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Healthcare Data Analytics Jobs (NOW HIRING)

Astiva Health

Healthcare Data Analyst

Orange, CA · On-site

$85K - $115K/yr

The Healthcare Data Analyst is responsible for analyzing healthcare data to support clinical ... Provide analytics and reporting to MSOs/IPAs and internal teams, including quality, pharmacy, and ...

Cyber Resource

Healthcare Data Analyst

Richmond, VA · On-site

... analytics. · Deep understanding of medical vocabularies from both a clinical viewpoint and ... data out of electronic health record systems · Demonstrated experience answering clinical ...

Arka Infotech Inc

Healthcare Data Architect

Richmond, VA

$63 - $81.25/hr

Position: Healthcare Data Architect Location: Richmond, VA Length: 3 months- w/option for extension ... analytics hubs and data marts. o Perform the detailed data analysis. Verify natural keys through ...

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How much do healthcare data analytics jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for healthcare data analytics in the United States is $54.75, according to ZipRecruiter salary data. Most workers in this role earn between $43.99 and $62.02 per hour, depending on experience, location, and employer.

What healthcare jobs pay over $100k per year?

Healthcare data analysts, health informatics managers, and healthcare executives often earn over $100,000 annually. These roles typically require strong analytical skills, proficiency with data tools, and relevant certifications or advanced degrees. Salaries vary based on experience, location, and organization size.

Will healthcare data analyst be replaced by AI?

Healthcare data analysts play a crucial role in interpreting complex health data, and while AI tools can automate routine tasks like data collection and basic analysis, they are unlikely to fully replace analysts. Human expertise is essential for contextual understanding, decision-making, and ensuring data accuracy in healthcare environments.

What does a data analyst do in healthcare?

A healthcare data analyst collects, processes, and interprets medical and operational data to improve patient outcomes, optimize workflows, and support decision-making. They use tools like Excel, SQL, and data visualization software to identify trends and generate reports for healthcare providers and administrators.

What are some typical challenges faced in a Healthcare Data Analytics role?

Healthcare Data Analytics professionals often encounter challenges such as dealing with incomplete or inconsistent data, ensuring compliance with strict data privacy regulations like HIPAA, and integrating data from multiple sources. Maintaining data integrity while extracting meaningful insights requires analytical rigor and a thorough understanding of both healthcare workflows and data management best practices. Additionally, translating complex findings into actionable recommendations for clinical or administrative teams can be demanding but is key to driving improvements. Effective communication and a proactive approach to problem-solving help address these challenges and ensure impactful results.

What are the key skills and qualifications needed to thrive in the Healthcare Data Analytics position, and why are they important?

To thrive in Healthcare Data Analytics, you need a strong background in statistics, data analysis, and healthcare systems, often supported by a degree in health informatics, data science, or a related field. Experience with tools like SQL, Python/R, Tableau, and electronic health record (EHR) systems, as well as certifications such as Certified Health Data Analyst (CHDA), is highly valuable. Problem-solving abilities, attention to detail, and effective communication skills help you interpret complex data and present insights to non-technical stakeholders. These competencies are crucial for successfully leveraging data to improve patient outcomes and drive operational efficiencies in healthcare organizations.

What is a Healthcare Data Analytics job?

A Healthcare Data Analytics job involves collecting, processing, and analyzing healthcare data to improve patient outcomes, operational efficiency, and decision-making. Professionals in this role use statistical models, machine learning, and data visualization tools to identify trends and insights. They work with electronic health records (EHRs), claims data, and other medical datasets to support healthcare providers, insurers, and policymakers. This role requires knowledge of data analysis techniques, healthcare regulations (such as HIPAA), and industry-specific software.

Is healthcare data analytics a good career?

