Analyst, Healthcare
About The Position
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information. Identifies and completes report enhancements/fixes. Assists with completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. Establishes and maintains timelines for reports and projects. Generates and distributes weekly/monthly/quarterly/annually standard reports.
Requirements
- Associate degree or equivalent combination of education and experience
- 1-3 years of experience
Nice To Haves
- Bachelor's Degree or equivalent combination of education and experience
- 3-5 years of Healthcare Analyst experience
- 1-2 years of Pediatric experience
- 1-2 years of managed care experience
- Familiarity with Florida Medicaid
Responsibilities
- Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information.
- Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
- Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information.
- Identifies and completes report enhancements/fixes.
- Assists with completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
- Establishes and maintains timelines for reports and projects.
- Generates and distributes weekly/monthly/quarterly/annually standard reports.
Benefits
- competitive benefits and compensation package
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
