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Data Analyst I (Healthcare Analytics)

Envolve Pharmacy Solutions

Envolve Pharmacy Solutions

Tampa, Florida, US.

REMOTE FULL TIME

Category

Computer and Mathematical Occupations

Published on 2022-05-26 20:34

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility

Position Purpose:


Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify and assess the business impact of trends Execute, maintain, and troubleshoot existing scripts and reports developed using SQL, Microsoft Excel, or other analytics tools Support execution of large-scale projects with limited direction from leadership Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers Manage multiple, variable tasks and data review processes under direct supervision within targeted timelines and thrive in a demanding, quickly changing environment Support the design, testing, and implementation of process enhancements and identify opportunities for automation Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners

Flexible work solutions including remote options, hybrid work schedules and dress flexibility
Competitive pay
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development

The Data Analyst (Healthcare Analytics) will have the opportunity to make a significant impact through the discovery, development, and implementation of leading-edge analytics that answer important business questions. The analyst will collaborate with key corporate and health plan business partners for the purpose of identifying and delivering robust reporting and analytics capabilities to drive improved business performance.

Education/Experience:


Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. 0-2 years of experience in working with large databases, data verification, and data management. Working knowledge of SQL or similar coding language. Working knowledge of analytical tools, including R, Python, SAS, ArcGIS, QGIS, Microstrategy, Tableau, Hadoop, or related tools preferred. Working knowledge of relational databases preferred. Working knowledge of automation capabilities such as batch processes, stored procedures, scripting languages, Microstrategy, or other tools preferred

Provider
Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data science, or geospatial/reimbursement analysis preferred

Clinical
Experience in public health (epidemiology, biostatistics), population health, social determinants of health, data science, social science, or geospatial/ROI/financial analysis preferred

Finance
Experience working closely with accounting & finance business partners, using analytic techniques & tools to explore financial performance trends, or regulatory reporting with external agencies preferred; Familiarity with claims data, utilization, rate setting, risk adjustment, or member eligibility and reconciliation preferred

Fraud, Waste & Abuse
Experience in fraud/waste/abuse identification and investigation, provider billing, or clinical coding preferred; Experience with data mining, machine learning, artificial intelligence, or statistical modeling preferred

Risk Adjustment
Experience in risk adjustment, clinical coding, financial reporting/analysis, or CMS/State encounters and regulatory file submissions preferred; Experience with data mining, population health, and statistical modeling preferred

Quality
Experience with HEDIS, NCQA, Medicare Star Rating System, QRS, or other quality measures preferred; Quality auditing or analysis of call center performance preferred; Experience with data mining, population health, and statistical modeling preferred

Tools & Technology
Experience with report/dashboard development, data/report automation, self-service capabilities, data design and integration, or data quality and governance preferred

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