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Senior Data Analyst, Healthcare Payer Side, Clinical Programs - Full Time, Direct Only

Stone Search

Remote • 9d ago

Easy Apply

Full-time

110,000 - 130,000

Consultant - Payer Services - HEDIS Data Analyst | Architect

Huron

Remote or Chicago, Illinois • Today

Full-time

USD 60.00 - 70.00 per hour

HEALTH RULES PAYER (HRP) ANALYST

Goldenpick Technologies LLC

Remote • 3d ago

Easy Apply

Contract, Third Party

$45 - $50

Senior Epic Systems Analyst Epic Payer Platform

Dew Softech Inc

Remote or Philadelphia, New York • Today

Easy Apply

Full-time, Part-time, Contract, Third Party

Remote EDI ERA/EFT Analyst

EDI Specialists, Inc.

Remote • 10d ago

Easy Apply

Full-time, Third Party

Depends on Experience

Job Details

Skills

4 yr college degree
5-7 yrs of experience in healthcare analytics (managed care setting preferred)
SQL and SSMS proficiency required
MS Excel
Data Analytics
Financial Modeling
Predictive Analytics
Experience with clinical program evaluations
Experience with health plan performance reporting and cost and utilization analysis
Proficiency with BI applications
Experience with Payer Care Management platforms

Summary

Remote opportunity for Permanent Residents Only

The Senior Data Analyst, Clinical Programs will be an analytically driven team player, responsible for understanding business needs and objectives, eliciting requirements from stakeholders, and analyzing data and processes to identify opportunities for improvement. This role will support Clinical Programs, Utilization Management, Complex Case Management, and Population Health Management. In this role, you will be challenged to think creatively while developing actionable insights to inform client and program strategy.

Primary Responsibilities

Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates, readmissions, preventable hospitalizations, ER utilization)
Develop statistical models that deliver meaningful insights on cost, utilization and clinical outcomes based on various data sources
Develop algorithms for stratifying populations and identifying high-risk members
Leverage Predictive Analytics to measure the performance (ROI) of Disease Management and other Medical Management programs
Conduct prospective savings analyses in support of clinical program initiatives
Build and maintain client-facing reports, dashboards, and analyses
Develop actionable data insights and advise on client strategy
Participate in program performance review presentations with clinical program managers, client account managers, and external clients, as needed
Manage internal and external client requests and timelines to ensure timely delivery
Collaborate with Medical Management to provide ongoing support

Essential Qualifications

Bachelors' degree required, preferably in Mathematics, Statistics, Finance, Actuarial Science, Data Science, or related field
5-7 years of experience in healthcare analytics, preferably in a managed care setting
Proficiency in SQL and Microsoft SQL Server Suite of Products (SSMS) required
Proficiency in MS Excel required
Advanced data analysis, financial modeling, and predictive analytics skills
Experience with clinical program evaluation and outcomes reporting.
Experience with health plan performance reporting and cost and utilization analysis
Experience with developing client-facing reports
Experience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau)
Ability to explain technical concepts to a non-technical audience
Ability to effectively manage and prioritize several concurrent projects
Excellent oral and written communications skills
Experience with Payer Care Management platforms (i.e. ZeOmega) a plus

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10238328
Position Id: 9081010
Posted 9 days ago

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Faith Chaskes

Recruiter @ Stone Search

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Contract

Depends on Experience

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Remote or Florida

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Today

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Senior Clinical Data Analyst (Healthcare Analytics)

Remote or Chicago, Illinois

•

Today

As a Senior Clinical Data Analyst, you will identify operational improvement opportunities through analytics that help Tendo's customers meet or exceed their financial, quality, and operational goals. Success in this role depends on deep familiarity with inpatient workflows and how care is actually documented in the EHR, including flowsheet rows and templates, order sets and orderables, clinical notes, ADT and bed movement, results and charge capture, and the ability to translate that raw docume

Full-time

USD 97,750.00 - 132,250.00 per year

Data Analyst, Clinical Analytics and Reporting

Remote or Denver, Colorado

•

11d ago

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