Healthcare Analyst II - R10164
- Analyze healthcare utilization to identify patterns, variation, and outliers
- Identify and quantify opportunities to reduce medical costs within the markets
- Evaluate the effectiveness of medical cost reduction initiatives
- Develop tools to efficiently compare market performance across and within products
- Provide analysis and recommendations to inform network provider performance improvement
- Monitor the efficiency and efficacy of clinical programs, interventions and processes
- Support the intake, prioritization and coordinated execution of ad-hoc analytics requests from departments across the organization
- Identify the variables and methodologies (e.g., qualitative, quantitative, spatial) that define population cohorts that can be positively impacted through targeted programs and interventions
- Segment population data to gain holistic intelligence via longitudinal trend analyses and advanced cluster analyses
- Conduct root cause analyses of adverse population health outcomes based on demographic, socioeconomic and clinical factors
- Perform any other job duties as requested
- Bachelor’s Degree or equivalent years of relevant work experience is required
- Minimum of two (2) years of experience in healthcare analytics is required
- Managed care experience is strongly preferred
- Knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data and demographic data
- Knowledge of Medicaid, Medicare and other government sponsored healthcare programs is preferred
- Proficient in with Excel, Word and PowerPoint
- Proficient with Transact-SQL or SAS or Microsoft Power BI or Tableau
- Ability to organize data in a way that facilitates inferences, conclusions and decisions
- Demonstrated written and verbal communication skills
- General office environment; may be required to sit or stand for extended periods of time
- Create an Inclusive Environment - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
Recommended Jobs
Global Advisor Credit Analyst
Global Advisor Credit Analyst Location Columbus, OH (Downtown area) : Artsy's mission is to expand the art market to support more artists and art in the world. Artsy has created the world's largest …
Regional Sales Specialist | Cleveland
Job Description Job Description BASIC FUNCTION Responsible for sales of a medical device the representative will call on a combination of physician office and hospitals, selling a new produc…
Retail Supervisor - Cleveland Zoo Retail Merchandise
Job Description The Retail Supervisor coordinates a team of employees at an assigned location under the direction of the Retail Manager. Responsible for interactions between management, guests, em…
Seasonal Dishwasher - $14.00 per Hour - Hocking Hills Lodge & Conference Center
Job Description Job Description Hocking Hills Lodge and Conference Center located inside Hocking Hills State Park is seeking reliable & friendly candidates for Dishwasher positions in our brand n…
Driver CDL/Warehouse Associate
Job Description: Are You Ready to Make It Happen at Mondelēz International/NABISCO? We are the makers of Oreo, Ritz Crackers, Triscuit, Sour Patch, and Swedish Fish, to name a few. Join Mondele…
HVAC Installer
Job Description Job Description POSITION: ~ HVAC INSTALL TECHNICIAN SERVICE AREA: ~ JOBSITES VARY BETWEEN CLARK COUNTY AND SURROUNDING AREAS (IE. CHAMPAIGN COUNTY, GREENE COUNTY, MADISON…
Elder Care Provider Wanted - Join Our Caring Family As An Elder Care Provider In Toledo, Oh Earn $25/Hour!
Hello, We are non profit organization , looking for compassionate and dedicated elder care providers to join our team. We have opportunities for both full-time and part-time positions, with the optio…
Sales Manager
The newly renovated Nationwide Hotel and Conference Center is searching for a Sales Manager ! This individual's main scope is to sell hotel rooms, conference packages, and food and beverage facil…
Field Service Salesforce Administrator
Job Description Job Description Kinetico is hiring a Field Service Salesforce Administrator to join our IT team in Newbury, OH. Purpose: The Field Service Salesforce Administrator is responsi…
Content Marketing Specialist
&##128640; Our mission ⭐ airCFO helps startups succeed. At airCFO, we partner with the world's most impactful startups to build their visions of the future. Our full-stack team of experts in…