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Health Plan Data Analyst - PHSO job in Maitland at AdventHealth Corporate

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Health Plan Data Analyst - PHSO at AdventHealth Corporate

Health Plan Data Analyst - PHSO

AdventHealth Corporate Maitland, FL Full Time
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Health Plan Data Analyst | AdventHealth Corporate

Location Address: 101 Southhall Lane, Maitland, FL 32751

Top Reasons to Work at AdventHealth Corporate

  • Great benefits
  • Immediate Health Insurance Coverage
  • Career growth and advancement potential

Work Hours/Shift:

  • Full-Time, Monday – Friday

You Will Be Responsible For:

  • Knowledge of common analytical methods such as profiling customer segments, data modeling, and concepts of regression analysis
  • Intermediate level of proficiency in performing data analytics; ability to effectively apply analytical and quantitative skills to solving problems
  • Ability to use knowledge and understanding of data, data systems, and statistical software applications, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial program performance
  • Working knowledge of healthcare or insurance accounting methods and reporting, standards development, utilization measurements, risk segmentation, and financial modeling
  • Ability to conduct oneself professionally, maintain confidence, confidentiality and objectivity
  • Ability to relate operational and financial performance in the healthcare environment
  • Ability to learn quickly and work with minimal supervision
  • Ability to efficiently manage multiple work streams, clients and analyses
  • Proficiency with Microsoft Access, Excel, Power Point and Word
  • Proficiency with Microsoft or Vertica SQL
  • Effective oral and written communication skills, with the ability to articulate complex information in understandable terms to all levels of staff       

What You Will Need:

Education and Experience Required:

  • Bachelor’s degree in Finance, Economics, Mathematics, Accounting, Statistics or related field and four years of analytic experience
  • Experience working with analyses within a Health Plan / Payor organization for at least two (2) years
  • Technical experience in utilizing analytical software tools and applications

Education and Experience Preferred:

  • Master’s degree in analytical field
  • Experience in analytics with emphasis in healthcare and/or clinical application and health insurance finances
  • Experience with statistical applications like SAS, SPSS or R
  • Experience with analytics interfaces such as Tableau, Business Objects
  • Experience working with healthcare, insurance or claims data

Knowledge and Skills Required:

  • Health Plan claims data knowledge

Job Summary:

The Health Plan Data Analyst is responsible for data analytic strategies focused on lowering the cost of healthcare for our managed populations by providing actionable data to the Population Health team.  The Health Plan Data Analyst engages clients (finance team, senior leaders, leaders, health plans, providers) in reviewing financial performance while also providing next-level analyses to ensure resources are being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data (claims, labs, EHR data) analytics to gain insights into provider ordering, member adherence, operational effectiveness, and client-specific metric gaps.  The Analyst will be a key part of the Population Health Analytics team and will partner with business and operational owners to identify and execute cost saving opportunities and return on investment analyses. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Recommended Skills

Spss (Statistical Software)
Health Care
Data Analysis

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