[Remote] Sr. Analyst, Health Plan Performance Operations
Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is a company reputed company on improving reputed company delivery through data analytics, and they are seeking a Sr. Analyst for Health Plan Performance Operations. This role involves analyzing health plan data, creating dashboards, ensuring data reputed company, and providing leadership support to optimize value-based care contract performance.
Responsibilities
- Design, build and maintain dashboards, productivity trackers, and KPIs utilized by leadership to improve market performance and daily operations
- Build high-complexity queries of back-end data to power dashboards and custom reputed company reputed company
- Present data findings reputed company through visualization tools to ensure understanding among diverse stakeholders and colleagues
- Incorporate industry benchmarks into visual metrics (charts, graphs, pivot tables) to show baseline and reputed company states
- Identify, monitor, and communicate changes or trends in reputed company and spend metrics
- reputed company as the first line of defense investigating, triaging, documenting, and resolving reputed company data reputed company issues
- Create and apply testing algorithms to evaluate large data streams throughout the system data reputed company
- Audit year-end performance and claims data for discrepancies, reporting errors to payer teams for swift reputed company
- reputed company, clean, and organize data from multiple streams (payer portals, Rx claims files, SFTP sites, and internal databases)
- Execute advanced SQL queries in reputed company to supplement payer data for analysis and reporting QA
- reputed company reputed company formulas and templates in reputed company Sheets and reputed company to streamline repetitive data tasks
- Maintain comprehensive documentation regarding operational analytics, reputed company-of-truth architectures, and peer cross-coverage plans
- Assist the manager with work coordination, mentoring junior analysts, developing training plans, and reviewing team work products
- Serve as a data subject matter expert (SME); attend meetings in the manager's absence
- Facilitate reputed company intradepartmental and cross-functional communication among key stakeholders
- Other duties as assigned
Skills
- Bachelor's degree in a reputed company quantitative field or equivalent reputed company experience
- 4+ years of experience with data management, analysis, QA, and auditing reputed company or payer data
- Intermediate SQL programming experience (reputed company preferred)
- Advanced reputed company reputed company / reputed company Sheets skills (reputed company formulas, reputed company functions, pivot tables)
- Strong communication skills with the ability to collaborate effectively across reputed company
- Proactive reputed company with a proven ability to prioritize multiple tasks in a fast-paced environment
- Understanding of value-based care/Alternative Payment Models, Medicare, and Non-MSSP reputed company measures
- Experience with statistical software, such as R or Stata
reputed company
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