Healthcare Analyst Manager

CareOregon, Inc.; Oregon; Hybrid; USD 155,000 - 189,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Retirement plan

PTO & sick leave

Paid holidays

Job summary

CareOregon, Inc. is seeking a Healthcare Analyst Manager to lead a team of analysts in financial, outcomes, and utilization studies. You will perform SAS, SQL, Snowflake, Python, and Databricks analyses and help shape a long-term analytics strategy for the organization.

Responsibilities include project planning, reporting, staff development, and collaboration with internal and external stakeholders to deliver data products that support care decisions. Remote-based position with Oregon priority.

Qualifications

• Seven years’ experience in the analysis of health insurance, medical claims and financial or related data using SAS, SQL, Python, or other comparable tools.
• Experience planning and leading complex analysis and reporting projects, or any work experience and/or training that would likely provide the ability to perform the essential functions of the positions.

Responsibilities

• Develop analytical plans and provide leadership in financial analysis, regulatory reporting, health outcomes, and health care utilization studies.
• Develop and implement analytic methods, including plans for statistical analysis and reporting format for results.
• Guide the development, maintenance, quality assurance, and documentation for the department’s data tables and data mart resources.
• Analyze administrative data to assess quality, validity, and reliability.

Skills

SAS

SQL

Python

Databricks

Snowflake

Statistical analysis

Education

Master’s degree

Tools

SAS Software

Python

SQL

Job description

Healthcare Analyst Manager

Oversees the daily activities of analysts including the analysis of financial information, health outcomes, health care cost and utilization studies. Perform statistical analysis using SAS, SQL, Snowflake, Python, Databricks and other analytical tools. Assist Director in developing a long-term plan for departmental analytics strategy to support the analytical needs of the organization. Responsible for identifying, estimating, tracking, and reporting on projects and service requests within the unit. Manage unit employees, oversee workload, improve processes, and develop staff members.

Estimated Hiring Range: $154,980.00 - $189,420.00 Bonus Target: Bonus - SIP Target, 5% Annual Priority will be given to candidates residing in Oregon and Southwest Washington. Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

Essential Responsibilities

• Develop analytical plans and provide leadership in financial analysis, regulatory reporting, health outcomes, and health care utilization studies.
• Develop and implement analytic methods, including plans for statistical analysis and reporting format for results.
• Guide the development, maintenance, quality assurance, and documentation for the department’s data tables and data mart resources.
• Analyze administrative data to assess quality, validity, and reliability.
• Use statistical software, including SAS and Python, to retrieve, edit and tabulate data from various databases and files.
• Study and analyze tables, graphs, charts, and report results in a variety of formats.
• Collaborate with internal and external customers to identify, refine, and deliver data products tailored to the customer needs and specifications.
• Collaborate with department manager and staff in planning, designing, and implementing new data systems.
• Plan, organize, manage, and monitor work projects.
• Understand the functions of departmental work and how these relate to other department teams and to the larger organization Incorporate best practices for the department.
• Plan, organize, manage, and monitor the analyst team’s work projects. Incorporate best practices for the department.
• Perform other duties and projects as assigned.

Employee Supervision

Manage team and recommend team direction and goals in alignment with the organizational mission, vision, and values.

Identify work and staffing needs to meet work expectations; recruit and hire, using an equity, diversity, and inclusion lens.

Plan, organize, schedule, and monitor work; ensure employees have information and resources to meet job expectations.

Lead the development, communication, and oversight of team and individual goals; ensure goals, expectations, and standards are clearly understood by staff.

Train, supervise, motivate, and coach employees; provide support toward employee development.

Incorporate guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, and decision making.

Ensure team adheres to department and organizational standards, policies, and procedures.

Evaluate employee performance and provide regular feedback to support success; recognize strong performance and address performance gaps and accountability (corrective action).

Perform supervisory tasks in collaboration with Human Resources as needed.

Experience and/or Education Required

• Seven years’ experience in the analysis of health insurance, medical claims and financial or related data using SAS, SQL, Python, or other comparable tools
• Experience planning and leading complex analysis and reporting projects, or any work experience and/or training that would likely provide the ability to perform the essential functions of the positions

Preferred Master’s degree in a related field

Minimum 2 years’ experience in a supervisory position or minimum 1 year experience in a supervisory position with completion of CareOregon’s Aspiring Leaders Program

Knowledge, Skills and Abilities Required

• Advanced knowledge of statistical software packages, such as SAS and Python
• Knowledge of the basic concepts of Managed Care, Medicaid and/or Medicare
• Ability to independently gather, compile and analyze data using statistical methods
• Ability to provide leadership and oversight of analytical projects
• Ability to manipulate and analyze statistical data
• Ability to prepare narrative and statistical reports
• Excellent customer service skills
• Excellent written and verbal communication skills
• Ability to manage the workloads of others and interact effectively and motivate staff to perform at their highest level
• Ability to work in an environment with diverse individuals and groups
• Ability to manage multiple tasks
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
• Ability to hear and speak clearly for at least 3-6 hours/day

Working Conditions

Work Environment(s): Indoor/Office. Community. Facilities/Security. Outdoor Exposure. Member/Patient Facing: No. Telephonic. In Person. Hazards: May include, but not limited to, physical and ergonomic hazards. Equipment: General office equipment. Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.

Work Location: Work from home

Benefits

• We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours.
• Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date.
• CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.).
• We also offer a strong retirement plan with employer contributions.
• Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state.
• Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility.
• Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks.
• Please contact your recruiter for more information.

Equal Opportunity and Diversity Statement

We are an equal opportunity employer. CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

CareOregon is a nonprofit, mission-driven health plan, focused on providing care to low-income Oregonians. The CareOregon family includes Columbia Pacific CCO, Jackson Care Connect, and our work as part of Health Share of Oregon. Our mission is to inspire and partner to create quality and equity in individual and community health. Our vision is healthy communities for all individuals, regardless of income or social factors. Making Healthcare Work for Absolutely Everyone.

CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status. Veterans CareOregon greatly encourages military veterans to apply. CareOregon is a major sponsor of the annual Portland Veterans Stand Down and hiring fair.