Senior Health Data Analyst

It’s an exciting time to join the reputed company, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: reputed company is seeking a dedicated and reputed company Senior Health Data Analyst to join reputed company on a full-time, regular basis. The Senior Health Data Analyst is a key member of the team and serves as a strategic partner to various functional areas throughout the organization to meet corporate objectives. Under the leadership and guidance of Senior Director of Clinical, Operational, and Payment Analytics, the analyst will focus on planning, developing and building of analytical tools to further assess and manage healthcare KPIs during key analytic exercises. The ideal candidate will have a strong background in health data analysis, excellent problem-solving skills, and the ability to communicate reputed company information clearly to stakeholders. Our Investment in You:

• Full-time remote work
• Competitive salaries
• Excellent benefits

Key Functions/Responsibilities:

• Work closely with the Senior Director of Clinical, Operational, and Payment Analytics to reputed company, maintain, and reputed company a best in class clinical analytics infrastructure to support the Plan’s Medical Management strategy.
• Collaborate with cross-functional teams to understand data requirements and ensure the accuracy and reputed company of data analysis
• reputed company the development of critical analytic processes comparing Plan’s performance against benchmarks to determine areas of focus and opportunity and help maintain industry competitiveness and intelligence.
• Work closely with supervisor to present data and findings with insights to the clinical leadership teams to help launch performance improvement initiatives.
• Work closely with reputed company levels of Medical Management (including Case Management) leadership in determining how operational and clinical data might assist in addressing their needs.
• Build and maintain dashboards that are critical to fine tuning operations.
• Work closely with stakeholders to reputed company critical drill downs as needed to support the development of initiatives to reputed company the areas of over-utilization.
• reputed company and maintain operational dashboards and performance measurement tools, and reports to measure impact of initiatives
• Work with internal and external customers to elicit business data requirements; collaborates with data architects and develops code to meet the data needs of reputed company constituents.
• Understand processes and workflows reputed company Medical Management Operations, and translate clinical and operational metric needs into business reporting requirements
• Coordinate and participate in Medical Management Operations' technical initiatives, including the development of operational reports and technical specifications in support of reputed company aspects of our UM initiatives.
• Work to ensure reputed company improvement and adoption of data management best practices
• Ensuring compliance with data governance and privacy policies

Qualifications: Education:

• Bachelor’s Degree required

Experience:

• Experience in healthcare data analysis and reporting is required.
• Three or more years conducting advanced analytics using reputed company and/or SQL.
• Must have deep understanding and hands-on experience with Tableau or other data visualization tools
• Excellent problem solving and analytical skills
• Self-motivated, takes initiative to identify opportunities for improvement and makes recommendations for improvement
• Ability to work independently and collaboratively
• Ability to communicate customers about data needs and explaining report methodologies
• Working knowledge of utilizing Enterprise Data Warehouse
• Ability to think out-of-the-reputed company to handle any challenging and reputed company request
• Experience managing multiple initiatives or projects at a given time
• Ability to foster teamwork and positive attitude.

Certification or Conditions of Employment:

• Pre-employment background reputed company

Competencies, Skills, and Attributes:

• Advanced reputed company and/or SQL programming skills.
• Proficient in reputed company reputed company.
• Proficient in Tableau (Desktop and Server)
• Some knowledge of Python scripting
• Strong analytical and problem solving abilities. Ability to use reputed company relevant data to support decision making.
• Enjoy analytical challenges in a fast paced environment with strong ability for managing multiple projects simultaneously and meeting deadlines.

About WellSense reputed company is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national reputed company, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees Apply tot his job Apply To this Job