
10,000+ employees
⚕️ Healthcare Insurance
Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
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10,000+ employees
⚕️ Healthcare Insurance
Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
• Assists with the development, scaling, improvement, and maintenance of data models, dashboards, and analytical solutions supporting Peak Health operations. • Leverages complex analytical tools to provide business and technical expertise to create data driven solutions. • Partners with product, operations, medical management, and provider contracting teams to understand & anticipate reporting requirements, priorities, and key performance indicators. • Supports key business stakeholders, translating data into actionable insights using appropriate analytical solutions. • Produces repeatable and ad-hoc reports for key business stakeholders to measure and interpret business trends. • Participates in a variety of assigned operations initiatives to ensure success in meeting business goals and objectives. • Collects report requirements – interviews and researches business stakeholder needs; drafts, edits and validates requirement documentation. • Provides input on project plans, scope of work, status, and project summary reports. • Communicates results of analysis effectively and regularly to business stakeholders. • Other duties as assigned.
• Bachelor’s Degree in Business Administration, Mathematics, Computer Science, Statistics, Information Systems, or a related field. • Two (2) years of experience monitoring, managing, manipulating, and drawing insights from data in a managed care company. • Two (2) years of experience working with claims data to evaluate reimbursement changes, payment discrepancies, medical expense opportunities, quality outcomes and risk. • Two (2) years of experience working with Medicare and/or Medicaid Data. • Epic Accreditation for Cogito, Caboodle Data Model, and Clarity Data Model or able to obtain within 60 days of hire • Familiarity with health plan operations, data architecture, and Medicare/Medicare regulatory environments.
• Work will primarily be completed in a remote setting. • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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