Healthcare Analyst II

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $72.2k - $115.5k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• 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 variables and methodologies that define population cohorts that can be positively impacted through targeted programs and interventions • Segment population data through 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

🎯 Requirements

• 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 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

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Substantial and comprehensive total rewards package • Employee total well-being support