Moda Health is a company committed to quality healthcare and community support. They are seeking a Healthcare Data Analyst III to manage healthcare costs, improve quality, and enhance member experiences through sophisticated data analysis and communication.
Responsibilities:
- Under general direction, performs complex research and analysis of healthcare claims, enrollment, and other related data
- Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Implements data driven decisions, strategies, and process changes for department / division
- Has a deep understanding of data sources, flow, and limitations. Is able to develop reports and processes that transform and integrate data from multiple tables, databases, and/or systems
- Consults with department / division managers in the use of analytical and reporting tools to develop effective cost, quality, and satisfaction outcomes
- Participates in and may facilitate work groups and committees. May provide a limited amount of project management
- Meets with internal customers to brainstorm what kind of information/report is needed for each situation
- Thinks creatively about how to solve a problem or meet a specific business need, given the data available
- Makes presentations to internal & external stakeholders about health care cost and utilization
- Presents data in a compelling way that highlights the opportunities at hand – whether in making comparisons to benchmarks, pointing out anomalies, displaying trends over time, or using other creative analytical tools
- Collaborates with the other members of the Analytics team to expand analytical capabilities, methods, and toolkits
- Provides guidance or expertise to less experienced analysts
- Other duties as assigned
Requirements:
- Bachelor's degree or equivalent experience
- Minimum 6 years' experience in financial analysis or other data analysis role
- Experience with health care data required
- Demonstrated ability to use data to drive organizational change in strategy, workflows, or results
- Strong analytical and problem solving skills
- Strong verbal, written and interpersonal communication skills
- Experience with using data analysis and visualization tools such as SAS, SQL, PowerBI, Microsoft Access, Business Objects, Crystal Reports, or other similar applications
- Strong Microsoft Excel and SQL skills
- Ability to work well under pressure and with constantly shifting priorities
- Ability to project a professional image and maintain complete confidentiality
- Master's degree preferred