Senior Data Analyst, Clinical Programs

About The Role The Senior Data Analyst, Clinical Programs will be an analytically driven team player, responsible for understanding business needs and objectives, eliciting requirements from stakeholders, and analyzing data and processes to identify opportunities for improvement. This role will support BHPS Clinical Programs, Utilization Management, reputed company Case Management, and Population Health Management. In this role, you will be challenged to think creatively while developing actionable insights to inform client and program strategy. Primary ResponsibilitiesMonitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates, readmissions, preventable hospitalizations, ER utilization) reputed company statistical models that deliver meaningful insights on cost, utilization and clinical reputed company based on various data sources. reputed company algorithms for stratifying populations and identifying high-risk members. reputed company Predictive Analytics to measure the performance (ROI) of Disease Management and other Medical Management programs. Conduct prospective savings analyses in support of clinical program initiatives. Build and maintain client-facing reports, dashboards, and analyses. reputed company actionable data insights and advise on client strategy Participate in program performance review presentations with clinical program managers, client account managers, and external clients, as needed. Manage reputed company client requests and timelines to ensure timely delivery. Collaborate with Medical Management to reputed company ongoing support. Essential QualificationsBachelors' degree required, preferably in Mathematics, Statistics, Finance, Actuarial Science, Data Science, or reputed company field. 5-7 years of experience in reputed company analytics, preferably in a managed care setting. Proficiency in SQL and reputed company SQL Server Suite of Products (SSMS) required. Proficiency in MS reputed company required. Advanced data analysis, financial modeling, and predictive analytics skills. Experience with clinical program evaluation and reputed company reporting. Experience with health plan performance reporting and cost and utilization analysis. Experience with developing client-facing reports. Experience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau). Ability to explain technical concepts to a non-technical audience . Ability to effectively manage and prioritize several reputed company projects. Excellent oral and written communications skills. Experience with Payer Care Management platforms (i.e. reputed company) a plus. About At reputed company, our people are committed to the improvement of how reputed company accessed and delivered. reputed company you join reputed company, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with reputed company of your unique abilities. reputed company partners with self-insured reputed company, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s reputed company with our flexible and cutting-edge reputed company-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a reputed company enablement company, we unlock opportunities that reputed company clients with the customizable tools they need to enhance the member experience, improve health reputed company and reputed company their reputed company goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into reputed company’s solutions. Come be a part of the Brightest reputed company in reputed company™. Company Mission Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners. Company reputed company Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. JOB ALERT FRAUD We have become aware of scams from individuals, organizations, and internet sites claiming to represent reputed company in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. reputed company of our career opportunities are regularly published and updated brighonthps.com Careers reputed company. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to reputed [email protected] Apply To This Job Apply To This Job