We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).
Our Department of Defense contract requires ship and a favorably adjudicated DOD background investigation for this position.
Veterans, Reservists, Guardsmen and military family members are encouraged to apply!
Job Summary Works on solutions of moderate to broad scope and complexity requiring analysis of data, combining of multiple data sources, and researching various system and healthcare issues. Exercises independent judgment within defined procedures and practices to determine appropriate action. Provides expertise on large projects and manages small projects.
Education & Experience Required: Bachelor's degree in Business Administration, Healthcare, Information Management, Computer Science, Mathematics, or related field, or equivalent experience
be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
Five years of experience in healthcare analysis or data management
Experience with report design and presentation
Preferred: Experience with SQL development
Experience with PowerBI
Experience with SQL (ANSI/T-SQL)
Experience analyzing data related to health care claims utilization
Project management experience.
Experience with data analysis in the following areas:
Health Care Costs
Operations Management
Provider Network Development
Key Responsibilities Provides analyses and interpretations of complex healthcare issues, including recommendations related to a variety of healthcare management and process improvement initiatives.
Works with management to understand and interpret the impact of decisions made by retrieving, analyzing and identifying variations and trends in healthcare data, and communicating the information obtained from analysis through charts and graphs in PowerPoint presentations for management and various committees.
Meets with requestors to get requirements and develop solutions to fulfill various requests (reports, trends, measures, forecasts).
Provides technical assistance to other departments in development of indicators, measures, and management reporting.
Maintains responsibility for assigned reports, producing them accurately and in a timely manner.
Responds to customer questions and requests in a timely manner.
Provides analysis and interpretations of complex cost and performance issues, including recommendations related to a variety of healthcare management and process improvement issues. Assists lower level analysts in developing best presentation of data, developing analysis, resolving inconsistencies within data and as a technical resource.
Maintains documentation and ensures all procedures support department and company policies and procedures.
Performs other duties as assigned.
Regular and reliable attendance is required.
Competencies Commitment to Task: Ability to conform to established policies and procedures; exhibit high motivation.
Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.
Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required.
Empathy / Customer Service: Customer-focused behavior; Helping approach, including listening skills, patience, respect, and empathy for another's position.
Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.
Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions.
Leadership: Successfully manage different styles of employees; provide clear direction and effective coaching.
Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.
Technical Skills: Knowledge of healthcare coding and reimbursement such as HCPCS, CPT, DRG and Per Diem; knowledge of healthcare administration such as provider network management, medical management and claims payment; medical management and claims payment; proficiency in the use of computer systems, database applications, Microsoft Office, and structured query language (SQL, Crystal Reports etc.); communication and presentation skills.
Working Conditions Working Conditions: Availability to work any shift
Works within a standard office environment, with 5% travel
Extensive computer work with prolonged sitting
Company Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served?
Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve ! Our job is to make sure that America's heroes get connected to health care in the community.
At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.
DoD StatementOur Department of Defense contract requires ship and a favorably adjudicated DOD background investigation for this position.
BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:
- Medical, Dental and Vision Coverage
- Paid time off
- 401(k) Retirement Savings Plan (with matching)
- Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
- Tuition reimbursement
- Paid volunteer time
TriWest job postings typically include a salary range,
which can vary based on the specific role and location, but generally this position ranges from around $105,000 - $111,000 per year.
Equal Employment OpportunityTriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.
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