Data Analyst, Clinical Eligibility (Hybrid NY)

Healthfirst
New York, US
Hybrid

Job Description

Job Profile Summary The Operations Strategic Data Analyst supports Clinical Eligibility (CE) and Operations by analyzing operational data to improve performance, accuracy, and efficiency. The incumbent embraces complex, disparate data sets and leading technologies to design data models, craft scoring methodologies and develop algorithms that inform the leaders of our business on our performance. The Operations Strategic Data Analyst partners with cross-functional teams to deliver insights, support reporting, and contribute to process improvement initiatives. This is an individual contributor role focused on executing defined analytical workstreams.

Duties & Responsibilities:

  • Perform root cause analyses to support process improvement initiatives
  • Translate business questions into structured analyses and actionable insights
  • Write SQL queries and develop reports to support business and operational needs
  • Develop and maintain dashboards and reports to monitor performance
  • Validate data accuracy, completeness, and consistency across reporting outputs
  • Summarize and present data outcomes, recommendations, and methodology to analytics leadership, department leadership, and enterprise stakeholders
  • Learn, adopt and leverage leading analytical tools and technologies to further the maturity of departmental analytics at-large
  • Contribute to development of scalable and repeatable reporting solutions to reduce manual processes
  • Hold oneself accountable for the accuracy, completeness, quality, and relevance of deliverables in order to own responsibility for work product and consider these factors in the end-to-end analytical process, from data gathering to analysis to formatting and presentation
  • Employ best practices in documentation, coding style and comments to facilitate persistence, reusability, and scalability of your solutions
  • Document and escalate data issues as appropriate
  • Exhibit collaborative attitude, willingness to work with others on data projects that included working team(s) made of cross departmental/interdisciplinary users
  • Support ad hoc analyses for operations and clinical teams
  • Additional duties as assigned

Minimum Qualifications:

  • Bachelor’s degree from an accredited institution or equivalent relevant work experience
  • Working experience exhibiting strong critical thinking and analytical skills
  • Advanced MS Excel skills that include creating pivot tables, macros, utilizing v/h lookups and VBA
  • Familiarity with writing SQL (and/or SAS) queries for analyzing data and establishing business rules and requirements
  • Familiarity with relational database structures, theories, principles, and practices
  • Familiarity with data models and/or data modelling
  • Understanding of the data lifecycle within the organization and its impact on the business
  • Experience working in a team-oriented, collaborative environment
  • Experience communicating effectively verbally and in writing while demonstrating good grammar, spelling, and punctuation skills
  • Work experience requiring meticulous attention to detail

Preferred Qualifications:

  • 1–2 years of experience in data analysis or related field
  • Degree in Mathematics, Computer Science, Data Sciences, Engineering, Business Analytics, Informatics, or similar concentration
  • Experience working with SQL in a professional environment
  • Experience with Tableau or similar visualization tools
  • Experience working with large datasets
  • Familiarity with statistical principles, such as standard deviations, normal distributions, and regressions
  • Familiarity with Python and/or R
  • Familiarity with healthcare data
  • Balances working independently with an understanding of when to escalate with questions/issues
  • Ability to work effectively with both business and technical stakeholders
  • Experience in healthcare, managed care, or payer operations
  • Familiarity with CMS/DOH regulatory environments

Hiring Range*:

Greater New York City Area (NY, NJ, CT residents): $68,900 - $99,620

All Other Locations (within approved locations): $61,300 - $91,120

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

  • The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

61300-91120

Skills & Requirements

Technical Skills

SqlSasRelational database structuresData modelsClinical eligibility

Salary

$68,900 - $99,620

year

Employment Type

FULL TIME

Level

Mid-Level

Posted

4/30/2026

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