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Job Location: Remote
- We continue to grow year over year.
-
Recognized as a leader in driving important
diversity, equity, and inclusion (DE&I) efforts
.
-
Achieved a 100% score two years in a row on the
Human Rights Campaign’s Corporate Equality Index
making us a best place to work for LGBTQ+ equality.
-
Named to Parity.org’s
2020 list of the best companies for women to advance
.
- Continued to prioritize the employee experience and achieved an 87% overall engagement score on our last employee survey.
-
Published an annual
DE&I report
to share our progress on how we’re building an equitable workplace.
- Partner with Business Development, Implementations, and Analytics to develop a successful client onboarding roadmap
- Accountable for the project management of all analytical needs throughout the client implementation process
- Accountable for capturing critical information of a new client involving analytical/pricing assumptions, product management, and contractual terms
- Develop and implement a client readiness strategy and associated tools to successfully track and document the client implementation cycle from an analytics perspective
- Key Liaison between the Client and internal Analytics/IT departments for data acquisition and data warehouse integration
- Analyze impact of deviations from original underwriting during implementation and make recommendations to leadership
- Assist in performing analyses pertaining to contractual commitments
- Onboard and Train Client Analytics Staff on newly implemented clients
- Draw actionable conclusions from analyses and effectively communicate to internal/external audiences at various levels of the enterprise
- Lead and facilitate interaction with customers in a manner that fosters expertise and cooperation
- Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data regarding health plan cost & use and make recommendations based on relevant findings
- Serving as a subject matter expert across multiple technical and/or business domains
- Bachelor’s degree, preferably with a healthcare focus (health administration, epidemiology, public health, biology) or a quantitative major (e.g. actuarial, statistics, operations research, mathematics, economics)
- At least 3-5 years of professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity
- Experience with managing client implementation projects from end to end
- Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
- Advanced or higher proficiency in Microsoft Excel
- Advanced or higher proficiency in SQL or SAS database/statistical programming languages
- Moderate Proficiency in Microsoft PowerPoint
- Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data
- Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc.
- Knowledge of health insurance financial business cycle, healthcare quality reporting, and benchmarking
- Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service
- Ability to work independently with limited oversight
- Master’s Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)
- 5+ years of healthcare economics experience
- Prior people management experience
- Knowledge of healthcare underwriting methodologies
- Familiarity with value-based care and utilization management
- Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture
- Advanced or higher proficiency in SQL or SAS database/statistical programming language
- Experience with BI tools (e.g. Tableau, Power BI.), Visual Basic, and Microsoft PowerPoint
Compensation Range: The minimum salary for this position is $100,000, plus benefits. Salaries are determined by the skill set required for the position and commensurate with experience and may vary above and below the stated amounts.
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