CareSource · 18 hours ago
REMOTE - Healthcare Analyst II - R10164
CareSource is a healthcare organization that is seeking a Healthcare Analyst II to analyze healthcare utilization and identify opportunities to reduce medical costs. The role involves evaluating medical cost reduction initiatives, developing tools for market performance comparison, and providing analysis for network provider performance improvement.
Health CareMedicalNon Profit
Responsibilities
Analyze healthcare utilization to identify patterns, variation, and outliers
Identify and quantify opportunities to reduce medical costs within the markets
Evaluate the effectiveness of medical cost reduction initiatives
Develop tools to efficiently compare market performance across and within products
Provide analysis and recommendations to inform network provider performance improvement
Monitor the efficiency and efficacy of clinical programs, interventions and processes
Support the intake, prioritization and coordinated execution of ad-hoc analytics requests from departments across the organization
Identify the variables and methodologies (e.g., qualitative, quantitative, spatial) that define population cohorts that can be positively impacted through targeted programs and interventions
Segment population data to gain holistic intelligence via longitudinal trend analyses and advanced cluster analyses
Conduct root cause analyses of adverse population health outcomes based on demographic, socioeconomic and clinical factors
Perform any other job duties as requested
Qualification
Required
Bachelor's Degree or equivalent years of relevant work experience is required
Minimum of two (2) years of experience in healthcare analytics is required
Knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data and demographic data
Proficient in with Excel, Word and PowerPoint
Proficient with Transact-SQL or SAS or Microsoft Power BI or Tableau
Ability to organize data in a way that facilitates inferences, conclusions and decisions
Demonstrated written and verbal communication skills
Preferred
Managed care experience is strongly preferred
Knowledge of Medicaid, Medicare and other government sponsored healthcare programs is preferred
Benefits
You may qualify for a bonus tied to company and individual performance
Substantial and comprehensive total rewards package
Company
CareSource
CareSource provides managed care services to Medicaid beneficiaries.
H1B Sponsorship
CareSource has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (30)
2024 (39)
2023 (35)
2022 (21)
2021 (37)
2020 (28)
Funding
Current Stage
Late StageLeadership Team
Recent News
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