Business Intelligence Engineer

🔥 50 minutes ago

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Peak Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. It is owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. Peak Health aims to improve community health outcomes by offering an inclusive, provider-led health plan for residents of West Virginia and surrounding areas. The company is committed to making health care more accessible, understandable, and collaborative, with a focus on reducing costs and administrative fees for patients and employers. Peak Health also offers Medicare Advantage coverage tailored for West Virginia seniors through partnerships with leading health systems.

📋 Description

• Assists with the development, scaling, improvement, and maintenance of data models, dashboards, and analytical solutions supporting Peak Health operations • Leverages complex analytical tools to provide business and technical expertise to create data driven solutions. • Partners with product, operations, medical management, and provider contracting teams to understand & anticipate reporting requirements, priorities, and key performance indicators. • Supports key business stakeholders, translating data into actionable insights using appropriate analytical solutions. • Produces repeatable and ad-hoc reports for key business stakeholders to measure and interpret business trends. • Participates in a variety of assigned operations initiatives to ensure success in meeting business goals and objectives. • Collects report requirements – interviews and researches business stakeholder needs; drafts, edits and validates requirement documentation. • Provides input on project plans, scope of work, status, and project summary reports. • Communicates results of analysis effectively and regularly to business stakeholders. • Other duties as assigned.

🎯 Requirements

• Bachelor’s Degree in Business Administration, Mathematics, Computer Science, Statistics, Information Systems, or a related field. • Two (2) years of experience monitoring, managing, manipulating, and drawing insights from data in a managed care company. • Two (2) years of experience working with claims data to evaluate reimbursement changes, payment discrepancies, medical expense opportunities, quality outcomes and risk. • Two (2) years of experience working with Medicare and/or Medicaid Data. • Epic Accreditation for Cogito, Caboodle Data Model, and Clarity Data Model or able to obtain within 60 days of hire • Familiarity with health plan operations, data architecture, and Medicare/Medicare regulatory environments.

🏖️ Benefits

• Work will primarily be completed in a remote setting • Occasional travel to office may be required