Senior Analyst, EAS Client Analytics

This is a fully remote position, open to applicants in United States.

📋 Description

• Examine healthcare utilization, authorization, and claims data to uncover trends, cost drivers, and areas for improvement.

• Conduct intricate data analysis utilizing SQL, PowerBI, and Excel.

• Update, assess, and sustain actuarial or financial models for gainshare, ROI arrangements, and forecasting.

• Create and maintain reports, dashboards, and performance metrics.

• Automate and enhance recurring reports along with ad hoc analyses.

• Review and perform quality assurance on outputs, detect trends, and convey essential information to non-analytics teams.

• Develop exhibits, presentations, and narratives that summarize financial analyses and actuarial modeling outcomes.

• Collaborate with internal teams and external clients to gather requirements and provide actionable insights.

• Design custom ad hoc logic with guidance and oversight from stakeholders.

• Participate in standups, client discussions, and cross-functional project teams.

• Translate business inquiries into analytical challenges and deliver data-driven solutions.

• Identify data gaps, suggest solutions, and lead resolution efforts.

• Enhance data reliability, reporting efficiency, and analytical methodologies.

• Peer review reports and presentations and mentor junior team members on presentation best practices.

• Contribute to scalable and repeatable analytics solutions.

• Build and expand knowledge of U.S. healthcare systems, claims, reimbursement models, and regulatory frameworks.

• Stay updated on trends and best practices in healthcare analytics.

⛳️ Requirements

• Bachelor's degree.

• Over 4 years of experience in healthcare data analysis or a related role.

• Strong expertise in SQL, Excel, and data visualization tools.

• Capability to merge multiple data sources and utilize pivot tables and aggregation techniques across various dimensions.

• Proficient in healthcare data, including medical, pharmacy, ancillary claims, membership, and clinical operational data.

• Preferred experience with value-based analyses or Medicaid.

• Experience in financial analysis, forecasting, or actuarial analyses is preferred.

• Exceptional analytical and mathematical skills are preferred.

• Ability to effectively communicate complex analyses is preferred.

• Proven problem-solving skills and meticulous attention to detail are preferred.

• Capacity to work in a highly matrixed environment and adapt to changes is preferred.

• Progress toward Associate of the Society of Actuaries certification is preferred.

• High-speed internet connection exceeding 10 Mbps at home.

• Capability to complete identity verification, comprehensive background checks, and in-person I-9 verification.

• May be required to undergo drug screening prior to employment.

• Government-issued photo ID needed for identity verification.

• Use of artificial intelligence tools is prohibited during interviews.

🏝️ Benefits

• Work/life balance.

• Flexible work arrangements.

• Autonomy to accomplish tasks.

• Health insurance benefits for eligible employees.

• Support for reasonable accommodations.