Staff Data Analyst - Medical Economics

Wellsky - Overland Park, KS

Full-time - Senior

Overland Park, KS

Professional, Scientific, and Technical Services

About the position

The Lead Medical Economics Analyst at WellSky is responsible for providing insights, analysis, and reports while maintaining analytical findings. This role focuses on transforming healthcare claims data into actionable insights to inform decisions for both internal and external stakeholders. The ideal candidate will work with large databases, utilizing tools such as SQL and SAS, to generate measures of quality, cost, and utilization of care, and will create reports and dashboards using BI tools.

Responsibilities

• Filter and clean data by reviewing reports and performance indicators to locate and correct specific issues.
• Collect, organize, and analyze large amounts of information with attention to detail and accuracy.
• Produce spreadsheets, documents, and presentations that are well documented and easy to follow.
• Perform data extraction, generally using SQL.
• Analyze claims and other healthcare data to identify areas of opportunity and provide analysis and conclusions.
• Assist in contract reconciliation and monthly/quarterly reporting.
• Oversee/participate in the hiring process of all assigned positions in accordance with Company policy and local, state, and federal employment law.
• Adhere to the confidentiality of HIPAA-protected health information and maintain confidentiality of patient information.
• Use data to optimize outcomes and organizational success.
• Manage KPIs and quality improvement indicators.
• Ensure excellent customer service to patients, referral partners, and others.

Requirements

• Bachelor's degree in Finance, Business Analytics, Health Economics, or related field.
• 5-10 years of related analytics and/or healthcare data experience.
• Excellent oral and written communication skills to effectively communicate with all levels of management.
• Working knowledge of SQL, Tableau, and/or PowerBI.
• Background in Managed Care / Health Plan claims.

Nice-to-haves

• Previous experience in a role where medical terminology is used extensively.
• Health plan experience with Managed Medicaid and Medicare Advantage plans preferred.

Benefits

• Paid parental leave
• Paid holidays
• Health insurance
• Dental insurance
• 401(k)
• Tuition reimbursement
• Paid time off
• Vision insurance
• Prescription drug insurance