Lead-Customer Analytics

Duties:
GENERAL SUMMARY:
Under minimal supervision, the LeadCustomer Analytics performs project work of a complex nature. Project work may include technical analyses or may require facilitation of a large multi-disciplinary group. The LeadCustomer Analytics may work individually,as lead consultant of a project team, or in a consulting capacity for projects not directly assigned. Performs analyses related to area of technical expertise and may train other
staff members in these areas. Serves as a technical consultant to other departments, prepares reports and recommendations for management, and coordinates
implementation whenever possible. The LeadCustomer Analytics may supervise tasks of Consultants, Senior Consultants or Analysts. He/she communicates regularly with Senior Management on specific projects. Serves as a resource and consultant across the system and sites to design and produce relevant information to inform strategies essential to the success of population health initiatives.

PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Responsible for analyzing complex financial and clinical scenarios to support informed decision making including financial, clinical, and operational improvements. Responsible for gathering and interpreting claims, clinical and administrative data to build effective financial models, makes reasonable assumptions, and reach appropriate conclusions. Leads cross functional efforts and provides actionable recommendations to leadership and key areas across the company.
2. Supports the total cost of care analytics component of population health by conducting extensive analysis of cost and utilization data and providing reports and recommendations to leadership and internal customers
3. Acts as project lead for customer analytics initiatives, working with internal customers to develop and manage project plan, analyze data, design reports, and coordinate presentations.
4. Works with internal business customers and cross-disciplinary teams to determine data needs and to enhance the use of strategic analysis. Collaborates internally to ensure intelligence is shared with appropriate groups and individuals.
5. Creates and updates comprehensive customer models including, but not limited to cost and utilization projections and data trends.
6. Conducts and presents analyses that drive improved delivery of value-based care.
7. Works with IT partners to diagnose, correct, and validate any issues with the data populating business intelligence tools.
8. Other duties as assigned.

Skills:
Minimum of five (5) years of experience in extensive data analytics required.
Minimum of two (2) years leading complex projects. (e.g., cross-functional work-groups) required.
Minimum of five (5) years of experience in extensive data analytics. Health Insurance or Healthcare industry preferred.
Power BI.
Milliman MedInsight.
Claims data analytics.
Experience with Epic preferred.

CERTIFICATIONS/LICENSURES REQUIRED:
Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the company\'s Health Customer Service Policy and summarized below:
Communication
Ownership
Understanding
Motivation
Sensitivity
Excellence
Teamwork
Respect

Must practice the customer skills as provided through on-going training and in-services.

Must possess the following personal qualities:
Be self-directed
Be flexible and committed to the team concept
Demonstrate teamwork, initiative, and willingness to learn
Be open to new learning experiences
Accepts and respects diversity without judgment
Demonstrates customer service values

PHYSICAL DEMANDS/WORKING CONDITIONS:
Normal office environment with minimal exposure to noise, dust, or extreme temperatures.
Minimum of five (5) years of experience in extensive data analytics required.
Minimum of two (2) years leading complex projects. (e.g., cross-functional work- groups) required.
Minimum of five (5) years of experience in extensive data analytics. Health Insurance or Healthcare industry preferred.
Power BI.
Milliman MedInsight.
Claims data analytics.
Experience with Epic preferred.

Education:
Bachelors degree required. Masters degree preferred.

Languages:
English Read Write Speak