The Clinical Data Analyst partners with clinical leadership, payor relations, and operations to translate clinical data into the evidence story that demonstrates Centria's value to payors and regulators. This role uses the Donabedian framework (structure, process, outcome) as the analytic spine for organizing, interpreting, and communicating Centria's clinical performance.
The Clinical Data Analyst builds and maintains the dashboards, payor reports, and analytic narratives that show how Centria's care delivery produces measurable outcomes. The role sits at the intersection of clinical quality, data analytics, and payor strategy.
Duties and Responsibilities
The below reflects the essential functions considered necessary for this role and shall not be construed as a detailed description of all work requirements inherent in the job or assigned by supervisory personnel. This job description is used as a guide only and not inclusive of all responsibilities and job duties.
- Apply the Donabedian framework (structure, process, outcome) to organize Centria's clinical data into a coherent value narrative for internal leadership, payors, and regulators.
- Build and maintain Power BI dashboards that translate clinical performance data into payor-facing evidence of quality, access, and outcomes.
- Partner with payor relations and clinical leadership to develop outcomes reporting that supports value-based contracts, corrective action plans, rate negotiations, and managed care reviews.
- Analyze clinical, utilization, and claims data to identify trends, risks, and opportunities that strengthen Centria's payor positioning.
- Translate clinical and operational data into clear, defensible analytic narratives for executive, payor, and regulatory audiences.
- Research industry standards in healthcare quality measurement, value-based care, HEDIS-style metrics, and outcomes frameworks. Benchmark Centria against the field.
- Maintain the integrity and ongoing development of Centria's clinical data and quality measurement frameworks.
- Construct concise presentations and reporting packages for payors, executive leadership, and external stakeholders.
- Automate recurring analytic processes using Power BI, SQL, Excel, and related tooling to scale capacity.
- Build relationships and collaborate across clinical, payor relations, finance, and operations teams to provide a high level of internal partnership.
- Maintain a high level of confidentiality related to clinical data, payor agreements, employee performance, client data, and action plans.
- Create and track KPIs relative to clinical quality and value demonstration initiatives.
- Assist with ad hoc analysis requests, particularly those tied to payor inquiries, regulatory reporting, and executive decision support.
- Compliance with Centria's Code of Conduct, policies and procedures, and Federal and State laws.
- Responsibility to report violations of Company policies or the Code of Conduct.
Qualifications
These guidelines can be used to make a list of qualifications required (or preferred) to perform the job successfully.
Education/Certifications
- Bachelor's degree required in Health Services Research, Health Policy, Public Health, Health Administration, Data Analytics, Statistics, Economics, or a related quantitative or healthcare field.
- Master's degree preferred (MPH, MHA, MS in Health Services Research, Analytics, or related).
Work Experience
- Minimum of 3 years of experience in healthcare analytics, payor analytics, managed care, or health services research.
- Direct experience working with or for a payor (commercial, Medicaid, Medicaid managed care, or Medicare Advantage) strongly preferred.
- Experience with value-based care, quality measurement, HEDIS, or similar healthcare quality frameworks.
- Experience applying or working within the Donabedian framework, or comparable structure-process-outcome models, is highly preferred.
- Experience with claims data, utilization data, and healthcare cost analytics preferred.
- Experience producing payor-facing reporting, regulatory submissions, or value-based contract analytics is a plus.
Equipment and Technology Requirements
- Advanced proficiency in Power BI for data visualization, dashboard development, and DAX.
- Proficiency in SQL for data extraction, transformation, and analysis.
- Advanced proficiency in Microsoft Excel, including pivot tables, complex formulas, and Power Query.
- Proficiency in Microsoft Suite (Word, PowerPoint, Outlook) and G Suite (Gmail, Drive, Docs, Sheets, Meet).
- Working knowledge of healthcare data structures (claims, EHR, clinical documentation systems).
- Familiarity with statistical analysis tools (R, Python, or SAS) is a plus.
- Working knowledge of laptop/desktop PC.
Knowledge and Skills
- Demonstrated ability to translate complex clinical and analytic findings into clear narratives for non-technical audiences, particularly payors and executives.
- Strong understanding of healthcare quality frameworks, value-based care, and outcomes measurement.
- High degree of diplomacy in handling sensitive and confidential information.
- Accuracy, attention to detail, ability to work independently, and proficient time management skills.
- Considerable reporting and analysis experience, including report design and delivery, analytical and data mining activities.
- Experience identifying and understanding issues, problems, and opportunities.
- Strong written and verbal communication skills in English, with the ability to write defensible analytic narratives.
- Proven adaptability with a willingness to work both collaboratively and individually to achieve desired business outcomes.
- Ability to compare data from multiple sources, draw defensible conclusions, and recommend a course of action.
Working Conditions
- Centria's office hours are Monday through Friday from 8:30 AM 6:00 PM.
- Additional time or occasional shift in schedule may be required to complete the above work or meet company objectives.
Physical Demands
While performing the duties of this job, physical requirements such as bending, reaching, lifting, pushing, or pulling up to 30 pounds may be required. This role will require sitting most of the day as well as walking and standing periodically. This role may require close visual acuity on computer screens or monitors and the ability to analyze data and figures on a screen.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, Veteran status, or disability status. This job description is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities, or working conditions associated with the position. Centria reserves the right to amend this job description at any time, with or without written notice.
