Senior Business Analyst Medicaid ACO – Steward Health Care System

Clipped from:

Position Purpose: Reporting to the Senior Manager of Analytics and in support of the Director of Medicaid ACO, the Senior Clinical Healthcare Analyst will demonstrate strong knowledge of performance indicators and deliver actionable data and key business insights to the Steward Health Care Network (SHCN)’s Medicaid Accountable Care Organization.

  • Conducts sophisticated business analyses to support Medicaid ACO program development and ongoing operations, grounded in deep expertise and functionality with both SHCN Enterprise data warehouse and publicly available Medicaid-related health care data sources
  • Analyze and recommend opportunities and financial impacts of strategic partnerships, new Medicaid programs, and key Medicaid ACO related initiatives
  • Build predictive models that provide Operations and Clinical Care Management Teams with targeted member outreach and engagement activities for improved health outcomes
  • Respond to government requests for data that demonstrate statistically significant health outcomes towards program improvement goals in the areas of cost effectiveness and quality
  • Collaborate with Steward’s Analytics, and Informatics teams to maintain proper data governance oversight and data integrity management of the MassHealth data
  • Other duties as assigned based on business needs


Education / Experience / Other Requirements


  • Bachelor’s degree required; Master’s preferred

Years of Experience:  

  • 3-5 years of relevant experience in healthcare, analytics, or informatics

Specialized Knowledge:  

  • Demonstrated knowledge of health plan claims data and familiarity with Medicaid and other public programs 
  • Possess strong skills in SQL, Excel, Access, PowerPoint, and BI visualization tools, preferably tableau
  • Data science applications (e.g., R, Python, etc.) to build predictive models
  • Strong understanding of statistical concepts (Probability Distribution, Dimension Reduction, Bayesian Statistics)
  • Organizational and project management skills to manage projects effectively
  • Excellent verbal and written communication skills, including data visualization to present complex data analysis, outstanding interpersonal skills
  • Commitment to service excellence; Ability to deliver timely and accurate work product to a broad customer base. 


Physical and Mental Demands

These physical and mental demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


☒    Talking

☒    Hearing

☐    Standing

☐    Repetitive Motion

☒    Visual Acuity

☐    Walking

☐    Lifting <20 lbs

☐    Lifting >20 lbs

☐    Reaching

☐    Climbing

☐    Pushing / Pulling

☐    Stooping / Crouching

☐    Sedentary Work

☐    Light Work

☐    Medium Work

☒    Critical Thinking

☒    Mental concentration

☐    Driving