Remote - Healthcare Analyst Ii - R6302

Job Summary
The Healthcare Analyst II is responsible for analyzing healthcare utilization to identify patterns, variation, and outliers as well as identify and quantify opportunities to reduce medical costs.
Essential Functions

• Analyze healthcare utilization to identify patterns, variation, and outliers
• Segment population data to gain holistic intelligence via longitudinal trend analyses and advanced cluster analyses
• Provide analysis and recommendations to inform network provider performance improvement
• Support the intake, prioritization and coordinated execution of ad-hoc analytics requests from departments across the organization
• Perform any other job duties as requested
• Monitor the efficiency and efficacy of clinical programs, interventions and processes
• Conduct root cause analyses of adverse population health outcomes based on demographic, socioeconomic and clinical factors
• Develop tools to efficiently compare market performance across and within products
• Evaluate the effectiveness of medical cost reduction initiatives
• Identify the variables and methodologies (e.g., qualitative, quantitative, spatial) that define population cohorts that can be positively impacted through targeted programs and interventions
• Identify and quantify opportunities to reduce medical costs within the markets

Education And Experience

• Bachelor’s Degree or equivalent years of relevant work experience is required
• Minimum of two (2) years of experience in healthcare analytics is required
• Managed care experience is strongly preferred

Competencies, Knowledge And Skills

• Proficient with Transact-SQL or SAS or Microsoft Power BI or Tableau
• Demonstrated written and verbal communication skills
• Knowledge of Medicaid, Medicare and other government sponsored healthcare programs is preferred
• Knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data and demographic data
• Proficient in with Excel, Word and PowerPoint
• Ability to organize data in a way that facilitates inferences, conclusions and decisions

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range
$66,700.00 - $106,700.00
Compensation Type
Salary