Health Plan Data Analyst

Location: Virtual

All the benefits and perks you need for you and your family:

Benefits from Day One

Career Development

Whole Person Wellbeing Resources

Award-winning IT Department

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-Time, Monday – Friday

The role you’ll contribute:

The Health Plan Data Analyst is responsible for data analytic strategies focused on lowering the cost of healthcare for our managed populations by providing actionable data to the Population Health team. The Health Plan Data Analyst engages clients (finance team, senior leaders, leaders, health plans, providers) in reviewing financial performance while also providing next-level analyses to ensure resources are being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data (claims, labs, EHR data) analytics to gain insights into provider ordering, member adherence, operational effectiveness, and client-specific metric gaps. The Analyst will be a key part of the Population Health Analytics team and will partner with business and operational owners to identify and execute cost saving opportunities and return on investment analyses. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you’ll bring to the team:

Knowledge of common analytical methods such as profiling customer segments, data modeling, and concepts of regression analysis

Intermediate level of proficiency in performing data analytics; ability to effectively apply analytical and quantitative skills to solving problems

Ability to use knowledge and understanding of data, data systems, and statistical software applications, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial program performance

Working knowledge of healthcare or insurance accounting methods and reporting, standards development, utilization measurements, risk segmentation, and financial modeling

Ability to conduct oneself professionally, maintain confidence, confidentiality and objectivity

Ability to relate operational and financial performance in the healthcare environment

Ability to learn quickly and work with minimal supervision

Ability to efficiently manage multiple work streams, clients and analyses

Proficiency with Microsoft Access, Excel, Power Point and Word

Proficiency with Microsoft or Vertica SQL

Effective oral and written communication skills, with the ability to articulate complex information in understandable terms to all levels of staff

Qualifications

The expertise and experiences you’ll need to succeed:

Bachelor’s degree in Finance, Economics, Mathematics, Accounting, Statistics or related field and four years of analytic experience

Experience working with analyses within a Health Plan / Payor organization for at least two years

Technical experience in utilizing analytical software tools and applications

Health Plan claims data knowledge

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Population Health

Organization: AdventHealth PHSO Resources

Schedule: Full-time

Shift: 1 - Day

Req ID: 24042071

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.