REMOTE - Healthcare Analyst II - R10164

CareSource; United States; On-site; USD 72,200 - 115,500; Full time

Benefits offered by this job

Bonus tied to performance

Comprehensive total rewards package

Job summary

A healthcare insurance company in the United States is seeking a Healthcare Analyst II to analyze healthcare utilization and identify patterns that can reduce medical costs. The ideal candidate will have a Bachelor's degree, two years of healthcare analytics experience, and knowledge in healthcare data such as EMR and claims. This full-time position offers competitive compensation ranging from $72,200 to $115,500, and a comprehensive rewards package.

Qualifications

• Minimum of two years of experience in healthcare analytics.
• Managed care experience is strongly preferred.

Responsibilities

• Analyze healthcare utilization to identify patterns and variations.
• Identify opportunities to reduce medical costs.
• Develop tools to compare market performance.
• Support ad-hoc analytics requests across departments.

Skills

Healthcare data analysis

Excel proficiency

Transact-SQL proficiency

SAS proficiency

Microsoft Power BI proficiency

Tableau proficiency

Demonstrated communication skills

Education

Bachelor’s Degree or equivalent experience

Tools

Power BI

Tableau

Transact-SQL

Job description

Job Summary

The Healthcare Analyst II is responsible for analyzing healthcare utilization to identify patterns, variation, and outliers as well as identify and quantify opportunities to reduce medical costs.

Essential Functions

• Analyze healthcare utilization to identify patterns, variation, and outliers
• Identify and quantify opportunities to reduce medical costs within the markets
• Evaluate the effectiveness of medical cost reduction initiatives
• Develop tools to efficiently compare market performance across and within products
• Provide analysis and recommendations to inform network provider performance improvement
• Monitor the efficiency and efficacy of clinical programs, interventions and processes
• Support the intake, prioritization and coordinated execution of ad-hoc analytics requests from departments across the organization
• Identify the variables and methodologies (e.g., qualitative, quantitative, spatial) that define population cohorts that can be positively impacted through targeted programs and interventions
• Segment population data to gain holistic intelligence via longitudinal trend analyses and advanced cluster analyses
• Conduct root cause analyses of adverse population health outcomes based on demographic, socioeconomic and clinical factors
• Perform any other job duties as requested

Education and Experience

• Bachelor’s Degree or equivalent years of relevant work experience is required
• Minimum of two (2) years of experience in healthcare analytics is required
• Managed care experience is strongly preferred

Competencies, Knowledge and Skills

• Knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data and demographic data
• Knowledge of Medicaid, Medicare and other government sponsored healthcare programs is preferred
• Proficient in Excel, Word and PowerPoint
• Proficient with Transact‑SQL or SAS or Microsoft Power BI or Tableau
• Ability to organize data in a way that facilitates inferences, conclusions and decisions
• Demonstrated written and verbal communication skills

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range

$72,200.00 - $115,500.00. CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type

Salary

Competencies

• Fostering a Collaborative Workplace Culture – Cultivate Partnerships – Develop Self and Others – Drive Execution – Influence Others – Pursue Personal Excellence – Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Seniority Level

Mid‑Senior level

Employment Type

Full‑time

Job Function

Health Care Provider

Industries

Insurance