Healthcare Data Analyst - RemoteThe Healthcare Data Analyst is responsible for analytics, financial analysis and claims auditing. This candidate will reside within the Analytics and Reporting department and will work closely with other members of the Clinical, Medical and Network teams to design and analyze operational and claims data. This person will also present results to internal stakeholders, existing and future clients. Additionally, the ideal candidate will serve as a leader in defining and prioritizing the strategic and tactical tasks surrounding future data intelligence.Essential FunctionsAnalyze business intelligence data to inform business and product decisions, blending historical results, available industry reports, purchased sources and public information as input to analysesIdentify areas for increased clinical focus and review/assess associated action plansMaintain provider rate information and assess overall cost impact of proposed changesSupport claims audit processes and procedures to ensure the fidelity of claims processingConduct on-going refinement of the risk stratification surrounding claims processingDesign, develop, interpret and present key internal business operational metrics reporting, serving as an ongoing voice for improving and increasing data intelligence leading to operational improvementsContribute to the identification and prioritization of improved reporting processes and proceduresProvide on-going analysis and recommendations for improvement of operations and clinical interventionsProvide direction in preparing and/or reviewing reports for publication.Assist with planning tactical goals to achieve major improvements in data analytics capabilities over timeAdheres to our Mission Statement, Core Values, Code of Business Conduct and Compliance ProgramComplies with all Federal and applicable State laws and policies regarding privacy, confidentiality and security of health information and other designated informationEducation & Experience RequiredBachelor's Degree in Computer ScienceInformation Technology, MathematicsStatistics, Business or other relevant fieldAt least three years of experience analyzing healthcare data. Preferably from a payer settingUnderstanding business impact is critical to improving our internal processes and seeking to maximize the ROIPrior experience producing reporting and providing analysis to organizational leadershipAbility to work in a fast-paced, collaborative team environmentSelf-starter and may mentor/train other department membersStrong communications skillsAbility to work well both independently and as part of a multi-functional team, including technical, financial, administrative and clinical associatesStrong knowledge of analytic, technical and reporting tools. Tableau and SQL experience preferredAdvanced proficiency with Microsoft Word, Excel and PowerPoint production.
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