Job Description

Senior Clinical Analyst – Oracle HDI & Payer Analytics

Department:

Clinical Analytics

Position Summary:

The Senior Clinical Analyst serves as a strategic analytics leader focused on delivering actionable clinical and payer insights using Oracle Health Data Intelligence (HDI). This role supports key initiatives in value-based care performance, quality measure reporting, and predictive analytics, enhancing care delivery and financial outcomes. The analyst partners closely with clinical leadership, payer strategy teams, informatics, and enterprise IT to ensure the timely, accurate, and insightful delivery of data across the system.

Core Responsibilities:

1. Analytics Delivery (60%)

• Develop, maintain, and optimize clinical and payer dashboards using Oracle HDI tools (HealtheAnalytics, HDW, OAC).
• Design analyses that support quality performance (e.g., CMS Stars, HEDIS, MIPS), clinical operations, and cost-of-care improvement.
• Translate complex datasets into concise visualizations, supporting executive, physician, and operational decision-making.
• Lead root cause analyses for quality gaps, cost variation, and utilization trends, integrating claims, EMR, and SDOH data sources.

2. Subject Matter Expertise in HDI (20%)

• Serve as a subject matter expert on Oracle HDI platform capabilities, including standard registries, measure catalogs, and data modeling workflows.
• Collaborate with Oracle and consultants to test, validate, and deploy HDI content, including performance dashboards and payer contract tracking metrics.
• Partner with HDI administrators to manage access, user onboarding, and change requests across clinical domains.

3. Payer and Regulatory Reporting (10%)

• Support development and validation of payer extract files to meet contract and care gap closure requirements.
• Provide metric validation and performance monitoring for CMS and state programs (e.g., MIPS, Medicaid Quality).

4. Cross-functional Collaboration & Governance (10%)

• Actively participate in the Data & Metric Stewardship Workgroup, contributing to definitions, documentation, and governance of clinical and payer metrics.
• Work with end users on best practices for healthcare analytics, clinical data integrity, and visual storytelling.
• Support internal training sessions to drive adoption of HDI tools across clinical and operational teams.

Required Qualifications:

• Bachelor’s degree in health informatics, public health, biostatistics, data science, or related field (Master’s preferred).
• Minimum 5 years of experience in clinical or payer analytics within a healthcare system or payer organization.
• Advanced proficiency with Oracle HDI (HealtheAnalytics, HDW/OAC), SQL, Tableau or similar visualization tools.
• Strong understanding of healthcare quality programs (HEDIS, CMS Stars, MIPS, eCQMs) and value-based care models.
• Demonstrated ability to lead cross-functional analytics initiatives with minimal supervision.

Preferred Qualifications:

• Familiarity with payer contracting data and attribution logic.
• Exposure to automated data validation techniques or analytics in clinical environments.

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