Data Analyst IV Medical Economics

Flossmoor, IL - USA

Monthly Salary: Not Disclosed

Posted on: 17 hours ago

Vacancies: 1 Vacancy

Job Summary

Job Summary:
We are seeking a Data Analyst IV responsible for analytic data needs of the business unit in the health care industry. The ideal candidate will be required to handle complex data projects and act as a lead for other Data Analysts. We are looking for a very specific type of candidate as this company is expanding their Medical Economics team. They have had success with candidates who have some actuarial experience as well and with some consultants who have worked in managed care in the medical economics space.

Location: Remote. This position will support mostly CST/EST - if this candidate is PST they will be expected to work 6-3p PST (8-5 CST or 9-6 EST)

Is there additional variable compensation Yes! 8% targeted bonus

Responsibilities

Provide advanced analytical support for business operations in all or some of the following areas: claims provider data member data clinical data HEDIS pharmacy external reporting
Extract load model and reconcile large amounts of data across multiple system platforms and sources
Review data to determine operational impacts and needed actions; elevate issues trends areas for improvement and opportunities to management
Develop reports and deliverables and make recommendations to management
Model data using MS Excel Access SQL and/or other data ware house analytical tools
Assist management in driving business decisions based on data
Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis
Assist with training and mentoring other Data Analysts
Assist with determining work load and related activities for other Data Analysts
Performs other duties as assigned
Complies with all policies and standards

Must-haves

Bachelors degree in Business economics statistics mathematics actuarial science public health health informatics healthcare administration finance or related field or equivalent experience. Masters degree preferred. 5 years of experience working with large databases data verification and data management

Required Skills

Experience with Medicare Medicaid and Marketplace analytics
Strong SQL skills including the ability to write and understand complex queries SELECT statements and multiple types of JOINs.
Advanced Excel skills including: Pivot Tables Power Query VLOOKUP / XLOOKUP Averages aggregations formatting Creating and nesting formulas to build metrics and perform financial modeling Power BI experience with familiarity in DAX and Power Pivot.
Experience with financial analytics tools and basic financial modeling/sizing
Strong understanding of payment methodologies including DRG pricing APC and EAPG payment methodologies

Preferred or Nice-to-have Skills

Python and R Collaborate with cross-functional teams to evaluate QAI (Quality and Affordability Initiatives) MLR (Medical Loss Ratio) targets and related key performance indicators (KPIs)

Years of Experience: 5 years of experienceIndustry Experience: Managed Care Analytics - payment methodologies - Medical Economics (Healthcare)

Job Summary:We are seeking a Data Analyst IV responsible for analytic data needs of the business unit in the health care industry. The ideal candidate will be required to handle complex data projects and act as a lead for other Data Analysts. We are looking for a very specific type of candidate as t...