Sr. Health Care Information Analyst

Emblem Health Farmington , CT 06030

Posted 3 weeks ago

Responsible for the deployment and maintenance of statistical models that enhance clinical strategy, operational efficiency, and member experience.

Conduct care management data research and establish data pipelines to support modeling and operational needs.

Explore, research, and analyze business scenarios to identify reductions in health care costs and to better member health management.

Responsibilities:

  • Work closely with data stewards and information technology team to design and implement target analytics, integrating multiple data sources, models, and visualization software tools.

  • Act as a subject matter expert on care management data and build strong working relationships with the Business, Data stewards / IT to advance analytics goals.

  • Understand business needs, create and document the requirements to support the design and development of standardized and/or ad-hoc reports needed to thoroughly understand the healthcare management opportunities and to support decision making.

  • Contribute to the development, production, and analysis of detailed statistical models that will support robust healthcare management programs. Includes support in the development of sophisticated risk stratification models to properly identify individuals who will best benefit from active clinical case management.

  • Communicate findings and recommendations for corrective action and improvement opportunities to senior management and other appropriate stakeholders through dashboard reports, meetings, and presentations, as necessary.

  • Provide support in the analysis of proposed medical management programs to project the cost and savings from such initiatives.

  • Provide support for incorporating metrics and benchmarks (both internal and external) to proactively identify and evaluate medical/ clinical processes and programs and impacts to cost, utilization, and quality.

  • Provide support for ad hoc data mining, reporting, and analytic tasks to help various areas of the company achieve departmental or company goals.

Qualifications:

  • Bachelor's Degree required, preferably in Actuarial Science/Mathematics/Finance/Econometrics or a related field.
  • 4-6 years of healthcare reporting and analysis experience. (R)
  • Familiarity with 3rd party and open source morbidity measuring tools. (P)
  • Ability to use raw data to create meaningful reports through working knowledge of relational database principles. (R)
  • Strong working knowledge of SQL, Proc SQL, SAS. (R)
  • Strong working knowledge of Microsoft Office products. MS Excel analytical tools; pivot tables, lookups, formulas. (R)
  • Familiarity with visualization/dashboard tools - Tableau. (P)
  • Ability to connect the dots, cross-reference data for accuracy. (R)
  • Excellent quantitative and analytical skills with the ability to interpret findings graphically or verbally, and with written results for general audiences. (P)

Additional Information

  • Requisition ID: 2119S
icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
RN / Intensive Care Unit Cardiovascular

Cross Country Nurses

Posted 4 days ago

VIEW JOBS 10/13/2021 12:00:00 AM 2022-01-11T00:00 The benefits of taking a travel nursing job with Cross Country Nurses include: * Free Private Housing or Generous Housing Allowance * Comprehensive Health Insurance with Prescription Coverage * Dependent Health Insurance with Prescription Coverage * Competitive Salaries * Referral Bonuses * Travel Reimbursement * Shift Differentials * 401(k) Retirement Plan * Direct Deposit/Free Checking * Unlimited Free CE Credits * Minimum Requirements:* * At Least 1 Year of Recent Acute Care Experience * ASN, BSN or MSN Required Cross Country Nurses has more of the travel nursing jobs that you want. We currently have an opportunity in the *Hartford, CT* area for a Intensive Care Unit Cardiovascular Registered Nurse (RN), however if this position isn't right for you... don't worry about it. We have new and exciting Intensive Care Unit Cardiovascular assignments coming in every day, in fantastic cities that you will love to experience. Just think of another destination that you've been thinking of exploring and we'll see what type of assignments we have there. From Boston to Austin, Orlando to San Francisco, we have exclusive travel nursing jobs all across the country! Our positions go fast, so call a Recruiter today! * Job Reference:* 248388 Cross Country Nurses Farmington CT

Sr. Health Care Information Analyst

Emblem Health