Data Analyst – Healthcare Claims

Remote

Contract Position

This Claims Data Analyst position will require a data analyst with specific healthcare claims experience and knowledge.

You will gather, analyze, and present claims data in this role.

This position requires a wide range of expertise and experience in healthcare claims, as well as a high degree of familiarity with future claims trends.

Responsibilities:

• Develop key reporting elements included within the population performance analytical library, depicting performance across six domains: Quality, Total Cost of Care, Network Integrity, Social Determinants of Health, Risk Adjustment, and Attribution.
• Build compelling visualizations, innovative models, and create ad hoc analyses to influence and analyze population performance. Present analyses and models to key stakeholders.
• Support leadership and other key stakeholders as needed to share insights to drive performance improvement.
• Utilize internal data systems and external data to drive analyses. Data sets will include claims and clinical sources. Reconcile and verify data to ensure data integrity and reasonableness.

Skills Required:

• Excellent analytical skills and ability to manipulate large data sets from multiple systems using SQL, SAS, or other database management tool.
• Expertise with the analysis of claims data.
• Demonstrated project and/or process management skills. Ability to manage multiple projects, prioritizing to meet critical deadlines.
• General knowledge of healthcare finance, managed care, and provider incentives.
• Ability to distill data to salient information and recommendations and present findings of all analyses in a logical, concise manner and format.
• Communicate effectively with internal and external business partners translating complex ideas into compelling, actionable recommendations.
• Confident with systems, data, and analysis, and able to identify trends to take advantage of opportunities to drive continual improvement.
• Understanding of statistical modeling techniques and ability to leverage statistical modeling to identify performance drivers.
• SQL coding experience.
• Advanced Excel and PowerPoint proficiency required (PivotTable, VLOOKUP, writing formulas).
• Strong analytical and problem-solving skills, gained within a customer focused environment.

About Jones Grove

Jones Grove brings over 25 years of dedicated Information Technology recruiting to the marketplace and that has led us to place virtually every function within an IT organization.

Located in Charlotte, NC, Jones Grove partners with companies ranging from startups to Fortune 100’s.

Our clients are in top performing industries, including global manufacturing, consumer products, non-profit, retail, financial services and technology firms.

We are an equal opportunity employer and value diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.