Healthcare Analyst II
Caresource · Remote · remote · Posted 23d ago
Undisclosed1–4 yrsfulltimeSourced from
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About this role
Job Summary:
The Healthcare Analyst II is responsible for analyzing healthcare utilization to identify patterns, variation, and outliers as well as identify and quantify opportunities to reduce medical costs.
Essential Functions:
- Analyze healthcare utilization to identify patterns, variation, and outliers
- Identify and quantify opportunities to reduce medical costs within the markets
- Evaluate the effectiveness of medical cost reduction initiatives
- Develop tools to efficiently compare market performance across and within products
- Provide analysis and recommendations to inform network provider performance improvement
- Monitor the efficiency and efficacy of clinical programs, interventions and processes
- Support the intake, prioritization and coordinated execution of ad-hoc analytics requests from departments across the organization
- Identify the variables and methodologies (e.g., qualitative, quantitative, spatial) that define population cohorts that can be positively impacted through targeted programs and interventions
- Segment population data to gain holistic intelligence via longitudinal trend analyses and advanced cluster analyses
- Conduct root cause analyses of adverse population health outcomes based on demographic, socioeconomic and clinical factors
- Perform any other job duties as requested
Education and Experience:
- Bachelor s Degree or equivalent years of relevant work experience is required
- Minimum of two (2) years of experience in healthcare analytics is required
- Managed care experience is strongly preferred
Competencies, Knowledge and Skills:
- Knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data and demographic data
- Knowledge of Medicaid, Medicare and other government sponsored healthcare programs is preferred
- Proficient in with Excel, Word and PowerPoint
- Proficient with Transact-SQL or SAS or Microsoft Power BI or Tableau
- Ability to organize data in a way that facilitates inferences, conclusions and decisions
- Demonstrated written and verbal communication skills
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate s education, training, and experience as well as the position s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary Organization Level Competencies
- Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
Disclaimer: The job location mentioned in this description is based on publicly available information or company headquarters. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
Sourced from naukri
Skills
Analyst IICost reduction initiativesperformance improvementHealthcare AnalyticsPharmacyClaimsSASHealthcareSQLMicrosoft
About CareSource
Caresource
Health Care
1001-5000
employees
1989
37 years old
Dayton, Ohio
United States
About
CareSource provides managed care services to Medicaid beneficiaries.
Industries
Health CareOtherSocial Impact
Employee ratings
2 reviews
4.9/ 5
Culture
4.9
Career growth
4.9
Work-life
4.8
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