🔥 0 minutes ago
⚔️ Virginia – Remote
💵 $64.9k - $110.3k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
📉 Data Analyst
👻 Ghost score 20%
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• Provide data support and coordination for business-critical analysis and reporting needs • Extract, clean, transform, and preprocess data from data warehouses and nonstandard sources using tools such as t-SQL and SAS • Support development of interactive data visualizations using Tableau or Microsoft Power BI • Develop reports, analytical solutions, and processes 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 through data validation, unit testing, error checks, and validation processes • Develop health insurance business knowledge and assigned analytics-support expertise • Collaborate with level 3 and 4 analysts, analytics management, and multiple departments • Meet department and company performance and attendance expectations • Follow privacy policy and HIPAA requirements • 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 at least one statistical/analytical programming tool such as R, SAS, or SPSS • General knowledge of Tableau, Power BI, and web-based database tools • Skilled in Microsoft Office: Word, Excel, PowerPoint, and Outlook • 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 and identify solutions • Ability to deal responsibly with confidential information • Ability to develop, document, and adhere to department policies and procedures • Ability to read and comprehend written and spoken English • Communicate clearly and effectively • Must follow privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information • Preferred knowledge of Medicare Five-Star, Oregon Quality Incentive Measures, NCQA HEDIS, Health Care Payment Learning & Action Network, Alternative Payment Model framework, and Facets claims processing system • Working knowledge of medical costs desired; experience with medical coding and terminology preferred • Master’s degree or above preferred
• Equal opportunity employment • Ergonomically configured equipment • Travel required less than 5% of the time
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