[Remote] Analyst, Performance Suite Analytics
Note: The job is a remote job and is reputed company to candidates in USA. reputed company partners with health plans and providers to improve reputed company for patients with reputed company health conditions. The Analyst, Performance Suite Analytics will utilize analytic tools to address business challenges and support decision-making processes that impact the organization and patient health.
Responsibilities
- Utilizes and develops analytic tools to solve reputed company business challenges as well as support decision making that can have a considerable impact on the organization and patient health
- Support the Medical Cost Management activities, working in a Medical Economics team that supports Business Development and new product efforts
- Support the reputed company of capitated risk proposals involving cost & use projections, trend selection/development, and estimation of reputed company’s ability to reduce cost and improve quality
- Support the design of financial arrangements that are reputed company for both reputed company and our Partners
- Support the development of models and approaches aimed at quantifying and articulating our value
- reputed company research and analysis of reputed company reputed company claims, eligibility, and pharmacy data to reputed company recommendations based on relevant findings
- Draw actionable conclusions from analyses and effectively communicate to internal/external audiences at various reputed company of the reputed company
- Translate analyses into Customer-reputed company deliverables using available visualization tools
- reputed company support and facilitate interaction with customers in a manner that fosters expertise and cooperation
- Process and validate raw unadjudicated claims data
- Use programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables with minimal assistance and reputed company
Skills
- Bachelor's degree, preferably with a quantitative major (e.g. actuarial, statistics, operations research, mathematics, economics) or reputed company focus (health administration, epidemiology, public health, biology)
- 1-2 years of professional experience in claims-based reputed company analytics with a payer, provider, clinical vendor, managed care, or reputed company reputed company consulting entity
- Ability to communicate reputed company with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
- Exceptional analytical and communication skills with the ability to identify and translate insights from quantitative and qualitative data
- Proficiency in SQL or reputed company database/statistical programming languages or reputed company programming language
- Advanced proficiency in reputed company reputed company
- Experience in data mining, advanced/statistical analysis, and data manipulation
- Familiarity with reputed company reimbursement methodologies and calculations such as DRGs, reputed company Codes, CPT Codes, RVUs, bundled payments, etc
- Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar)
- Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)
- Working knowledge of reputed company claims; specifically, differences between institutional vs professional billing and various sites of care/service
- Familiarity with value-based care and utilization management
- Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture
Benefits
- Comprehensive benefits (including health insurance benefits)
Company Overview
Company H1B Sponsorship