Healthcare Analytics & Statistical Analyst

Univera Healthcare; Buffalo (NY); On-site; USD 62,000 - 142,000; Full time

Job summary

Univera Healthcare seeks a Healthcare Statistical Analyst to support actuarial and risk adjustment workstreams within Health Plans operations. The role analyzes data, builds predictive models, monitors trends, and communicates insights to stakeholders, including regulators.

The position requires bachelor's in math/statistics/economics or related field, and progressively strong analytical and programming skills in SQL/SAS/VBA, with proficiency in Excel.

Qualifications

• Bachelor's degree in Math, Statistics, Economics, Medical Informatics, Actuarial Science or relevant field required.
• One (1) year of related experience preferred.
• Strong analytical skills, verbal and written communication skills.
• Strong interpersonal skills with demonstrated ability and willingness to collaborate with other team members.
• Ability to prioritize, multitask, and maintain multiple simultaneous projects.
• Intermediate technical skills including proficiency in Microsoft Office Suite
• Programming skills in SQL, SAS, VBA, or similar programming language is preferred.

Responsibilities

• Updates existing and aids in the creation of new analysis pertaining to benefit designs, claims experience, VBP programs and valuation of internal and externally led claims savings and risk adjustment initiatives.
• Maintains existing processes including but not limited to reserve programs, pricing files, benefit relativity tables, trend analysis, risk score analysis, VBP and vendor financial settlements, ROI work.
• Assists with the development of projections (financial, claims, risk score, trend, utilization, savings, etc.), unpaid claim liability estimates and identification of areas for savings.
• Compiles and analyzes data to draw conclusions, support data quality, and provide recommendations.
• Proposes and assists in the development of process improvements utilizing system and software applications to full potential and participates in activities and projects as directed.
• Maintains high regard for member privacy in accordance with corporate privacy policies and procedures.

Skills

SQL

SAS

VBA

Analytical skills

Communication skills

Education

Bachelor's degree in Math, Statistics, Economics, Medical Informatics, Actuarial Science or relevant field

Tools

Microsoft Office Suite

Job description

Univera Healthcare seeks a Healthcare Statistical Analyst to support actuarial and risk adjustment workstreams within Health Plans operations. The role analyzes data, builds predictive models, monitors trends, and communicates insights to stakeholders, including regulators.

The position requires bachelor's in math/statistics/economics or related field, and progressively strong analytical and programming skills in SQL/SAS/VBA, with proficiency in Excel.