Salary
💰 $81,400 - $130,200 per year
About the role
- The Healthcare Analyst III is responsible for trend analysis, presenting analytical findings and recommendations regarding utilization to management and being proficient in identifying and quantifying opportunities to reduce medical costs while supporting high quality care for members.
Analyze healthcare utilization to identify patterns, variation, and outliers
Present analytical findings and recommendations to management
Identify and quantify opportunities to reduce medical costs
Develop analytic methods, tools, and dashboards to efficiently compare performance across and within markets and products
Support coordinated execution of ad-hoc analytics requests from departments across the organization
Perform any other job duties as requested
Requirements
- Bachelor’s Degree or equivalent years of relevant work experience is required
Advanced degree is preferred
Minimum of five (5) years of experience in healthcare analytics is required
Managed care experience is required
Knowledge of healthcare data, including medical and pharmacy claims, Utilization Management, provider, and member demographic data.
EMR data and HIE data a plus.
Knowledge of Medicaid, Medicare and other government sponsored healthcare programs strongly preferred
Proficient in with Excel, Word and PowerPoint, PowerPivot a plus
Proficient in Microsoft Power Bi as an analytic tool
Proficient with advanced SQL, Databricks a plus
Ability to organize data in a way that facilitates inferences, conclusions and decisions
Demonstrated strong written and verbal communication skills