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AdventHealth - Shawnee, KS

posted 19 days ago

Full-time
Shawnee, KS
Ambulatory Health Care Services

About the position

The Health Plan Data Analyst is responsible for data analytic strategies focused on lowering the cost of healthcare for our managed populations by providing actionable data to the Population Health team. The Health Plan Data Analyst engages clients (finance team, senior leaders, leaders, health plans, providers) in reviewing financial performance while also providing next-level analyses to ensure resources are being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data (claims, labs, EHR data) analytics to gain insights into provider ordering, member adherence, operational effectiveness, and client-specific metric gaps. The Analyst will be a key part of the Population Health Analytics team and will partner with business and operational owners to identify and execute cost saving opportunities and return on investment analyses. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Responsibilities

  • Engage clients in reviewing financial performance.
  • Provide actionable data to the Population Health team.
  • Analyze healthcare data to gain insights into provider ordering and member adherence.
  • Identify and execute cost saving opportunities.
  • Maintain relationships that are respectful to all.

Requirements

  • Bachelor's degree in Finance, Economics, Mathematics, Accounting, Statistics or related field.
  • Four years of analytic experience.
  • Experience working with analyses within a Health Plan / Payor organization for at least two years.
  • Technical experience in utilizing analytical software tools and applications.
  • Health Plan claims data knowledge.

Nice-to-haves

  • Knowledge of common analytical methods such as profiling customer segments and regression analysis.
  • Intermediate level of proficiency in performing data analytics.
  • Working knowledge of healthcare or insurance accounting methods.
  • Proficiency with Microsoft Access, Excel, Power Point and Word.
  • Proficiency with Microsoft or Vertica SQL.

Benefits

  • Benefits from Day One
  • Career Development
  • Whole Person Wellbeing Resources
  • Award-winning IT Department
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