Healthcare Statistical Analyst I/II/III/IV (VBP)

Role Description

The Healthcare Statistical Analyst performs technical services within the actuarial or risk adjustment department that support the Health Plans operations which monitors and maintains financial solvency through the understanding of current data & environment and modeling of future events. This role interacts with internal and external partners and Regulatory agencies. This role monitors trends, brings forward opportunities and insights found in the data to the applicable audiences. This position supports leadership by providing statistical information and analysis needed to make informed decisions, identifies trends, and utilizes data mining techniques and development of advanced predictive models.

Qualifications

• Bachelor’s Degree in Math, Statistics, Economics, Medical Informatics, Actuarial Science or relevant field required.
• One (1) year of related experience preferred.
• Strong analytical skills, verbal and written communication skills.
• Strong interpersonal skills with demonstrated ability and willingness to collaborate with other team members.
• Ability to prioritize, multitask, and maintain multiple simultaneous projects.
• Intermediate technical skills including proficiency in Microsoft Office Suite.
• Programming skills in SQL, SAS, VBA, or similar programming language is preferred.

Requirements

• Conducts analyses for and communicates with other departments on various initiatives.
• Assists the development of analyses concerning complex issues & trends, coordinates with staff.
• Participates in reviewing and evaluating emerging trends in healthcare, establishing reserves and producing financial analysis.
• Recommends appropriate applications and process changes to existing and new analysis.
• Reconciles Data Warehouse data with corporate financials or encounter submissions and identifies and develops corrective action with regards to Data Warehouse integrity issues.
• Initiates and leads efforts to continually improve data capabilities and quality of department analysis and reporting.
• Independently ideates process improvements and recommends changes in process to direct leadership.
• Creates and maintains documentation related to data analysis, data models, and data mapping which includes creating technical documentation, process documentation and training materials.
• Draws together facts and input from a variety of data sources.

Benefits

• Participation in group health and/or dental insurance.
• Retirement plan.
• Wellness program.
• Paid time away from work.
• Paid holidays.

Compensation Range(s)

• Level I: Grade E1: Minimum $62,400 - Maximum $84,000
• Level II: Grade E3: Minimum $62,400 - Maximum $106,929
• Level III: Grade E5: Minimum $71,880 - Maximum $129,384
• Level IV: Grade E6: Minimum $79,068 - Maximum $142,322