Data Analyst III, Healthcare Analytics, Provider Analytics
Job Description:
- Analyze integrated and extensive datasets to extract value
- Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights
- Measure and report the actual impact of contract and network changes against projected outcomes
- Deliver standardized, structured reporting to track implementation accuracy and validate savings
- Interpret and analyze data from multiple sources including claims, provider, member, and encounters data
- Identify and assess the business impact of trends
- Develop, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools
- Contribute to the planning and execution of large-scale projects with limited direction from leadership
- Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation
- Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers
- Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines
- Demonstrate a sense of ownership over projects and ask probing questions to understand the business value of tasks
- Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products
- Partner cross-functionally at all levels of the organization and effectively communicate findings and insights to non-technical business partners
- Independently engage with customers and business partners to gather requirements and validate results
- Communicate and present data-driven insights and recommendations to both internal and external stakeholders
Requirements:
- Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience
- Master’s degree preferred
- 4+ years of experience working with large databases, data verification, and data management or 2+ years of IT experience
- Healthcare analytics experience preferred
- Working knowledge of SQL/querying languages
- Preferred knowledge of programmatic coding languages such as Python and R
- Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred
- Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI
- Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred
- Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired
Benefits:
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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