Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions
Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes
Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data
Support execution of large-scale projects with limited direction from leadership
Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customer
Manage multiple, variable tasks and data review processes under direct supervision within targeted timelines
Support the design, testing, and implementation of process enhancements and identify opportunities for automation
Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners

Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience
0-2 years of experience in working with large databases, data verification, and data management
Working knowledge of SQL/query languages
Preferred knowledge of programmatic coding languages such as Python and R
Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred
Preferred knowledge of modern business intelligence and visualization tools
Experience with emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation
Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired

Data Analyst I – Healthcare Analytics, Provider Analytics

Key skills