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Healthcare Analyst

Company: Vaya Health
Location: Asheville
Posted on: January 26, 2023

Job Description:

SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation.
GENERAL STATEMENT OF JOB:The Healthcare Data Analyst manages fiscal centric data analytics related to capitation, cost drivers and decision support of the organization catchment area. Interprets/analyzes data and develops ad hoc reports from a variety of data sources. This role requires high technical proficiency and deep understanding of Medical cost analytics including financial forecasting, cost drivers and claims structure. Working independently and collaboratively and utilize advanced technical skills to review service utilization, per member per month and unit cost trends for various Medicaid lines of business.Note: This position requires access to and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee of Vaya Health. The individual filling this position shall also sign a confidentiality statement as an employee of Vaya Health.
ESSENTIAL JOB FUNCTIONS:* Develop queries to obtain data that is appropriate to the purpose with minimal assistance and oversight.* Develop and manage financial models related to premium, cost of care, and PMPM. * Provide data driven analytics to Finance, Claims, Clinical, Network and other departments to enable critical decision making. * Assist with completing complex analytical projects to research and explain utilization and unit cost medical cost drivers across the organization. * Help develop best practices and presentations to facilitate/lead discussions with business units and present analysis and key findings to varying levels of the organization using data storytelling methodologies.* Inform and engage business leaders on estimated unit cost changes and initiatives to help ensure they achieve applicable targets.

QUALIFICATIONS & EDUCATION REQUIREMENTS:A Bachelor's Degree in Analytics/BI, Computer Science, Information Technology or related discipline or a Masters Degree in Data Analytics, Computer Science, Healthcare, Data Science, or Public Administration is required with two years of experience in data analytics or research is required
PHYSICAL REQUIREMENTS:This position must have the ability to establish appropriate and respectful relationships/partnerships with organizational personnel. Ability to work with a multidisciplinary team approach. Ability to assume a helping role and to intervene appropriately to meet the needs of providers, consumers or families served. Works within the established ethical guidelines developed for the profession.
KNOWLEDGE, SKILL & ABILITIES:* Excellent high-level analytical/problem solving skills and communication skills both orally and written are required. * Ability to manage projects and manage expectations across assignments and collaborators.* Ability to analyze business needs, make proactive recommendations to improve existing processes and identify where Healthcare Analytics may create opportunities for improvement.* Ability to understand business processes and interact directly with internal business units to provide sound analysis and tools.* Strong interpersonal skills including the ability to be a part of a team, teach peers and collaborate. * Desire for constant growth and an innate curiosity.* Ability to work independently and as a strong team player.* Ability to work in a fast-paced, deadline driven environment running multiple projects simultaneously.* Integrity and decision making skills necessary to work with and protect confidential personal health information* Proficiency in Microsoft Suite. Microsoft SQL Server, including experience with SQL Query writing, and Power Query in Excel, preferred. * High level of competence with Microsoft Excel including Power Query, formula writing, and dashboard/report design.* Experience managing data analysis projects from beginning to end including but not limited to requirement gathering, data cleansing, analysis, report development, presentation development, and presenting results to various levels of the organization.
APPLY: Vaya Health accepts online applications in our Career Center, please visit Ind.001
Vaya Health is an equal opportunity employer.

Keywords: Vaya Health, Asheville , Healthcare Analyst, Professions , Asheville, North Carolina

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