Healthcare Analyst III

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $83k - $132.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

⚕️ 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

• Present analytical findings and recommendations to management • Mentor new and developing Healthcare Analysts • Analyze healthcare utilization to identify patterns, variation, and outliers • Identify and quantify opportunities to reduce medical costs • Evaluate effectiveness of medical cost reduction initiatives • Develop tools for market performance comparison • Provide analysis for network provider performance improvement • Monitor efficiency of clinical programs • Support analytics requests from departments • Conduct root cause analyses of adverse population health outcomes

🎯 Requirements

• Bachelor's degree required • Master's degree preferred • 5 years of experience in healthcare analytics required • Managed care experience required • Knowledge of healthcare data including medical and pharmacy claims, EMR data, and demographic data • Proficient with Excel, Word, and PowerPoint • Proficient with Transact-SQL, SAS, Microsoft Power BI, or Tableau

🏖️ Benefits

• Comprehensive total rewards package • Potential for bonuses tied to company and individual performance