Job Description

SUMMARY

This position is responsible for supporting business analysis, utilization analysis, performance results monitoring, reports development, and analytical support within the Medical Economics and Informatics  Department. 

MAJOR RESPONSIBILITIES 

·         Extract, manage, and analyze operational, claims and performance data to identify trends, patterns, insights, and outliers within data.

·         Translates transactional data into client ready deliverables using visualization tools available, such as Tableau.

·         Drives a repeatable analytic process, and consistently deliver best-in-class reporting to multiple business stakeholders.

·         Studies client specific data at multiple geographical and clinical levels to identify utilization and cost trends and provide recommendations and insights.

·         Responsible for analyzing and developing reports on client specific utilization trends, program savings and performance to be shared with internal Client Services team.

·         Provides analytical and technical support for development and QA of Client Level Dashboards and other recurrent reporting.         ,

·         Collaborates on design/development/automatization of Standard Client Reporting Package, including dashboards

·         Responsible for Quarterly Business Review meetings data deliverables & takeaways

·         Responsible for ad-hoc Client and Markets requests for mature programs

·         Collaborates on processes to integrate new client data (claims/membership) and perform quality control tests.

·         Works with MEl team members to improve efficiency and accuracy of reporting outputs.

·         Collaborates with Client Informatics Analysts and Manager to improve outputs efficiency and accuracy of deliverables.

·         Collaborate with MEl team members on special projects as needed.

Qualifications

QUALIFICATIONS & REQUIREMENTS

·         Bachelor Degree or higher in Healthcare Informatics, Health Care Statistics, Public Health Economics, Epidemiology, Mathematics, Computer Science/IT, related field or equivalent experience.

·         3+ years' experience in the. Healthcare Industry and/or Managed Care Organizations

o   Experience in analytics/informatics and report development is required

o   Experience using Medical Claims data (medical cost, utilization, cost benefit analysis, etc.) is required

o   Experience with Pharmacy claims data and healthcare records is preferred

·         1+ years' experience with analytics in data warehouse environment

o   Experience using SQL for report writing and data management

·         Direct experience in business intelligence applications, advanced data visualization tools and/or statistical analysis software (such as: SQL/MySQL/R, SAS, Tableau, Minitab, Matlab, Crystal Reports, Business Objects Desktop (Web based) Intelligence, etc.)

·         Intermediate to advanced skills with Microsoft Office tools (MS Word, Excel, PowerPoint, Visio, Project) necessary to document, track and present information related to company program/products/clients    ·           '

·         Knowledge of healthcare financial business cycle, healthcare quality reporting and analysis, benchmarking is required

·         Knowledge of health system functions, terminology and standard ICD-10 and CPT coding systems is highly desirable

·         Excellent critical and analytical thinking skills are highly desirable

·         Ability to compile information and prepare reports that are easily translatable for client delivery

·         Aptitude to effectively communicate analytical findings and conclusions to internal stakeholders and/or key business leaders.

·         Excellent interpersonal, written and verbal communication skills

·         Attention to detail, effective time manager and multitasking skills are highly desirable

·         Ability to manage responsibilities (with minimal supervision) and exercise initiative

Additional Information

All your information will be kept confidential according to EEO guidelines.