Health Plan Data Analyst

AdventHealth PHSO Resources

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support
  
  

Our Promise To You

Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift : Monday-Friday

Location: Virtual

The Role Youll Contribute

The Health Plan Data Analyst is responsible for data analytic strategies focused on lowering the cost of healthcare for our managed populations by providing actionable data to the Population Health team. The Health Plan Data Analyst engages clients (finance team, senior leaders, leaders, health plans, providers) in reviewing financial performance while also providing next-level analyses to ensure resources are being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data (claims, labs, EHR data) analytics to gain insights into provider ordering, member adherence, operational effectiveness, and client-specific metric gaps. The Analyst will be a key part of the Population Health Analytics team and will partner with business and operational owners to identify and execute cost saving opportunities and return on investment analyses. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The Value Youll Bring To The Team

• Knowledge of common analytical methods such as profiling customer segments, data modeling, and concepts of regression analysis
• Intermediate level of proficiency in performing data analytics; ability to effectively apply analytical and quantitative skills to solving problems
• Ability to use knowledge and understanding of data, data systems, and statistical software applications, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial program performance
• Working knowledge of healthcare or insurance accounting methods and reporting, standards development, utilization measurements, risk segmentation, and financial modeling
• Ability to conduct oneself professionally, maintain confidence, confidentiality and objectivity
• Ability to relate operational and financial performance in the healthcare environment
  
  

Minimum Qualifications

The expertise and experiences youll need to succeed :

• Bachelor's Degree in Finance, Economics, Mathematics, Accounting, Statistics or related field
• 4 years analytic experience
• 2 years working with analyses within a Health Plan / Payor organization
• Technical experience in utilizing analytical software tools and applications
  
  

Preferred Qualifications

• Master's Degree in analytical field
• analytics with emphasis in healthcare and/or clinical application and health insurance finances
• statistical applications like SAS, SPSS or R
• analytics interfaces such as Tableau, Business Objects
• working with healthcare, insurance or claims data
• Six Sigma certified
  
  

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Population Health

Organization: AdventHealth PHSO Resources

Schedule: Full-time

Shift: 1 - Day

Req ID: 25013308

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.