Note: The job is a remote job and is open to candidates in USA. CareSource is a healthcare organization seeking a Healthcare Analyst III who will present analytical findings and recommendations regarding utilization to management. The role involves identifying opportunities to reduce medical costs and mentoring new analysts while analyzing healthcare data.
Responsibilities
- Present analytical findings and recommendations to management
- Mentor new and developing Healthcare Analysts
- 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
- Performs any other job related duties as requested
Skills
- Bachelor's degree required
- Equivalent years of relevant work experience may be accepted in lieu of required education
- Five (5) years of experience in healthcare analytics required
- Managed care experience required
- 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 required
- Proficient in with 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
- Master's degree is preferred
Benefits
- 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
Company Overview
Company H1B Sponsorship