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Job SummaryThe Healthcare Analyst supports all analytical needs with respect to a portfolio of client relationships. The Analyst works both collaboratively and independently to complete complex analysis leading to meaningful business decisions.Responsibilities
Research, analyze data, present results, and recommend intelligent solutions to solve problems and address business challenges by applying a knowledge of medical claims analysis, critical-thinking skills, and healthcare experience/expertise.
Structure analytical results in an organized, visual manner to tell a meaningful, actionable story.
Write SQL queries, create end-user reports, and apply varying analytical techniques to solve specific business problems.
Determine credibility and usability of claims data prior to delivery of analytic results.
Interpret contractual language with a clear understanding of business rules and reporting requirements.
Establish trusting professional relationships with internal senior business customers.
Maintain alignment of expectations and priorities in autonomous fashion.
Perform other duties and responsibilities as required, assigned, or requested.
Qualifications
Bachelor’s degree in Math, Statistics, Computer Science, or a related field required; Master’s degree preferred
1 – 3 years of experience or proven ability working as an analyst in the healthcare industry with medical claims, membership, and provider data
Experience with Structured Query Language (SQL) required
Proven experience working with Medicare and Commercial paid claims data sets; other applicable datasets include Census and Member Eligibility datasets
Advanced analytic skills with the ability to build statistical and predictive models to help support business decisions
Ability to analyze and interpret medical claims data through complex analysis that leads to strategic business decisions
Experience in data mining, statistical analysis, and data transformation/manipulation
Experience working with large data repositories and/or relational databases
Expertise in MS Excel, with proficiency using formulas, PivotTables, linked worksheets, graphing and other reporting and presentation features
Ability to tell a succinct, meaningful, and actionable story with data using visualization and other techniques
Ability to work on multiple projects simultaneously with minimal supervision
Excellent computer skills, strong leadership qualities, organization and project management skills
Ability to multi-task in a fast-paced environment and quickly adapt to changes in both technology and business environments
Ability to analyze data and apply investigative skills in resolving issues
Ability to produce clear, written operational instructions and supporting documentation
Ability to troubleshoot technical and functional problems
Exceptional written and oral communication skills
Highly self-motivated and directed with keen attention to detail
Knowledge of HIPAA compliance and security requirements as it relates to healthcare data
About naviHealthBeing a pioneer in post-acute management and care transitions with 19 years of experience, naviHealth is uniquely positioned to manage patients, improve clinical and financial outcomes, and share risk with payors and providers. We provide clinical service support alongside proprietary technology and advisory solutions that empower health systems, health plans and post-acute providers to navigate care episodes across the continuum, with the goal of reducing waste and improving patient outcomes.Our ValuesWe care about the people we serve.We care about each other.We care about our communities.We embrace innovation.We like simple.The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.Requisition ID: 2019-2863 Street: 210 Westwood Place Location Type: Field / Office / Virtual: Corp Office
Vacancy expired!