Senior Risk Analytics Consultant – Consumer and Small Business Banking
Wells Fargo
PythonSQLTableauVBA
Senior Manager, Data Analytics – Medical Health Claims
EXL
full-time
Posted on:
Location Type: Office
Location: 🇺🇸 United States
Visit company websiteJob Level
Senior
Tech Stack
PythonSQL
About the role
- Support the business team in evaluating trends on utilization of products/services based on historical data (care management trends, claim utilization, member attributes) to develop cost effective quality product/services
- Retrieve, organize and perform research/analysis on Medical Health Claim data primarily to identify root cause
- Pull and integrate data from disparate sources (e.g. claims, membership/enrollment)
- Perform quality assurance reviews on data and document the findings
- Interpret, analyze and present key findings to internal team and business partners
- Conduct deal reviews and work with appropriate stakeholders
- Publish the attribution status to all required stakeholders
- Research on issues related to attribution and coordinate with required stakeholders to bring it to closure
- Provide user guide and maintain documentation on existing attribution methodology
- Help develop the tools for quality and transparency for attribution
- Become the analytical, technical and business co-lead
- Coding responsibilities will include HIVE, SQL, and Python primarily
Requirements
- Minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience
- 5-7 years of relevant hands on data analysis experience
- 5-7 years of relevant medical claim experience
- Strong Healthcare Insurance data experience
- Experience in using business tools to query large datasets, e.g., SQL, SAS Enterprise Guide, Claris, Pareo, Optum
- Demonstrates good written and verbal communication skills
- Able to present information to various audiences – Technical and Non-Technical
- Ability to work with large data sets from multiple data sources (good to have)
- Excellent communication skills with strong background working directly with coworkers and clientele to identify business objectives and establish requirements (good to have)
- Worked in a team environment and also coordinated with business/functional team (good to have)
- Coding skills: HIVE, SQL, and Python
Benefits
- EXL offers an exciting, fast paced and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.
- From your very first day, you get an opportunity to work closely with highly experienced, world class analytics consultants.
- You can expect to learn many aspects of businesses that our clients engage in and effective teamwork and time-management skills for personal and professional growth.
- EXL Health Analytics invests heavily in training in all aspects of analytics and leading analytical tools and techniques.
- Guidance/coaching through a mentoring program wherein every junior level employee is assigned a senior level professional as advisors.
- Opportunities for growth and development within the company
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
HIVESQLPythondata analysisquality assurancedata integrationdata researchdata presentationattribution methodologymedical claim analysis
Soft skills
written communicationverbal communicationpresentation skillscollaborationstakeholder coordinationproblem-solvinganalytical thinkingteamworkbusiness acumeninterpersonal skills
