🔥 0 minutes ago
🌲 North Carolina – Remote
💵 $64.9k - $110.3k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
📉 Data Analyst
👻 Ghost score 20%
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• Provide primary analytic support for reinsurance, large employer RFP, large employer and ASO, and state and/or federally mandated reporting and analyses • Collaborate with level 3 and 4 analysts and analytics management across multiple departments • Perform data extraction from data warehouses and nonstandard data sources • Clean, transform and preprocess data using tools such as t-SQL and SAS • Support development of interactive data visualization solutions using Tableau or Microsoft Power BI • Develop reports and analytical solutions for RFP, large employer, ASO, state and federal requests • Calculate and analyze value-based payment terms and support monthly reporting and financial reconciliation • Present complex data, analysis and findings clearly to teams • Develop and maintain documentation, training materials and job aids • Evaluate the impact of business changes on risk report specifications • Prepare ad hoc analyses related to cost and utilization opportunities • Support quality assurance, data validation, unit testing, error checks and validation processes • Develop health insurance business knowledge and assigned analytics-support expertise • Meet department and company performance and attendance expectations • Perform other duties as assigned
• Three years’ experience in health insurance or related field • Bachelor's degree in Mathematics, Computer Science, Statistics, Engineering, Health and Medical Economics, Public Health or similar research related field • General knowledge of business principles, theories and concepts • Ability to manage multiple projects and competing deadlines • Ability to manage workload within a team environment or with minimal direct supervision • Ability to conceptualize solutions to complex problems; readily anticipates problems and identifies solutions • Ability to deal responsibly with confidential information • Ability to develop, document and adhere to department policies and procedures • General knowledge of at least one statistical/analytical programming tool such as R, SAS, SPSS • General knowledge of Tableau, Power BI and web-based database tools • Skilled in Microsoft Office: Word, Excel, PowerPoint and Outlook • Ability to follow PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information • Ability to read and comprehend both written and spoken English • Ability to communicate clearly and effectively • Familiarity with Medicare Five-Star, Oregon Quality Incentive Measures and/or NCQA HEDIS, Health Care Payment Learning & Action Network (LAN) and Alternative Payment Model framework, and Facets claims processing system is preferred • Working knowledge of medical costs is desired, along with experience with medical coding and terminology • Master’s degree or above is preferred
• Equal opportunity employment • Work-from-home arrangement indicated by location field: WFH: NC • Travel required approximately less than 5% of the time
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