Healthcare Statistical Analyst: Data & Modeling (Remote)

Capital District Physicians Health Plan Inc; Buffalo (NY); On-site; USD 79,000 - 142,000; Full time

Job summary

Capital District Physicians Health Plan Inc is seeking a Healthcare Statistical Analyst to support actuarial and risk adjustment initiatives. The role focuses on analyzing data, developing predictive models, and providing insights to improve financial solvency and decision making across health plans operations.

The analyst will interact with internal/external partners and regulators, maintain data quality, and contribute to projections, trend analysis, and process improvements while upholding

Qualifications

• Bachelor's degree in a math, statistics, economics, medical informatics, actuarial science, or related field.
• Strong analytical, verbal and written communication skills.
• Ability to collaborate across teams and manage multiple projects.

Responsibilities

• Update and create analyses related to benefit designs, claims experience, risk adjustment, and VBP programs.
• Maintain and document processes such as reserve programs, pricing files, and trend analyses.
• Develop projections and estimates for financial, claims, risk score, and utilization metrics.
• Compile and analyze data to support data quality and provide actionable recommendations.
• Lead process improvements and document data models, mappings, and analyses.
• Ensure privacy and adhere to corporate policies; maintain attendance and perform additional duties as assigned.

Skills

Analytical skills

Verbal communication

Written communication

Interpersonal skills

Multitasking

Microsoft Office

Education

Bachelor's degree in Math/Statistics/Economics/Medical Informatics/Actuarial Science or related field

Tools

SQL

SAS

VBA

Job description

Capital District Physicians Health Plan Inc is seeking a Healthcare Statistical Analyst to support actuarial and risk adjustment initiatives. The role focuses on analyzing data, developing predictive models, and providing insights to improve financial solvency and decision making across health plans operations.

The analyst will interact with internal/external partners and regulators, maintain data quality, and contribute to projections, trend analysis, and process improvements while upholding