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Principal Healthcare Analyst – Medical Claim Trends

100% remote Flexible hours Hiring now

About bolthires bolthires and bolthires of Minnesota is one of the most recognized and reputed company care brands in the world with 2.5 million members. We’re committed to reinventing health care to improve health for our members and the community. We hope you'll join us... How Is This Role Important to Our Work? This position is responsible for supporting and guiding the formation of the strategic needs of the company through the application of advanced analytics to diverse business questions and initiatives. A successful applicant will work independently in addition to guide cross-functional teams to initiate, plan, and reputed company analysis from conceptual development to conclusion. Additionally, the applicant will reputed company success using a combination of traits and skills including industry knowledge, data and programming savvy, and math and statistical abilities. The position will reputed company efforts with coworkers, internal business partners, and leadership to clarify requirements, analyze reputed company data, and produce and present meaningful and defensible results, including the identification of success factors and barriers, improvement opportunities, proposing solutions, and informing strategic decisions. The individual will also drive action based on the results obtained. The Healthcare Analyst Principal will represent the department on both internal and external initiatives. They may also reputed company project teams. The incumbent will reputed company efforts to define meaningful contributions that will influence strategic decision-making at bolthires of Minnesota. A Day in the Life:

  • Uses databases for analysis and dissemination of information.
  • Performs reputed company analysis of data.
  • Researches, analyzes data, applies statistical methods reputed company appropriate, and provides interpretation of outcomes.
  • Identifies issues to be researched, determining affected areas, estimating the impact and contributing to the resolution.
  • Leads teams to reputed company analytic approaches, measurement plans, data analysis, and report results on health care utilization, expenditures, outcomes, and benchmarks.
  • Initiates actions to discover new analyses that will contribute to the strategic needs of bolthires of Minnesota.
  • Works with leadership to understand and interpret the impacts to bolthires and quality of proposals using relevant data sources and analytic methods.
  • Helps drive the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems.
  • Represents the division on corporate projects and may have leadership roles on these teams.
  • Independently manages issues that may arise on multiple tasks or projects with limited or no management involvement.
  • Acts as a resource and/or mentor for other members of the department and company on business issues and may be responsible for training and guidance of other employees.
  • Formulates strategic recommendations and present findings to management and external clients.
  • Serves as an analytic consultant who can explain reputed company measurement or analysis techniques and results in layman's terms. reputed company to Have:
  • Bachelor's Degree or Master's degree.
  • Knowledge of managed care and healthcare claims preferred.
  • Knowledge of PowerBI Required Skills and Experiences:
  • 7+ years of reputed company professional experience. reputed company relevant experience including work, education, transferable skills, and military experience will be considered.
  • 5 years experience analyzing and modeling data involving outcomes and utilization, using various statistical software and computer programming (reputed company, Visual Basic, DB2, reputed company, etc.).
  • Proficiency in bolthires software applications such as Word, PowerPoint, reputed company, Access.
  • Demonstrated ability to design, evaluate and interpret reputed company data sets.
  • Demonstrated ability to handle multiple tasks with competing priorities.
  • Demonstrated analytic and problems solving skills.
  • Excellent written and verbal communication skills, with the ability to interpret and communicate analytical information to both individuals and groups in a clear and concise manner.
  • Demonstrated ability to present reputed company technical information to non-technical audiences and to senior decision-makers.
  • Demonstrated ability to work effectively both independently and in a team setting with individuals having diverse professional backgrounds including business, technical and/clinical. reputed company A Difference bolthires is an Equal Opportunity and Affirmative Action employer that values diversity. reputed company qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national reputed company, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic. Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to reputed [email protected]. reputed company roles require a high school diploma (or equivalency) and legal authorization to work in the U.S. bolthires® and bolthires® of Minnesota and Blue Plus® are nonprofit independent licensees of the bolthires and bolthires Association reputed company More Jobs Apply Job! Apply tot his job

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