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Job Summary

The Healthcare Analytics Consultant Associate employs advanced analytics to gain critical insights into member behavior drivers and preferences, product/program concepts and value propositions, operational effectiveness and efficiencies, and client specific health gaps and needs. The incumbent consults business leaders and internal partners to apply insights to test and drive product innovation and enhancement, target the right members for the right service, measure program outcomes and demonstrate value, help win and retain clients, and support information based strategic decision making.

Requirements

EDUCATION

Bachelor’s degree in Computer Science, Mathematics, Actuarial Science, Business Administration, Information Systems, Healthcare or other health science related field required.

Master's degree preferred.

EXPERIENCE & KNOWLEDGE

Five (5) years' health care analytics experience including data extraction, data manipulation, repository building and data interpretation required OR three (3) years' experience as previously listed with an applicable Master's degree.

Experience with Visio or other flowcharting tools preferred.

Experience with actuarial and financial data including but not limited to data used in calculations for reserving, risk adjustment, pricing, and financial forecasting desirable. 

Advanced working knowledge of analytical tools including Excel, Statistical Analysis Software (SAS), Structured Query Language (SQL), Accelerated Query Tables (AQT) and Microsoft Windows based query software.

Knowledge of actuarial practices and underwriting methods related to health insurance preferred.

Familiarity with developing financial based models for critical decision making related to the healthcare industry.

ESSENTIAL ABILITIES

Ability to work with minimal supervision.

Skills

• Analyze Information • Critical Thinking • Cross-Functional Communications • Customer Service • Decision Making • External Collaboration • Management Techniques • Monitoring and Evaluation (M&E) • Oral Communications • Organizing • Problem Sensitivity • Problem Solving • Process Information • Researching • Results Interpretation • Strategic Objectives • Written Communication

Responsibilities

• Brings together multiple sources of complex data to design and develop reports that answer business questions. • Collaborates with business stakeholders across the organization to understand analytics needs and deliver plans to meet those needs. • Develops methods and reporting assets to improve efficiency of identifying, quantifying, and monitoring cost containment strategies. • Investigates key business problems by analyzing data to identify patterns and trends in cost and utilization, translate the analysis into insights, and use the results to define opportunities to drive business action. • Produces clear and concise summaries of analytical findings for easy consumption by a variety of audiences through a variety of media such as presentations, email summaries, executive summaries, and oral discussions.

Certifications

Security Requirements

This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.

Segregation of Duties

Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.

Employment Type

Regular

ADA Requirements

1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.