Job Description

Job descriptionPosition Purpose: Lead analytical data needs for all business units.Contact Gary@GaryLouisNelson.comJob Openings: https://garylouisnelson.com/snapshot-of-latest-opportunities/

  • Initiate and lead company wide data processes improvements. Lead cross functional activities related to large-scale analytic projects to deliver on schedule, within budget and with superior quality Develop and lead activities to accomplish overall strategic department goals and lead the communication of these goals to stakeholders at all levels of the organization Collaborate with health plan leadership to understand their data analysis needs, explain trends in data and actively drive further research and/or operational changes to assist in controlling medical costs and delivery of quality healthcare to members Participate in cross health plan initiatives and capabilities, including data analysis support Lead development efforts with technical team liaisons, including business requirements gathering and documentation, testing, delivery and user adoption, and effectively communicate deliverable expectations to the health plans and business units Lead system/tool implementation and design as needed

Qualifications:Business Analytics:Bachelor’s degree in data related field. 9+ years of data analysis experience, preferably in healthcare or 7+ years of related IT experience, including data warehouse, coding or ETL experience. Advanced SQL and Microsoft Access skills, relational database knowledge, and various data reporting tool experience preferred. Knowledge of statistics and application of high level mathematical models in medical and pharmacy claims data preferred. Understanding of health insurance business, claims payment procedures, strategies and trends in health care government programs preferred. Master’s degree and supervisory experience preferred. Encounters experience preferred.   

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