SENIOR HEALTH CARE DATA ANALYST - 70175

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 senior member of TennCare's Health Care Informatics (HCI) group within the Fiscal Division. HCI is a team of 22 data professionals providing data and analytics services to TennCare and external stakeholders. The group has two teams: Program Integrity Analytics, which identifies Medicaid-related waste, fraud, and abuse, and Managed Care Analytics, which handles fiscal reporting and supports decision-making. Analysts use SQL, SAS, Tableau, and Power BI to extract, validate, analyze, and report data. They develop reports, conduct analyses, and deliver insights. This position is on the Program Integrity Analytics team.

Key Responsibilities:

1. Communicating with stakeholders to clarify and refine requests for data and analytic services
2. Compiling and analyzing data responsive to user requests
3. Writing advanced SQL queries or SAS programs
4. Performing high-level statistical analyses
5. Conducting peer reviews
6. Performing data mining to identify waste, fraud, and abuse
7. Providing actionable results to stakeholders
8. Writing complex, accessible reports
9. Developing and maintaining dashboards
10. Giving verbal reports
11. Documenting projects and processes
12. Complying with data privacy regulations
13. Continuing professional development
14. Collaborating with management and internal teams on process improvements

Minimum Qualifications:

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

OR

A master's degree in quantitative or related discipline.

Desirable qualifications:

Education and Experience:

Preferred:

Master's degree in a quantitative discipline

Preferred:

4+ years in healthcare analytics or a related field Technical Skills

Essential:

Advanced statistical theory and analysis

Essential:

Expert-level statistical programming (SAS preferred; Python/R beneficial)

Necessary:

Advanced SQL and database experience

Desirable:

Experience with data visualization platforms (Tableau, PowerBI)

Desirable qualifications continued:

Desirable:

• Deep familiarity with healthcare data, including insurance data, standard code sets, healthcare systems, and risk adjustment Professional and Leadership Skills
• Success in cross-functional team collaboration on complex healthcare questions
• Proven problem-solving and independent work capabilities
• Exceptional communication skills
• Ability to interpret data and provide actionable recommendations
• Strong situational analysis, decision-making, and strategic thinking
• High capacity for managing multiple priorities with attention to detail
• Demonstrated project management and organizational skills

Valued:

Inquisitive, detail-oriented, and committed to continuous learning

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.