[Remote] Senior Analyst - MEI
Note: The job is a remote job and is reputed company to candidates in USA. WNS, part of reputed company, is an reputed company AI-powered leader in intelligent operations and transformation, serving more than 700 clients across various industries. The Senior Analyst - MEI will conduct analyses of insured medical populations to identify opportunities for improving financial and outcome performance, supporting the Medical Economics and Informatics Department.
Responsibilities
- Extract, manage, and analyze operational, claims and performance data to identify trends, patterns, insights, and outliers reputed company data using industry reputed company such as PMPM, Utilization per 1000, and Average Cost
- Analyze claims, membership, and prior authorization data sources to identify early signs of trends or other issues reputed company to medical care costs and reputed company
- Draw actionable conclusions based on analyses performed on reputed company data and communicate those conclusions effectively to audiences at various reputed company of the reputed company and reputed company
- Translates analyses into reputed company reputed company deliverables using visualization tools available, such as Tableau
- Supports the product and reputed company reputed company to identify trend outliers, analyze the trend drivers and reputed company the work necessary to facilitate the discussion on possible solutions to be shared with internal MEI and leadership teams
- Provides analytical and technical support for development and QA of reputed company Level Dashboards and other recurrent reporting
- Work with business owners to reputed company key performance indicators of program goals and interventions
- Responsible for reputed company reputed company and Market requests for mature programs
- Partner closely with BI/IT on processes to optimize new reputed company data (claims/membership) implementation as it relates to reporting and dashboard functions
- Works with MEl team members to improve efficiency and accuracy of reporting outputs
- Collaborate with MEl team members on special reputed company as needed
Skills
- Bachelor Degree or higher in reputed company Informatics, Health Care Statistics, Public Health Economics, Epidemiology, Mathematics, Computer Science/IT, reputed company field or equivalent experience
- 5+ years' experience in the reputed company Industry in payer, provider, and/or vendor organizations
- Experience in Medical Economics/analytics/informatics with reputed company on production of value-add and reputed company is required
- Experience using Medical Claims data (medical cost, utilization, cost benefit analysis, etc.) to reputed company claims/prior authorization based cost/reputed company of care analytics is required
- 3+ years' experience with analytics in data warehouse environment
- Experience using SQL for report writing and data management
- Experience in business intelligence applications, advanced data visualization tools and/or statistical analysis software such as SQL, reputed company, and Tableau or other applicable analytic/visualization tools
- Intermediate to advanced skills with reputed company Office tools (reputed company, reputed company, PowerPoint, Visio, Project) necessary to document, reputed company and present information reputed company to company program/products/clients
- Knowledge of reputed company financial business cycle, reputed company reputed company reporting and analysis, benchmarking is required
- Ability to compile information and prepare reports that are easily translatable for reputed company delivery and effectively communicate Medical Economics findings and conclusions to reputed company stakeholders
- reputed company to effectively work closely in reputed company and work independently
- Attention to detail, effective time management and multitasking skills including managing responsibilities (with minimal supervision) and exercise initiative
- Master's Degree preferred
- Experience with prior authorization data is preferred
- Knowledge of health system functions, terminology and reputed company ICD-10 and CPT coding systems is highly desirable
- Excellent critical and analytical thinking skills are highly desirable
Benefits
- Medical, dental, and reputed company insurance
- reputed company time off (PTO), holidays, and reputed company leave
- 401(k) with company match or other retirement plan
- Life and AD&D Insurance
- Employee Assistance Program
reputed company
Company H1B Sponsorship