Data Analyst III, Healthcare Analytics, Provider Analytics

📋 Description

• Analyze integrated and extensive datasets to derive value.

• Collaborate effectively with key business stakeholders to pinpoint areas of value, devise solutions, and provide insights.

• Measure and report the actual impact of contract and network changes against anticipated outcomes.

• Produce standardized, structured reports to monitor implementation accuracy and confirm savings.

• Interpret and analyze data from various sources, including claims, provider, member, and encounter data.

• Identify and evaluate the business impact of emerging trends.

• Develop, maintain, and troubleshoot intricate scripts and reports using SQL, Microsoft Excel, or other analytical tools.

• Contribute to the planning and execution of large-scale projects with minimal direction from leadership.

• Assist in designing, testing, and implementing process enhancements while identifying opportunities for automation.

• Conduct root-cause analysis of data discrepancies and present findings and proposed solutions to leadership and/or customers.

• Manage multiple, variable tasks and data review processes with limited supervision while adhering to targeted timelines.

• Exhibit a sense of ownership over projects and pose insightful questions to comprehend the business value of tasks.

• Leverage expertise in quantitative analysis, data mining, and data presentation to gain insights beyond the numbers, understanding customer interactions with analytic products.

• Collaborate across all levels of the organization and effectively communicate findings and insights to non-technical business partners.

• Engage independently with customers and business partners to gather requirements and validate results.

• Convey 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 a related field, or equivalent experience.

• Master’s degree preferred.

• 4+ years of experience with large databases, data verification, and data management or 2+ years of IT experience.

• Healthcare analytics experience preferred.

• Proficient in SQL/querying languages.

• Familiarity with programming languages such as Python and R is preferred.

• Knowledge of statistical, analytical, or data mining techniques, including basic data modeling, trend analysis, and root-cause analysis is preferred.

• Preferred experience with 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.

• Understanding of claims payment, utilization management, provider/vendor contracts, and risk adjustment for government-sponsored healthcare is desired.

🏝️ Benefits

• Competitive pay.

• Health insurance.

• 401K and stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work approach with options for remote, hybrid, field, or office schedules.