Informatics Lead

CarePlus Health Plans Inc

Remote
Base: $117,600 - $161,700 py; bonus/equity: eligib...
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Medicaid prior authorization reporting
Advanced analytical support
Data-driven decision-making
** CarePlus Health Plans Inc is seeking an Informatics Lead to provide advanced analytical support for Medicaid Prior Authorization reporting. This remote position emphasizes collaboration across teams to ensure compliance with state-specific guidelines while enhancing operational efficiency. **

Job Summary

  • The Informatics Lead will provide advanced analytical support and oversight for Medicaid Prior Authorization (PA) reporting, driving informatics initiatives to support key stakeholders.
  • This role requires collaboration with cross-functional teams to maintain knowledge of PA processes and state-specific reporting requirements for regulatory compliance and operational excellence.
  • The position demands strong technical expertise in SQL and Power BI, leadership abilities, and a commitment to data governance standards within the healthcare environment.

Matching Summary

Match Score: 75

** CarePlus Health Plans Inc is seeking an Informatics Lead to provide advanced analytical support for Medicaid Prior Authorization reporting. This remote position emphasizes collaboration across teams to ensure compliance with state-specific guidelines while enhancing operational efficiency. **

Salary

Base: $117,600 - $161,700 per year; Bonus/Equity: eligible for a bonus incentive plan; Benefits: medical, dental, vision, 401(k), time off, disability, life insurance

Skills & Requirements

Must-have

  • Medicaid Prior Authorization reporting
  • advanced analytical support
  • data-driven decision-making
  • regulatory compliance
  • SQL coding and querying large-scale tables
  • Power BI and DAX queries

Nice-to-have

  • collaboration with cross-functional teams
  • upholding data governance standards
  • mentoring junior staff
  • promoting best practices

Key Requirements

  • Bachelor's or Master's degree in Informatics, Computer Science, Data Science, Health Information Management, or related field
  • Minimum of 5 years’ experience in data analytics
  • Proficient in Power BI, including Paginated Reporting and writing DAX queries
  • Strong understanding of data governance, privacy, and regulatory compliance
  • Medicaid reporting experience preferred
  • Experience with Databricks preferred

Work Rights

Not specified

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