
1001 - 5000 employees
Founded 1933
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
PacificSource Health Plans is a healthcare provider that offers a range of health insurance solutions, including plans for individuals, families, and employers. Their offerings include Medicare and Medicaid plans, dental coverage, and administrative services for small and large groups. Committed to member care, PacificSource emphasizes customer service and provides various resources for health management, including mental health support and wellness programs.
🔥 0 minutes ago
⚔️ Virginia – Remote
💵 $64.9k - $110.3k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
📉 Data Analyst
👻 Ghost score 0%
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1001 - 5000 employees
Founded 1933
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
PacificSource Health Plans is a healthcare provider that offers a range of health insurance solutions, including plans for individuals, families, and employers. Their offerings include Medicare and Medicaid plans, dental coverage, and administrative services for small and large groups. Committed to member care, PacificSource emphasizes customer service and provides various resources for health management, including mental health support and wellness programs.
• 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 visualization solutions using Tableau or Microsoft Power BI • Develop reports and analytical solutions for RFPs, 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-domain expertise • Meet department and company performance and attendance expectations • Follow PacificSource privacy policy and HIPAA confidentiality and security 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 • Familiarity with Medicare Five-Star, Oregon Quality Incentive Measures, NCQA HEDIS, LAN, Alternative Payment Model framework, and Facets claims processing system preferred • Working knowledge of medical costs desired; experience with medical coding and terminology • Master’s degree or above preferred • Ability to read and comprehend written and spoken English • Ability to communicate clearly and effectively • Ability to stoop and bend, sit and/or stand for extended periods, perform repetitive motions, and lift/carry files and business materials
• Work-from-home arrangement • Equal opportunity employment • Ergonomically configured equipment • Travel required less than 5% of the time
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