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

• Ability to analyze and interpret medical claims data through complex analysis that leads to strategic business decisions

• Experience in data mining, statistical analysis, and data transformation/manipulation

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.

• Maintain alignment of expectations and priorities in autonomous fashion.