Healthcare data analytics is a growing field that involves analyzing medical data to improve patient outcomes and operational efficiency. It typically requires skills in data management, statistical analysis, and familiarity with healthcare systems and tools like SQL, Python, or R. The profession offers strong job prospects, competitive salaries, and opportunities for specialization and advancement.
More about Healthcare Data Analytics jobs
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Healthcare Data Analytics jobs near you
Infographic showing various Healthcare Data Analytics job openings in the United States as of July 2026, with employment types broken down into 95% Full Time, 3% Part Time, and 2% Contract. Highlights an 80% Physical, 6% Hybrid, and 14% Remote job distribution, with an average salary of $113,873 per year, or $54.7 per hour.
Healthcare Data Analyst

Healthcare Data Analyst

Astiva Health

Orange, CA • On-site

$85K - $115K/yr

Other

Re-posted 2 days ago

Job description

Description

About Us:

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.


SUMMARY:

The Healthcare Data Analyst is responsible for analyzing healthcare data to support clinical, operational, and financial decision-making within Medicare Advantage programs. This role focuses on key areas including risk adjustment, quality measures (HEDIS and Star Ratings), pharmacy adherence, and claims analysis. 

The analyst collaborates with clinical, quality, pharmacy, and provider teams to identify trends, monitor program performance, and support CMS regulatory reporting. The role also includes developing automated data workflows and reporting solutions that deliver timely, actionable insights across the organization.


ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:


Data Analysis & Reporting

  • Analyze medical and pharmacy claims, membership, supplement, lab, risk adjustment, and encounter data to support Medicare Advantage quality, risk, and operational programs.
  • Develop and maintain dashboards and reports for HEDIS, Star Ratings, medication adherence, RAF/HCC performance, and EDPS encounter data.
  • Identify trends, care gaps, and performance opportunities to support quality improvement, pharmacy initiatives, and risk adjustment efforts.
  • Provide analytics and reporting to MSOs/IPAs and internal teams, including quality, pharmacy, and risk adjustment.
  • Support regulatory and CMS-related analyses, including encounter data monitoring, claims acceptance, and HCC performance.
  • Deliver consolidated reporting and insights to leadership for strategic decision-making.
  • Examine payments, cost of care, and utilization data to produce metrics for bid submission and JOMs or to address concerns from business partners.
  • Support ad hoc reporting needs across the organization.

Data Quality & Validation

  • Validate and reconcile claims, pharmacy, provider, membership, supplement, and lab data to ensure accuracy and completeness.
  • Investigate and resolve data discrepancies, anomalies, and reporting issues across Medicare Advantage data sources.

Technical & Database Work

  • Write and optimize SQL queries and stored procedures for data extraction, transformation, and analysis.
  • Develop automated ETL workflows and data pipelines to support ongoing reporting needs.
  • Work with large datasets in SQL Server and healthcare analytics platforms.
  • Build dashboards and data visualizations using Power BI or SSRS.
  • Utilize tools such as SQL Server, SSIS, Power BI, SSRS, Python, and Excel.

Collaboration

  • Partner with clinical, pharmacy, quality, enrollment, credentialing, and finance teams to interpret results and support program initiatives.
  • Assist with regulatory and compliance-related reporting requirements.
  • Present findings and insights to both technical and non-technical stakeholders

Requirements

Required Qualifications

  • Bachelor's degree in Data Analytics, Health Informatics, Statistics, Computer Science, or related field.
  • 2-5+ years of healthcare data analytics experience.
  • Knowledge of Medicare Advantage programs, HEDIS, and/or CMS Star Ratings.
  • Advanced SQL skills for querying and analyzing large datasets.
  • Experience with BI tools such as Power BI, SSRS, or similar tools.
  • Strong analytical, problem-solving, and communication skills.

Preferred Qualifications

  • Experience working in Medicare Advantage organizations, MSOs, or managed care settings.
  • Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements.
  • Experience analyzing pharmacy adherence metrics (e.g., PDC).
  • Familiarity with EDPS encounter data, claims submissions, and acceptance processes.
  • Experience with ETL tools (e.g., SSIS) or programming languages such as Python or .NET.

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