POSITION SUMMARY:

The Data Analyst for the Enhanced Care Management (ECM) department is responsible for collecting, analyzing, and reporting on data related to high-need, high-risk populations enrolled in ECM programs. This position supports care coordination teams by providing actionable insights that improve member outcomes, address social drivers of health, and ensure compliance with Medi-Cal and regulatory reporting requirements. The analyst plays a key role in tracking program effectiveness, monitoring performance metrics, and supporting quality improvement initiatives.

ESSENTIAL DUTIES AND RESPONSIBILITIES: Listed below you will find essential duties and responsibilities to successfully perform this job. Reasonable accommodation will be granted, as necessary to perform the essential duties and function of this position.

Extract, validate, and analyze data related to ECM members, including demographics, risk stratification, utilization, quality measures, and social determinants of health (SDOH).
Develop and maintain dashboards, scorecards, and reports to track program enrollment, outreach, engagement, and outcomes.
Monitor performance against ECM contractual requirements and state-mandated reporting metrics.
Collaborate with ECM care managers, social workers, and clinicians to provide data that supports individualized care planning and population health strategies.
Identify trends in emergency department use, hospital admissions, chronic condition management, and member engagement to drive targeted interventions.
Support quality improvement projects by analyzing root causes, evaluating effectiveness of interventions, and recommending data-driven strategies.
Ensure accuracy, integrity, and security of sensitive member data in compliance with HIPAA and Medi-Cal standards.
Assist in preparing required reports for health plans, state agencies, and accrediting bodies.
Participate in cross-departmental initiatives to improve care delivery and reduce health disparities.
Perform other duties as required by management

The requirements listed below are representative of the knowledge, skill, and/or ability required for this position.

EDUCATION, EXPERIENCE & CERTIFICATIONS
- Bachelor’s degree in Data Analytics, Public Health, Healthcare Administration, Statistics, or related field (master’s preferred).
- 2+ years of data analysis experience in healthcare, preferably in Medi-Cal, managed care, or population health.
- Experience working with Medi-Cal programs, Enhanced Care Management, Whole Person Care, or related initiatives strongly preferred.
- Familiarity with healthcare quality measures (HEDIS, UDS, CMS Core Measures) and Medi-Cal reporting requirements.
- Valid Driver’s License with clean/good driving record
SKILLS & KNOWLEDGE
- Proficiency in SQL, Excel, and data visualization tools (Tableau, Power BI, or equivalent).
- Working knowledge of statistical analysis tools (Python, R, or SAS).
- Experience with EHR systems, care management platforms, and claims/utilization data.
- Understanding of risk stratification, predictive modeling, and population health analytics.
- Strong analytical and critical thinking skills with attention to detail.
- Ability to clearly communicate insights to both clinical and non-technical staff.
- Collaborative mindset with experience supporting multidisciplinary care teams.
- Strong organizational and time-management skills to manage multiple priorities.
- Commitment to health equity, cultural competency, and addressing social drivers of health.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The work environment is characteristic of a clinical environment. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit, use hands to handle or feel. The employee is also required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus. The employee must also possess hearing and speech to communicate in person and over the phone. The noise level in the work environment is usually noisy.

The employee may be in contact with individuals and families in crisis who may be ill, using substances and/or not attentive to personal health and safety for themselves or their homes. The employee may experience a number of unpleasant sensory demands associated with the client’s use of alcohol and drugs, and the lack of personal care. The employee may also be exposed to bodily fluids (blood, urine) and hazardous chemicals.

Health And Life Organization Inc

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