AmeriHealth CaritasRemote
Population Health Business Insights Analyst
United States
Full Time
1 hour ago
H1B Sponsor Likely
Key skills
Healthcare analyticsSQLStatistical analysisPythonSASBusiness insightsHealthcare payer knowledgeCross-functional managementAnalytic narrative synthesisAnalyticsStatistical AnalysisLeadership
About this role
AmeriHealth Caritas is a mission-driven organization focused on delivering comprehensive healthcare solutions. The Business Insights Analyst Senior will collaborate with operational business owners to analyze cost and utilization impacts of business initiatives and provide consultative analytics support throughout the lifecycle of Value Optimization initiatives.
Responsibilities:
- Supporting ideation by pulling data (e.g. claims) to identify addressable spend associated with an initiative concept / hypothesis
- Estimating return-on-investment of new initiatives by determining potential impact and analyzing associated claims data and related operational data (e.g., pre-authorization statistics)
- Creating written business cases, summarizing the results of each sizing analysis, in alignment with audit processes and requirements
- Providing recommendations on the prioritization of value optimization initiatives, and socializing with cross-functional leadership audience
- Tracking performance of launched initiatives, including development of reporting on initiative savings and operational KPIs
- Completion of ad hoc analyses (e.g., summarizing impacts of initiatives in preparation for a stakeholder discussions)
Requirements:
- Bachelor's Degree (Statistics, Mathematics, Analytics, Research, or closely related field)
- At least eight (8)+ years of work experience in the healthcare industry
- At least five (5)+ years of healthcare analytics experience
- Ability to demonstrate command of business knowledge by synthesizing multiple, parallel analytic and business insights into a cohesive and compelling narrative
- Broad knowledge of healthcare payer value chain and medical cost levers
- Ability to develop compelling documentation to convey insights and recommendations
- Ability to frame and phrase insights and recommendations for a leadership audience
- Ability to scope analysis, design a research/analysis approach, and quality check results
- Ability to frame complex business problems for structured analysis
- Competency in SQL, Databases, Python, SAS, and statistical analysis
- Translate complex data and analytic results into business insights
- Ability to cross functionally manage and coordinate teams
- Master's Degree or higher