Job description

The Senior Managed Care Data Analyst leads advanced statistical data analysis to the Managed Care Department, as well as finance and operations. This role works is responsible for mentoring other analysts, preparing, and communicating results and working with cross-functional groups to define and produce complex reports analyzing clinical, financial, and operational performance related to health plan contracts.

What You Will Do – Top Priorities

• Provide advanced analytical expertise for business operations in the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting
• Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management
• Analyze EMR, payor, and other data to answer questions about cost & quality of managed care plans
• Extract, manipulate and analyze large data sets to draw and communicate relevant conclusions about organizational performance on metrics of cost, utilization, and care outcomes
• Lead complex data projects and makes assumptions driven by data
• Work with reporting department to develop data extracts to meet specifications
• Creates, develops, and maintains reports, datasets, ad hoc requests, dashboards, metrics, data generators, etc. for end-users using system tools and databases
• Produce actionable reports that show key performance indicators, identify areas of improvement, and display root cause analysis of problems.

What You Get:

• An opportunity to impact the health of our patient population and wellness in our communities – correct and accurate data is a vital part of providing high quality, patient centered health services.
• Freedom to take ownership of your work and be a proactive problem solver. Use your passion for analyzing and manipulating data and problem solving to help provide solutions.
• The chance to help others in the organization to improve their performance and create better patient outcomes based on your analysis and reporting skills.

Required Qualifications:

• Bachelor’s degree in related field required, master’s degree preferred
• Minimum 2 years’ experience in a role focused on healthcare data and/or statistical analysis
• Minimum 2 years of Managed Care experience in a data analytic role within healthcare (payer, provider, consulting) working with claims data and statistical analysis
• Minimum 3 years’ experience working with claims data
• Proven experience with granular data analysis, predictive analytics or analytics technology products.
• Experience with EHR, including reporting (EPIC preferred)
• Intermediate proficiency with Microsoft Office required; advanced proficiency in Excel
• Advanced knowledge of Enterprise Reporting and Analysis tools, SQL, and visual analytic applications preferred

Who We Are

ACCESS is at the forefront of expanding access to affordable, comprehensive healthcare. We understand that we must continually work to evolve our thinking around patient care. As a community health care leader, we know that regardless of all the resources and advancements in medicine today, patient engagement is the most critical element in improving health outcomes. To achieve this outcome, we innovate and develop better practices to improve our care delivery model. To continue successfully down this path, we search for candidates who share our values and goals.

We don’t discriminate for any reason. We welcome talent who believes in our mission, drives the organization forward and cares about the value they bring to an organization.

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