About the job Healthcare Data Analyst - Remote The Healthcare Data Analyst is responsible for analytics, financial analysis and claims auditing. This candidate will reside within the Analytics and Reporting department and will work closely with other members of the Clinical, Medical and Network teams to design and analyze operational and claims data. This person will also present results to internal stakeholders, existing and future clients. Additionally, the ideal candidate will serve as a leader in defining and prioritizing the strategic and tactical tasks surrounding future data intelligence. Essential Functions Analyze business intelligence data to inform business and product decisions, blending historical results, available industry reports, purchased sources and public information as input to analyses Identify areas for increased clinical focus and review/assess associated action plans Maintain provider rate information and assess overall cost impact of proposed changes Support claims audit processes and procedures to ensure the fidelity of claims processing Conduct on-going refinement of the risk stratification surrounding claims processing Design, develop, interpret and present key internal business operational metrics reporting, serving as an ongoing voice for improving and increasing data intelligence leading to operational improvements Contribute to the identification and prioritization of improved reporting processes and procedures Provide on-going analysis and recommendations for improvement of operations and clinical interventions Provide direction in preparing and/or reviewing reports for publication. Assist with planning tactical goals to achieve major improvements in data analytics capabilities over time Adheres to our Mission Statement, Core Values, Code of Business Conduct and Compliance Program Complies with all Federal and applicable State laws and policies regarding privacy, confidentiality and security of health information and other designated information EDUCATION & EXPERIENCE Required Bachelor's Degree in Computer ScienceInformation Technology, MathematicsStatistics, Business or other relevant field At least three years of experience analyzing healthcare data. Preferably from a payer setting Understanding business impact is critical to improving our internal processes and seeking to maximize the ROI Prior experience producing reporting and providing analysis to organizational leadership Ability to work in a fast-paced, collaborative team environment Self-starter and may mentor/train other department members Strong communications skills Ability to work well both independently and as part of a multi-functional team, including technical, financial, administrative and clinical associates Strong knowledge of analytic, technical and reporting tools. Tableau and SQL experience preferred Advanced proficiency with Microsoft Word, Excel and PowerPoint production. Easy Recruiter
...Job Description: GardaWorld Security Services is Now Hiring a Response Security Officer! Ready to suit up as a Special Response Security... ...this could be more than a job! 26% of our corporate employees started as frontline workers. If youre ambitious with an...
...here. We practice all areas of our craft including color, extensions, styles, perms, brow lamination, and so much more! Average stylist earns $30/hour Earn up to 55% commission or base hourly rate! Whatever is more! We have it all! The road to $100,000...
...Description What You Need To Know Open your future to incredible career potential. Work for an industry-leader who invests in their people. Southern Glazers Wine & Spirits is North Americas preeminent wine and spirits distributor, as well as a family-owned, privately...
Role Overview: Sodexo Campus is seeking a visionary Vice President of Hospitality to elevate the Campus Food Management program at the University of Albany to world-class status! This dynamic role oversees a $25M portfolio, including dining, retail, concessions,...
...Full-Time Design Intern and Administrative Assistant Position Job Summary: Alchemy Studio design team is looking... ...bachelors degree in Architecture, Interior Design or any related field.... ...Please title your email: (your name)- Part Time Assistant and attachments no...