Healthcare Data Analyst III

About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary The Healthcare Data Analyst is a critical resource in our efforts to manage health care costs, improve quality, and enhance the experience of both the member and the care team, through sophisticated analysis and communication of health care data. This is a FT WFH role. Pay Range $78,911.43 - $98,639.28 annually (depending on experience). This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education Bachelor’s degree or equivalent experience. Master’s degree preferred Minimum 6 years’ experience in financial analysis or other data analysis role. Experience with health care data required. Demonstrated ability to use data to drive organizational change in strategy, workflows, or results Strong analytical and problem solving skills Strong verbal, written and interpersonal communication skills. Experience with using data analysis and visualization tools such as SAS, SQL, PowerBI, Microsoft Access, Business Objects, Crystal Reports, or other similar applications. Strong Microsoft Excel and SQL skills. Ability to work well under pressure and with constantly shifting priorities. Ability to project a professional image and maintain complete confidentiality. Primary Functions Under general direction, performs complex research and analysis of healthcare claims, enrollment, and other related data. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Implements data driven decisions, strategies, and process changes for department / division. Has a deep understanding of data sources, flow, and limitations. Is able to develop reports and processes that transform and integrate data from multiple tables, databases, and/or systems. Consults with department / division managers in the use of analytical and reporting tools to develop effective cost, quality, and satisfaction outcomes. Participates in and may facilitate work groups and committees. May provide a limited amount of project management. Meets with internal customers to brainstorm what kind of information/report is needed for each situation. Thinks creatively about how to solve a problem or meet a specific business need, given the data available. Makes presentations to internal & external stakeholders about health care cost and utilization. Presents data in a compelling way that highlights the opportunities at hand – whether in making comparisons to benchmarks, pointing out anomalies, displaying trends over time, or using other creative analytical tools. Collaborates with the other members of the Analytics team to expand analytical capabilities, methods, and toolkits. Provides guidance or expertise to less experienced analysts. Other duties as assigned. Working Conditions Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our View email address on click.appcast.io email. #J-18808-Ljbffr Moda Health