Healthcare Analyst
Job Closed
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.
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.