Health Plan Data Analyst

Texas Health Huguley FWS; Altamonte Springs (FL); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated Health Plan Data Analyst to join their team. This role focuses on utilizing data analytics to enhance healthcare cost efficiency for managed populations. The analyst will engage with various stakeholders to analyze financial performance and identify cost-saving opportunities using healthcare data. This position offers a unique chance to contribute significantly to the healthcare sector, ensuring that resources are effectively utilized to improve clinical and financial outcomes. If you have a passion for data and a desire to make a difference in healthcare, this opportunity is perfect for you.

Benefits

Benefits from Day One

Award-winning IT Department

Qualifications

• Bachelor's degree in a relevant field with 4 years of analytic experience.
• Experience in Health Plan / Payor organization for at least 2 years.

Responsibilities

• Responsible for data analytic strategies to lower healthcare costs.
• Engages clients in reviewing financial performance and providing analyses.

Skills

Data Analytics

Statistical Analysis

Communication Skills

Problem Solving

Healthcare Knowledge

Confidentiality

Financial Analysis

Education

Bachelor’s degree in Finance, Economics, Mathematics, Accounting, or Statistics

Tools

Microsoft Excel

Microsoft Access

SQL (Microsoft or Vertica)

Job description

Job Description - Health Plan Data Analyst (24042071)

Job Number:

Health Plan Data Analyst (24042071)

Location: Virtual

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Award-winning IT Department

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-Time, Monday – Friday

The role you’ll contribute:

The Health Plan Data Analyst is responsible for data analytic strategies focused on lowering the cost of healthcare for our managed populations by providing actionable data to the Population Health team. The Health Plan Data Analyst engages clients (finance team, senior leaders, health plans, providers) in reviewing financial performance while also providing next-level analyses to ensure resources are being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data (claims, labs, EHR data) analytics to gain insights into provider ordering, member adherence, operational effectiveness, and client-specific metric gaps. The Analyst will be a key part of the Population Health Analytics team and will partner with business and operational owners to identify and execute cost-saving opportunities and return on investment analyses. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you’ll bring to the team:

• Knowledge of common analytical methods such as profiling customer segments, data modeling, and concepts of regression analysis
• Intermediate level of proficiency in performing data analytics; ability to effectively apply analytical and quantitative skills to solving problems
• Ability to use knowledge and understanding of data, data systems, and statistical software applications, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial program performance
• Working knowledge of healthcare or insurance accounting methods and reporting, standards development, utilization measurements, risk segmentation, and financial modeling
• Ability to conduct oneself professionally, maintain confidence, confidentiality and objectivity
• Ability to relate operational and financial performance in the healthcare environment
• Ability to learn quickly and work with minimal supervision
• Ability to efficiently manage multiple work streams, clients and analyses
• Proficiency with Microsoft Access, Excel, Power Point and Word
• Proficiency with Microsoft or Vertica SQL
• Effective oral and written communication skills, with the ability to articulate complex information in understandable terms to all levels of staff

The expertise and experiences you’ll need to succeed:

• Bachelor’s degree in Finance, Economics, Mathematics, Accounting, Statistics or related field and four years of analytic experience
• Experience working with analyses within a Health Plan / Payor organization for at least two years
• Technical experience in utilizing analytical software tools and applications