Healthcare Data Analyst

Job Description: This position has the responsibility to consult with the business/departmental leads and staff to gain an understanding of our business (i.e. lines of business leadership inclusive of Finance, Marketing and Sales, Health Care Network Management (HCNM), Operational Excellence (OpEx), Safety Net (SN) program owners-as applicable). This position extracts, analyzes, shapes and develops reports in ways that can be easily understood. The consultant monitors trends, brings forward opportunities and insights found in the data to the applicable audiences. This position partners with other analytics units (i.e. Analytics and Data) to collaboratively work on predictive modeling opportunities as well as utilize tools/data developed by other analytic units for deeper analysis of claims and other data. Essential Responsibilities/Accountabilities: Level I: Develops ongoing knowledge of Health Plans tools and data sources/structures (i.e. Enterprise Data Warehouse (EDW) and/or Medical/Pharmacy Management systems) to accurately pull data. Independently seeks to understand the business/programs and partners at the Health Plan to better understand the business requirements (the 'why') of the request and applies both knowledge of the business and analytic skills to proactively fulfill request. Prepares, develops, analyzes, shapes and delivers reports in an accurate and timely manner that 'tell a story' including but not limited to health plan cost and utilization trends, monitoring effectiveness of care management programs, clinical variation and data mining to find potential opportunities to better control costs and utilization, as needed. Compiles complex data sets and simplify/tailor according to audience delivering analyses to. Evaluates and processes raw data for user friendly and provides actionable insight (visual and otherwise) to end users. Collaborates with team members, leveraging skill sets across the team and aiding in growth and development as needed. Proactively problem solves, investigates and tactfully brings forward concerns to management and/or business partners with relation to data pulls and analyses, as appropriate. Uses Health Plan defined populations and appropriate analytic tools to pull data set to identify membership ( #J-18808-Ljbffr Excellus Health Plan Inc.