Sabido · 5 hours ago

Sr Analyst, Healthcare - Remote

Long Beach, CA

Full-time

Remote

Mid, Senior Level

3+ years exp

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Responsibilities

Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information.

Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.

Oversees development, organization, and ongoing maintenance of data representing a wide range of healthcare information.

Develops and directs a process to clean and integrate complex healthcare datasets in order to create the data foundation for further analytics and the development of key insights.

Supervises completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.

Oversees, establishes, and maintains timelines for reports and projects.

Ensures quality of output by submitting work product for quality checks and reviews and performing similar functions for other staff.

Qualification

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Healthcare claims analysisData managementHealthcare analyticsFinancial metrics analysisSQLPredictive modelingMedical EconomicsTrend analysisBI tools

Required

Associate's Degree or equivalent combination of education and experience

3-5 years

Preferred

Bachelor's Degree in Finance, Economics, Computer Science

5-7 years increasingly complex database and data management responsibilities

5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics

Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare

Basic knowledge of SQL

Bachelor's Degree in Finance, Economics, Math, or Computer Science

Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators

Proactively identify and investigate complex suspect areas regarding medical cost issues

Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan

Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.

Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions

Healthcare Analyst I or Financial/Accounting Analyst I experience desired

Multiple data systems and models

BI tools