Healthcare Analyst II - Vendor Management Experience Required

Job Summary:The Healthcare Analyst II VBR is responsible for analyzing healthcare utilization to identify patterns, variation, and outliers as well as identify and quantify opportunities to reduce medical costs.Essential Functions:Analyze healthcare utilization to identify patterns, variation, and outliersIdentify and quantify opportunities to reduce medical costs within the marketsEvaluate the effectiveness of medical cost reduction initiativesDevelop tools to efficiently compare market performance across and within productsProvide analysis and recommendations to inform network provider performance improvementMonitor the efficiency and efficacy of clinical programs, interventions and processesSupport the intake, prioritization and coordinated execution of ad-hoc analytics requests from departments across the organizationIdentify the variables and methodologies (e.g., qualitative, quantitative, spatial) that define population cohorts that can be positively impacted through targeted programs and interventionsSegment population data to gain holistic intelligence via longitudinal trend analyses and advanced cluster analysesConduct root cause analyses of adverse population health outcomes based on demographic, socioeconomic and clinical factorsPerform any other job duties as requestedEducation and Experience:Bachelor’s Degree or equivalent years of relevant work experience is requiredMinimum of two (2) years of experience in healthcare analytics is requiredManaged care experience is strongly preferredCompetencies, Knowledge and Skills:Knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data and demographic dataKnowledge of Medicaid, Medicare and other government sponsored healthcare programs is preferredProficient in with Excel, Word and PowerPointProficient with Transact-SQL or SAS or Microsoft Power BI or TableauAbility to organize data in a way that facilitates inferences, conclusions and decisionsDemonstrated written and verbal communication skillsWorking Conditions:General office environment; may be required to sit or stand for extended periods of timeCompensation Range:$72,200.00 - $115,500.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.Compensation Type (hourly/salary):SalaryOrganization Level Competencies Fostering a Collaborative Workplace CultureCultivate PartnershipsDevelop Self and OthersDrive ExecutionInfluence OthersPursue Personal ExcellenceUnderstand the BusinessThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.Originally posted on Himalayas

Job Summary:The Healthcare Analyst II VBR is responsible for analyzing healthcare utilization to identify patterns, variation, and outliers as well as identify and quantify opportunities to reduce medical costs.Essential Functions:Analyze healthcare utilization to identify patterns, variation, and outliersIdentify and quantify opportunities to reduce medical costs within the marketsEvaluate the effectiveness of medical cost reduction initiativesDevelop tools to efficiently compare market performance across and within productsProvide analysis and recommendations to inform network provider performance improvementMonitor the efficiency and efficacy of clinical programs, interventions and processesSupport the intake, prioritization and coordinated execution of ad-hoc analytics requests from departments across the organizationIdentify the variables and methodologies (e.g., qualitative, quantitative, spatial) that define population cohorts that can be positively impacted through targeted programs and interventionsSegment population data to gain holistic intelligence via longitudinal trend analyses and advanced cluster analysesConduct root cause analyses of adverse population health outcomes based on demographic, socioeconomic and clinical factorsPerform any other job duties as requestedEducation and Experience:Bachelor’s Degree or equivalent years of relevant work experience is requiredMinimum of two (2) years of experience in healthcare analytics is requiredManaged care experience is strongly preferredCompetencies, Knowledge and Skills:Knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data and demographic dataKnowledge of Medicaid, Medicare and other government sponsored healthcare programs is preferredProficient in with Excel, Word and PowerPointProficient with Transact-SQL or SAS or Microsoft Power BI or TableauAbility to organize data in a way that facilitates inferences, conclusions and decisionsDemonstrated written and verbal communication skillsWorking Conditions:General office environment; may be required to sit or stand for extended periods of timeCompensation Range:$72,200.00 - $115,500.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.Compensation Type (hourly/salary):SalaryOrganization Level Competencies Fostering a Collaborative Workplace CultureCultivate PartnershipsDevelop Self and OthersDrive ExecutionInfluence OthersPursue Personal ExcellenceUnderstand the BusinessThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.Originally posted on Himalayas