Data Analyst 2

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Deliver primary analytic support for reinsurance, large employer RFPs, large employer and ASO, as well as state and/or federally mandated reporting and analyses.

• Collaborate with level 3 and 4 analysts along with analytics management across various departments.

• Execute data extraction from data warehouses and other nonstandard data sources.

• Clean, transform, and preprocess data utilizing tools like t-SQL and SAS.

• Assist in developing interactive data visualization solutions using Tableau or Microsoft Power BI.

• Create reports and analytical solutions for RFPs, large employers, ASO, and state and federal requests.

• Calculate and analyze value-based payment terms, supporting monthly reporting and financial reconciliation.

• Clearly present complex data, analyses, and findings to teams.

• Develop and maintain documentation, training materials, and job aids.

• Assess the impact of business changes on risk report specifications.

• Prepare ad hoc analyses related to cost and utilization opportunities.

• Support quality assurance, data validation, unit testing, error checks, and validation processes.

• Cultivate health insurance business knowledge and assigned analytics-support expertise.

• Meet the department and company performance and attendance standards.

• Undertake additional duties as assigned.

⛳️ Requirements

• A minimum of three years of experience in health insurance or a related field.

• Bachelor's degree in Mathematics, Computer Science, Statistics, Engineering, Health and Medical Economics, Public Health, or a similar research-related field.

• General understanding of business principles, theories, and concepts.

• Ability to manage multiple projects and meet competing deadlines.

• Capability to manage workload within a team environment or with minimal direct supervision.

• Ability to conceptualize solutions for complex problems; proactively anticipates issues and identifies solutions.

• Responsible handling of confidential information.

• Proficient in developing, documenting, and adhering to department policies and procedures.

• Familiarity with at least one statistical/analytical programming tool, such as R, SAS, or SPSS.

• General knowledge of Tableau, Power BI, and web-based database tools.

• Proficient in Microsoft Office applications: Word, Excel, PowerPoint, and Outlook.

• Ability to comply with PacificSource privacy policy and HIPAA regulations regarding the confidentiality and security of protected health information.

• Proficient in reading and understanding both written and spoken English.

• Ability to communicate clearly and effectively.

• Familiarity with Medicare Five-Star, Oregon Quality Incentive Measures, NCQA HEDIS, Health Care Payment Learning & Action Network (LAN), Alternative Payment Model framework, and Facets claims processing system is preferred.

• Working knowledge of medical costs is desired, along with experience in medical coding and terminology.

• A Master’s degree or higher is preferred.

🏝️ Benefits

• Commitment to equal opportunity employment.

• Work-from-home arrangement as indicated by the location field: WFH: NC.

• Travel required is approximately less than 5% of the time.