Healthcare Analyst Position Available In Orange, Florida

Healthcare Analyst InnovaCare Management Services Company, LLC 425 West Colonial Drive, Orlando, FL 32804

InnovaCare Management Services Company, LLC Knowledge and Skills:

Analyze performance under Medicare Advantage and other value-based contracts, including cost of care, utilization, quality metrics (e.g., STARs, HEDIS), and risk adjustment. Develop and maintain dashboards and reports using data visualization tools (e.g., Tableau, Power BI) to track KPIs across Innovacare’s primary care groups. Support clinical and care coordination teams with data on high-risk members, care gap closure, ER/SNF utilization, and chronic disease management. Assist in attribution reconciliation, performance forecasting, and incentive modeling in partnership with the contracting and finance teams. Monitor coding accuracy and documentation improvement opportunities to support accurate RAF (Risk Adjustment Factor) scores. Collaborate with IT and data engineering to improve data pipelines, ensure data integrity, and optimize reporting tools. Support payer reporting and compliance needs in accordance with CMS and state agency standards. Help prepare presentations for internal stakeholders and payers to report VBC performance and outcomes.

Technical Skills:

Proficiency in SQL and Excel; ability to write queries and manipulate large datasets. Strong experience with Tableau, Power BI, or similar visualization platforms. Experience with Python or R for data analysis a plus. Understanding of medical coding (ICD-10, CPT) and healthcare claims structure.

Core Competencies:

Strong analytical thinking and attention to detail. Ability to translate complex data into clear, actionable recommendations for clinical and business audiences. Strong communication and presentation skills. A self-starter who thrives in a fast-paced, evolving environment and is mission-driven.

Education:

Bachelor’s degree in public health, Health Informatics, Biostatistics, Healthcare Administration, or related field required. Master’s degree (MPH, MHA, MS in Analytics or similar) preferred.

Qualifications:

2-5 years of experience in healthcare analytics, preferably within Medicare Advantage, Medicaid managed care, or value-based primary care. Experience working with claims, EMR, and clinical data, especially in risk-bearing organizations or MSOs. Familiarity with CMS risk adjustment models (HCC), RAF scoring, and VBC contract performance metrics. The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.