Data Analyst III – Healthcare Analytics, Provider Analytics

Role Overview

• 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.
• Focus on enterprise provider analytics to measure and report the actual impact of contract and network changes against projected outcomes.
• Deliver standardized, structured reporting to track implementation accuracy and validate savings.
• Interpret and analyze data from multiple sources including claims, provider, member, and encounters data.
• Identify and assess the business impact of trends.
• Develop, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools.
• Contribute to the planning and execution of large-scale projects with limited direction from leadership.
• Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation.
• Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers.
• Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a demanding, quickly changing environment.
• Demonstrate a sense of ownership over projects and ask probing questions to understand the business value of tasks.
• Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products.
• Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners.
• Independently engage with customers and business partners to gather requirements and validate results.
• Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required.
• Provide technical guidance to junior analysts.

Requirements

• Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience.
• Master's degree preferred.
• 4+ years of experience working with large databases, data verification, and data management or 2+ years of IT experience.
• Healthcare analytics experience preferred.
• Working knowledge of SQL/querying 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 including Microsoft PowerBI.
• Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred.
• Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.

Tech Stack

• Python
• SQL

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules