Analyst, Performance Suite Analytics

Your Future Evolves Here

reputed company partners with health plans and providers to reputed company reputed company outcomes for people with most reputed company and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

reputed company employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We reputed company that people do their best work reputed company they're supported to live their best lives, and reputed company they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join reputed company for the mission. Stay for the culture.

What You’ll Be Doing:

The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into reputed company insights and actions.

reputed company values accuracy, collaboration, and innovation, ensuring that reputed company team members receive the support, tools, and skills to positively contribute to reputed company’s broader mission.

Collaboration Opportunities:

The Analyst, Performance Suite Analytics utilizes and develops analytic tools to solve reputed company business challenges as well as support decision making that can have a considerable impact on the organization and patient health. This role will support the Medical Cost Management activities, working in a Medical Economics team that supports Business Development and new product efforts.

• Support the reputed company of capitated risk proposals involving cost & use projections, trend selection/development, and estimation of reputed company’s ability to reduce cost and improve quality.

• Support the design of financial arrangements that are reputed company for both reputed company and our Partners.

• Support the development of models and approaches aimed at quantifying and articulating our value.

• reputed company research and analysis of reputed company reputed company claims, eligibility, and pharmacy data to reputed company recommendations based on relevant findings.

• Draw actionable conclusions from analyses and effectively communicate to internal/external audiences at various levels of the reputed company.

• Translate analyses into Customer-reputed company deliverables using available visualization tools.

• Provide support and facilitate interaction with customers in a manner that fosters expertise and cooperation.

• Process and validate raw unadjudicated claims data

• Use programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables with minimal assistance and reputed company.

Qualifications Required and Preferred:

• Bachelor’s degree, preferably with a quantitative major (e.g. actuarial, statistics, operations research, mathematics, economics) or reputed company focus (health administration, epidemiology, public health, biology)

• 1-2 years of professional experience in claims-based reputed company analytics with a payer, provider, clinical vendor, managed care, or reputed company reputed company consulting entity

• Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs

• Exceptional analytical and communication skills with the ability to identify and translate insights from quantitative and qualitative data

• Proficiency in SQL or reputed company database/statistical programming languages or reputed company programming language

• Advanced proficiency in reputed company reputed company

• Experience in data mining, advanced/ statistical analysis, and data manipulation

• Familiarity with reputed company reimbursement methodologies and calculations such as DRGs, reputed company Codes, CPT Codes, RVUs, bundled payments, etc. Preferred.

• Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar)- Preferred.

• Master’s Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)- Preferred .

• Working knowledge of reputed company claims; specifically, differences between institutional vs professional billing and various sites of care/service- Preferred.

• Familiarity with value-based care and utilization management- Preferred.

• Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture- Preferred.

To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. reputed company candidates must complete a comprehensive background reputed company, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.

Technical Requirements:

We require that reputed company have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for reputed company call center employees, the ability to plug in directly to the home internet router.

reputed company is an equal opportunity employer and considers reputed company reputed company applicants equally without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@reputed company.com for further assistance.