Sr Analyst, Healthcare, Health Plan Operations (Supports Florida Government Contracts)
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. Oversees development, organization, and ongoing maintenance of data representing a wide range of healthcare information. Develops and directs a process to clean and integrate complex healthcare datasets in order to create the data foundation for further analytics and the development of key insights. Supervises completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. Oversees, establishes, and maintains timelines for reports and projects. Ensures quality of output by submitting work product for quality checks and reviews and performing similar functions for other staff.
Requirements
- Associate's Degree or equivalent combination of education and experience
- 3-5 years experience
Nice To Haves
- Bachelor's Degree or equivalent combination of education and experience
- 5-7 years experience
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.
- Oversees development, organization, and ongoing maintenance of data representing a wide range of healthcare information.
- Develops and directs a process to clean and integrate complex healthcare datasets in order to create the data foundation for further analytics and the development of key insights.
- Supervises completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
- Oversees, establishes, and maintains timelines for reports and projects.
- Ensures quality of output by submitting work product for quality checks and reviews and performing similar functions for other staff.
Benefits
- competitive benefits and compensation package
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
