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Sr. Analyst, Health Plan Data & Compliance jobs in United States
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Organon · 16 hours ago

Sr. Analyst, Health Plan Data & Compliance

Organon is a global healthcare company focused on improving healthcare access and outcomes. The Senior Analyst will leverage data to analyze health trends and ensure compliance in health plan operations, collaborating closely with vendor partners to enhance the U.S. benefits strategy.
Health CareMedical DevicePharmaceuticalWomen's
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Responsibilities

Leverages population health data to develop reporting and dashboards. Makes data-driven recommendations that shape Organon’s medical and prescription drug strategy, improve health outcomes, and reduce costs
Uses knowledge of claims data to establish a reasonable cost baseline across procedures, providers, prescriptions, and sites of service, highlighting those that are low value and recommending actionable steps to steer members to higher value care
Applies a deep understanding of federal regulations, including but not limited to ERISA, CAA, and MHPAEA to facilitate continued fiduciary compliance
Identifies potential programs that align to the U.S. benefits strategy and supports integration into Organon’s benefits ecosystem
Establishes efficient payment integrity processes and manages their ongoing cadence
Facilitates meetings of Organon’s U.S. fiduciary committee
Maintains professional, collaborative relationships with Organon’s vendor partners centered on transparency and accountability
Supports RFPs for existing and new services
Responsible for updates to SPDs, SMMs and distribution of all required notices to employees
Provides backup support for retirement plan compliance and administration

Qualification

Data analysisTableauHealth plan complianceClaims data knowledgeFederal regulations knowledgeInnovative thinkingProblem-solving mindsetTeam-oriented attitudeCritical thinking

Required

Bachelor's degree
At least 5 years in a role that requires using data to improve health outcomes
Experience creating data visualizations in Tableau
Ability to think both critically and innovatively while challenging traditional healthcare models
Ability to work in a fast-paced environment, navigate ambiguity, and embrace frequent change
Problem-solving and learning mindset
Positive, team-oriented attitude

Preferred

Master's degree in public health or related field
Working knowledge of employer-sponsored or other commercial health plans
Familiarity with commonly used CPT, ICD-10, and HCPCS codes

Benefits

Retirement savings plan
Paid vacation and holiday time
Paid caregiver/parental and medical leave
Health benefits including medical, prescription drug, dental, and vision coverage in accordance with the terms and conditions of the applicable plans

Company

Organon offers medicines and other products to assist treat a wide range of ailments and diseases.

Funding

Current Stage
Public Company
Total Funding
$1B
2024-05-07Post Ipo Debt· $1B
2021-06-03IPO

Leadership Team

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Matthew Walsh
Executive Vice President & Chief Financial Officer
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Christina Marzocca
Associate Director, Global Women's Health Policy
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Company data provided by crunchbase