Data Science Analyst III

$121,770 - $148,830/Yr

Careoregon - Milwaukee, WI

Full-time - Mid Level

Remote - Milwaukee, WI

Insurance Carriers and Related Activities

About the position

The Data Science Analyst III position at CareOregon is a pivotal role within the Business Intelligence department, focusing on the proactive identification of opportunities and the development of algorithms, models, data structures, and data products. This position is designed to facilitate the production of insights derived from healthcare claims, enrollment, and other related data. The core function of this role is to lead efforts in translating complex data into meaningful information for decision-makers, with a focus on cost and utilization of health services, financial trending, and enhancing member and provider experiences. The analyst will ensure the completeness and integrity of data used for analysis and will collaborate across various departments in a multi-functional, mission-critical environment. Additionally, this role involves training and mentoring other analysts and staff, acting as a subject matter expert in their domain. The responsibilities include leading the development of research methods and data analysis plans related to healthcare utilization, cost trends, and financial forecasting. The analyst will direct complex analysis projects, manage stakeholder relationships, and communicate outcomes effectively. They will utilize appropriate software tools to retrieve, edit, and tabulate data from various databases, conduct descriptive, prescriptive, and predictive analyses, and summarize complex data for leadership in various formats such as statistical summaries, narratives, and visualizations. The role also involves developing visual reporting tools, collaborating with business teams to understand needs, and ensuring compliance with regulatory reporting requirements. Furthermore, the analyst will create and maintain technical documentation, contribute to community practices, and assist in delivering presentations to various stakeholders. Organizationally, the analyst will perform work aligned with CareOregon's mission, vision, and values, supporting the commitment to equity, diversity, and inclusion. They will strive to meet annual business goals and adhere to organizational policies and compliance needs, while also performing other duties as necessary.

Responsibilities

• Lead in the development of research methods and data analysis plans related to healthcare utilization, cost trends, financial forecasting, member, and provider experience.
• Lead and direct efforts for complex analysis projects, such as building models, algorithms, data products, etc.; expertly manage stakeholders, cross-functional team relationships and set appropriate expectations; summarize and communicate outcomes of analysis projects.
• Expertly use appropriate software tools to retrieve, edit and tabulate data from various databases and files.
• Conduct descriptive, prescriptive, predictive analyses.
• Lead in the summarization of complex data for leadership in the appropriate form (e.g., statistical summaries, narratives, charts, tables, graphs, etc.) to convey meaning, significance, and actionable information.
• Lead in the research and development of models, algorithms, and analysis tools to mature the use and creation of self-service data products at CareOregon.
• Develop visual reporting (e.g., dashboards, scorecards, etc.) using data visualization tools such as Tableau when appropriate.
• Develop appropriate subject matter, domain expertise and serve as an expert resource.
• Collaborate with other subject matter experts to identify opportunities for building repeatable data products.
• Collaborate with business teams to understand business needs and to elicit and document requirements for analytics, algorithms, models, etc.
• Lead in the development of reporting tools to comply with regulatory reporting requirements.
• Lead in the review and assessment of data completeness, validity, and reliability used for analysis and reporting.
• Create and maintain technical documentation such as data dictionaries, business glossaries, metric definitions, and other data resources.
• Thoroughly document models, algorithms, data products, processes and any analysis, reports developed.
• Contribute to, and actively participate in, community of practice to improve the skills and capabilities of other analysts at CareOregon.
• Train and mentor junior analysts in the organization.
• Assist with, prepare, and/or deliver presentations to community groups, regulatory agencies, leadership, and other teams as needed.

Requirements

• Minimum 5 years' experience in an analyst role; experience should include advanced skills with statistical software packages, such as Python, R, or SAS.
• Proficient in analytical techniques including segmentation and data mining.
• Experience planning, implementing, and summarizing complex analysis and reporting projects.
• Experience with building reusable models, algorithms, and data structures.
• Experience in the healthcare or health insurance industry.
• Engaging both technical and non-technical stakeholders.

Nice-to-haves

• Master or bachelor's degree in STEM, Finance, Economics, Business Administration or Public Health.
• Experience with machine learning, including clustering algorithms, decision tree learning, artificial neural networks, etc.
• Experience with Snowflake or Azure Databricks.
• Experience with GeoAnalytics.
• Experience with analysis customer/marketing data.

Benefits

• 5% bonus target
• Full benefits package including health insurance, dental insurance, and vision insurance.