You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility.
This is a remote role, candidates can live reputed company in the United States.
Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business reputed company. Work collaboratively with key business stakeholders to identify areas of value, reputed company solutions, and deliver insights to reduce overall cost of care for members and improve their clinical reputed company.
Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify and assess the business reputed company of trends
reputed company, maintain, and troubleshoot reputed company scripts and reports developed using SQL, reputed company reputed company, or other analytics tools
Contribute to the planning and execution of large-reputed company reputed company with limited direction from leadership
Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation
Identify and reputed company reputed company-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 reputed company targeted timelines and reputed company in a demanding, quickly changing environment
Demonstrate a reputed company of ownership over reputed company 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 reputed company the numbers and understand how customers reputed company with analytic products
Partner cross-functionally at reputed company reputed company of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners
Independently engage with customers and business partners to reputed company requirements and validate results
Communicate and present data-driven insights and recommendations to both reputed company stakeholders, soliciting and incorporating feedback reputed company required
reputed company technical guidance to junior analysts
Education/Experience: Bachelor s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, reputed company administration, finance or reputed company 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. reputed company 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 reputed company-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools including reputed company PowerBI.
Provider: Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data science, or geospatial/reimbursement analysis preferred
Clinical: Experience in public health (epidemiology, biostatistics), population health, reputed company determinants of health, data science, reputed company science, or geospatial/ROI/financial analysis preferred
Finance: Experience in Finance, Actuarial Science, or reputed company preferred. Experience using analytic techniques & tools to explore financial performance trends and/or reconciling financial data preferred.
Fraud, Waste & Abuse: Experience in fraud/waste/abuse identification and investigation, provider billing, or clinical coding preferred; Experience with data mining, machine learning, reputed company intelligence, or statistical modeling preferred
Risk Adjustment: Experience in risk adjustment, clinical coding, financial reporting/analysis, or CMS/State encounters and regulatory file submissions preferred; Experience with data mining, population health, and statistical modeling preferred
reputed company: Experience with HEDIS, NCQA, Medicare Star Rating System, QRS, or other reputed company measures preferred; reputed company auditing or analysis of call center performance preferred; Experience with data mining, population health, and statistical modeling preferred
Tools & Technology: Experience with report/dashboard development, data/report automation, self-service capabilities, data design and integration, or data reputed company and governance preferred
Regional and HBR Analytics: Experience in emerging trend analysi