Healthfirst

Senior Operations Analyst, Compliance

Healthfirst

full-time

Posted on:

Location Type: Remote

Location: Remote • New York • 🇺🇸 United States

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Salary

💰 $81,100 - $117,470 per year

Job Level

Senior

Tech Stack

Amazon RedshiftAWSD3.jsETLHadoopJavaScriptMapReducePythonSQLTableau

About the role

  • The Senior Strategic Data Analyst is responsible for the promotion and enablement of a data-driven culture within Healthfirst Operations.
  • Understand the health insurance industry and identify opportunities for the use of technology and analytics to improve efficiency within the department and across the organization.
  • Play an integral role in pursuing department initiatives by leveraging analytics to provide insights that support key decisions and successful outcomes.
  • Leverage leading analytical tools to generate insights that facilitate key decisions by department Leadership.
  • Develop repeatable analytics aimed at department and Executive Leadership that provide insights into the health and performance of the department.
  • Leverage available data to develop preventative and detective controls to ensure timeliness, accuracy, and completeness of business processes.
  • Contribute to the design and architecture of data models and dashboards used to retain and present key information to the business.
  • Identify downstream impacts of changes and enhancements to current analyses, models, and algorithms.
  • Assist with the development and execution of highly complex algorithms and statistical predictive models from large sets of data.
  • Determine analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes.
  • Inference data to make recommendations and decisions.
  • Develop repeatable ETL processes from source systems to the analytics sandbox, ensuring integrity, completeness, and accuracy of data is maintained.
  • Perform statistical analysis to quantify the limitations of models.
  • Develop and improve upon metrics that evaluate department performance.
  • Think critically about the business and how the work is performed.
  • Identify opportunities to improve the status quo, inject data into the decision-making process, and support progress with facts.
  • Serve as a trusted contact for internal department members or other departments.
  • Work with the business to define methodologies that directly address their concerns and present results or deliverables to the business.
  • Analyze and reconcile premium revenue and remittance status, accounting for rate changes across all product lines.
  • Support and report account receivables sub-ledger aging and collections.
  • Review, analyze and create detailed documentation reports to support department processes.
  • Anticipate and solve strategic and high-risk business problems with broad impact on the business area.

Requirements

  • Bachelor’s degree from an accredited institution or equivalent work experience
  • Proficiency of scripting and programming skills
  • Experience using MS Office suite, including Microsoft Access, Excel, and Word
  • Expertise in utilizing data analysis and query tools such as SQL
  • Experience with Alteryx, Tableau, Amazon Redshift, or other similar tools/platforms
  • Experience with applied statistics skills, such as distributions, statistical testing, regression, etc.
  • Ability to successfully run queries from a data warehouse
  • Expertise innovating and implementing audit techniques
  • Master’s degree from an accredited institution (Preferred)
  • Degree in Mathematics, Computer Science, Data Sciences, Engineering, Business Analytics, Informatics, or similar concentration (Preferred)
  • Experience with analytical programming techniques such as Python and R (Preferred)
  • Experience with AWS and analytical solutions available on the platform (Redshift, Glue, Sage Maker, etc.) (Preferred)
  • Experience with data visualization tools such as Tableau (Preferred)
  • Familiarity with programming in JavaScript, D3.js (Preferred)
  • Familiarity with big data technologies, such as Hadoop, MapReduce, and AWS Kinesis (Preferred)
  • Experience developing innovative solutions to complex problems (Preferred)
  • Advanced problem-solving skills and the ability to make critical, independent decisions within area of responsibility (Preferred)
  • Excellent communication skills (Preferred)
  • Excellent time management and the ability to prioritize work and complete assignments within their allotted deadline (Preferred)
  • Experience working with and communicating technical information to multiple levels of technical and non-technical staff in written and verbal form (Preferred)
  • Experience prioritizing a heavy workload in a fast paced environment (Preferred)
  • Knowledge of modern machine learning algorithms (clustering, classification and regression), statistical methods and optimization (Preferred)
  • Knowledge of health care industry, products, systems, business strategies and products (Preferred).
Benefits
  • medical, dental and vision coverage
  • incentive and recognition programs
  • life insurance
  • 401k contributions

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
data analysisSQLETL processesstatistical analysisPythonRJavaScriptD3.jsHadoopmachine learning algorithms
Soft skills
problem-solvingcritical thinkingcommunicationtime managementprioritizationindependent decision-makingcollaborationanalytical thinkingadaptabilityinnovation
Certifications
Bachelor's degreeMaster's degreedegree in Mathematicsdegree in Computer Sciencedegree in Data Sciencesdegree in Engineeringdegree in Business Analyticsdegree in Informatics
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