/healthcare experience, with emphasis on utilization review, case management, managed care, data analysis, and/or quality assurance.
- Education
- Bachelor’s degree or higher in actuarial science, mathematics, statistics, or another analytical field of study.
About the job
Analyzes healthcare, clinical, provider, claims, and financial data to produce reports and insights that support management decisions, quality improvement, and cost-saving initiatives.
What you'll do
- Create and maintain reports, dashboards, and analyses on utilization, outcomes, trends, and data quality.
- Analyze clinical and provider performance data, identify trends and root causes, and communicate findings to stakeholders.
- Support reliable datasets and improved reporting processes; prepare reports for provider groups and explain results.
What they ask for
- Bachelor’s degree or higher in actuarial science, mathematics, statistics, or another analytical field.
- At least 2 years of clinical/healthcare experience emphasizing utilization review, case management, managed care, data analysis, and/or quality assurance.
- Working knowledge of SQL and advanced use of business intelligence query tools, Excel, and databases such as Access.
- Strong quantitative and analytical skills, with the ability to communicate findings to technical and non-technical audiences.
Nice to have
- Knowledge of Medicare insurance and policies.
- Experience with provider coding practices using CPT, ICD-10 diagnosis codes, and DRGs; dashboard development skills.
Tools
Qlik, MicroStrategy, MS Access, MS Excel, SQL, CPT, ICD-10, DRG’s
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