Data Analyst in Orange at Prospect Medical Systems

Date Posted: 10/28/2020

Job Snapshot

Job Description

Data Analyst

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Data Analyst role supports the Performance Programs department, which oversees Medicare Risk Adjustment and Healthcare Effectiveness Data and Information Set (HEDIS) measure optimization and reporting.

Job Responsibilities/Duties

  • Extract and aggregate data from various health plan reports, portals, internal systems, and perform analysis to assist the department in identifying key priorities, initiatives, and areas of opportunity.
  • Generate reports in SSRS, Excel, QlikView and Power BI to track and communicate progress on key performance indicators to executive leadership and external partners.
  • Create department scorecards and dashboards by functional area or project. Refresh Power BI/QlikView/SQL reports tied to annual wellness visits, risk and quality metrics.
  • Act as a liaison between the Performance Programs department and internal and external customers, offering resolution to questions, concerns, issues, and grievances by way of research and analysis.
  • Develop and implement a comprehensive plan to ensure reporting of Medicare Risk Adjustment and HEDIS measures comply with government, health plan, coding rules, and guidelines; prepares for internal and external audits.
  • Demonstrate detailed understanding of HCC model and quality measures to help organizational success in these areas.
  • Analyze and verify that data is loaded correctly to systems.  Analyze and correct anomalies with data, research discrepancies in systems, and provide and implement solutions to problems.    


Minimum Education: High School graduate or equivalent or GED.   Bachelor’s Degree preferred in business administration, IT, Computer Science, Health care, or related field. Equivalent experience will be considered.  

Minimum Experience:  Three or more years’ experience in data analysis required. Experience in health care domain preferred, especially related to Medicare Risk Adjustment, HEDIS Measures, and CMS Star Rating. Must have experience in SQL, and advanced skills in Excel, Access, pivot tables and MS Office Suite. Additional scripting knowledge is a plus. Experience in data visualization software such as Tableau or Power BI to generate interactive dashboards and reporting required.

Req. Certification/Licensure:   None

Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance

Prospect Medical Systems has a zero-tolerance policy regarding the use of drugs and alcohol.  Our Company is committed to maintaining a productive, drug free workplace that keeps employees and patients safe from harm.  For this reason, we require applicants to pass a screening for drug use as a condition of employment.  This includes: alcohol, marijuana, cocaine, opiates and methamphetamines.

How to Apply

To apply for this role, or search our other openings, please visit and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law:

Keywords: Performance Analysis, Analyze, Analyst,