Clinical Analyst

Magellan Health

1d

About The Position

Demonstrates quality and competency in developing efficient and effective solutions to complex business problems, and will respond with equanimity in a dynamic environment. Builds analyses and reports using persuasive data visualization and oral and written communication skills that can translate complex analytic findings and concepts to a varied audience of users.
Performs exploratory data analysis and data mining of healthcare claims and authorizations data.
Designs, documents, develops and rolls out financial, clinical and utilization analyses using a variety of computing tools.
Performs adhoc analyses that will vary in duration and complexity
Participates in defining issues to be studied as well as the methodology to be used in addressing these issues.
Interprets results and preparation of data findings in easily understandable format for varying levels of the organization
Develops/maintains subject matter expertise in data extraction and quality assurance as well as current and historical cost experience and trend drivers
Utilizes SQL, Excel, and other BI tools to define, extract, validate, shape, and interpret data to meet business needs.
Owns accountability for accuracy of work product.
The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Requirements

• Experienced in an analytics environment or field (healthcare, economics, epidemiology, statistics, other).
• Strong verbal and written communication skills.
• Ability to forge effective business relationships across functional groups.
• Ability to effectively liaison between technical and non-technical groups.
• Strong analytical and problem-solving skills.
• Must be able to provide accurate estimates of work effort and deliver results within a committed time frame.
• MS Suite power user; Expert level knowledge of SQL, Qlikview, Tableau or similar business intelligence tools, experience in SPSS, SAS, R, Python, MatLab or other analytic tool.
• Demonstrated experience working with healthcare medical claims, normalized and denormalized data structures; and will have experience manipulating data using SAS, SPSS, R, Python, SageMaker, SQL, Tableau, Qlik, Power BI, SnapLogic and/or other data mining tools.
• An understanding of CPT, NDC and/or GPI, ICD, revenue and billing codes is critical.
• Demonstrated quality and competency in developing efficient and effective solutions to complex business problems and ability to respond with equanimity in a dynamic environment.
• Ability to build analyses and reports and display persuasive data visualization, oral and written communication skills that can translate complex analytic findings and concepts to a varied audience of users.

Responsibilities

• Developing efficient and effective solutions to complex business problems
• Building analyses and reports using persuasive data visualization and oral and written communication skills
• Performing exploratory data analysis and data mining of healthcare claims and authorizations data
• Designing, documenting, developing and rolling out financial, clinical and utilization analyses using a variety of computing tools
• Performing adhoc analyses that will vary in duration and complexity
• Participating in defining issues to be studied as well as the methodology to be used in addressing these issues
• Interpreting results and preparation of data findings in easily understandable format for varying levels of the organization
• Developing/maintaining subject matter expertise in data extraction and quality assurance as well as current and historical cost experience and trend drivers
• Utilizing SQL, Excel, and other BI tools to define, extract, validate, shape, and interpret data to meet business needs
• Owning accountability for accuracy of work product

Benefits

• This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level