SENIOR HEALTH CARE DATA ANALYST - 66952

Executive Service

The Division of TennCare is dedicated to providing our employees with a hybrid work environment. All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need. You may review the specific expectations with our hiring team.

Background Check:

This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.

Who we are and what we do:

TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.7 million Tennesseans and operates with an annual budget of approximately $14 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS).

TennCare's mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and worked collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.

Job Overview:

The Health Care Data Analyst will be a junior member of the Health Care Informatics (HCI) group within TennCare's Fiscal Division. HCI is a dynamic team of 22 data professionals who provide comprehensive data and analytics services to various business units within TennCare and external stakeholders. The group is divided into two specialized teams: Program Integrity Analytics which focuses on identifying Medicaid-related waste, fraud, and abuse, and Managed Care Analytics, which handles fiscal and administrative reporting, supports operational decision-making across the enterprise, and contributes to program evaluation and research. Analysts on these teams are highly proficient in extracting, validating, analyzing, and reporting complex data using SQL, SAS, Tableau, and Power BI tools. They are responsible for developing reports, conducting in-depth analyses, and delivering actionable insights to stakeholders.

Analysts count and characterize members and providers, monitor the services they utilize or provide, and track and validate the costs of providing health care. Health Care Data Analysts evaluate data to determine significant patterns and trends and then presents and explain these findings to both lay and expert stakeholders within and outside of TennCare. This position is on the Managed Care Analytics team. HCI has excellent scores on TennCare's employee satisfaction and engagement surveys. HCI operates within an evolving technology environment. While our legacy systems are built around an Oracle data warehouse accessed through SQL IDEs, SAS, Tableau, and occasionally R or Python, we are transitioning to a new cloud-based data ecosystem. This new infrastructure is centered around a Snowflake enterprise data warehouse within Microsoft Azure, with a Decision Support System featuring PowerBI, ArcGIS, and SAS Viya.

Key Responsibilities:

• Communicating with stakeholders to clarify and refine requests for analytic reports or services
• Compiling and analyzing data to provide answers to user requests
• Writing advanced SQL queries to extract data and/or SAS (and other language) programs to manipulate and analyze data to solve specific questions or create meaningful reports at a high difficulty level
• Performing descriptive, inferential, and predictive statistical analyses at a high difficulty level
• Conducting peer reviews of other analysts' work

Providing actionable analytic results to stakeholders:

• Writing complex reports, specializing in making complex technical details accessible to non-data-trained individuals
• Developing and maintaining complex dashboards
• Giving informal or formal verbal reports of findings
• Providing thorough documentation of projects and processes
• Complying with regulations and mandates for data privacy
• Continued professional development and learning
• Collaborating with management and internal teams to implement and evaluate process improvements

Minimum Qualifications:

A bachelor's degree in a quantitative or related discipline (e.g., data science, biostatistics, etc.) and at least two years of relevant professional work experience OR a master's degree in quantitative or related discipline.

Desirable qualifications:

• A master's degree in a quantitative discipline is preferred
• At least four years' experience working in healthcare analytics, or a closely aligned field, is preferred Technical Skills
• Advanced knowledge of statistical theory and extensive applied experience with statistical analysis are essential
• Expert-level knowledge of statistical programming languages is essential: experience using SAS is preferred, but Python and/or R for analytics are an additional asset -Considerable experience with databases is necessary, including advanced understanding and utilization of SQL for database querying
• Advanced experience with one or more data visualization platforms such as Tableau or Microsoft PowerBI is desirable
• Deep familiarity with healthcare data is desirable, including insurance data and standard code sets (e.g., CPT/HCPCS, DRGs, ICD-10 (CM/PCS), NDC); healthcare delivery and financial systems, especially Medicaid and Medicare; risk adjustment, clinical grouper software and algorithms (e.g., Johns Hopkins ACG, Optum, 3M).

Professional and Leadership Skills:

• Demonstrated success in collaborating with cross-functional teams to apply advanced analytic tools, research, and evaluation methods to address complicated healthcare questions related to cost, outcomes, quality, access, administration, and program integrity.
• Proven ability to problem solves, working independently while effectively collaborating with team members when needed.
• Exceptional verbal and written communication skills
• Proven ability to interpret data and analytic products, providing actionable recommendations that support evidence-based decision-making and policymaking with a commitment to excellence.
• Thorough situational analysis, decision-making, and strategic thinking abilities.
• High capacity to manage multiple priorities simultaneously while maintaining attention to detail
• Demonstrated project management and organizational skills.
• A demonstrated ability to be inquisitive and detail-oriented and to continuously learn is highly value

Pursuant to the State of Tennessee's Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status or any other category protected by state and/or federal civil rights laws.