overview
Required skills & experience:
• Bachelor’s degree in Math, Statistics, Computer Science, or a related field required; Master’s degree preferred
• 1 – 3 years of experience or proven ability working as an analyst in the healthcare industry with medical claims, membership, and provider data
• Experience with Structured Query Language (SQL) required
• Proven experience working with Medicare and Commercial paid claims data sets; other applicable datasets include Census and Member Eligibility datasets
• Advanced analytic skills with the ability to build statistical and predictive models to help support business decisions
What you need to know:
• The Healthcare Analyst supports all analytical needs with respect to a portfolio of client relationships. The Analyst works both collaboratively and independently to complete complex analysis leading to meaningful business decisions.
• Research, analyze data, present results, and recommend intelligent solutions to solve problems and address business challenges by applying a knowledge of medical claims analysis, critical-thinking skills, and healthcare experience/expertise.
• Structure analytical results in an organized, visual manner to tell a meaningful, actionable story.
• Write SQL queries, create end-user reports, and apply varying analytical techniques to solve specific business problems.
• Determine credibility and usability of claims data prior to delivery of analytic results.
• Interpret contractual language with a clear understanding of business rules and reporting requirements.
• Establish trusting professional relationships with internal senior business customers.