Healthcare Analyst

Overview

Required skills & experience: • Bachelor’s degree in Math, Statistics, Computer Science, or a related field required; Master’s degree preferred • 1 – 3 years of experience or proven ability working as an analyst in the healthcare industry with medical claims, membership, and provider data • Experience with Structured Query Language (SQL) required • Proven experience working with Medicare and Commercial paid claims data sets; other applicable datasets include Census and Member Eligibility datasets • Advanced analytic skills with the ability to build statistical and predictive models to help support business decisions What you need to know: • The Healthcare Analyst supports all analytical needs with respect to a portfolio of client relationships. The Analyst works both collaboratively and independently to complete complex analysis leading to meaningful business decisions. • Research, analyze data, present results, and recommend intelligent solutions to solve problems and address business challenges by applying a knowledge of medical claims analysis, critical-thinking skills, and healthcare experience/expertise. • Structure analytical results in an organized, visual manner to tell a meaningful, actionable story. • Write SQL queries, create end-user reports, and apply varying analytical techniques to solve specific business problems. • Determine credibility and usability of claims data prior to delivery of analytic results. • Interpret contractual language with a clear understanding of business rules and reporting requirements. • Establish trusting professional relationships with internal senior business customers.

Benefits

Company

Since 2012, this client has been a trusted partner for the nation’s top health plans, health systems, post-acute care providers, and at-risk physician groups navigating the shift from volume to value. Their high-touch, proven care model fully supports patients from pre-acute through to the home. This client's patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions.