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 Apply tot his job Apply To this Job