The JobTh
e Healthcare Analyst III develops, documents, and programs in support of 5-Star projects and in-house initiatives. In pursuit of high 5-Star ratings, conducts in-depth data analysis and interpretation, HEDIS reporting, and other related tasks.
You Will- Responsible for research and moderate analysis of Medicare Advantage and healthcare data specific to membership, provider, claims, authorizations, pharmacy, and financial information.
- Designs and produces timely and meaningful analysis and data interpretation regarding large health care related datasets, related to 5-Star ratings, HEDIS, state specific programs (such as QIP/PIP), programs issued by state agencies (such as DHCS or HSAG) and other associated company initiatives.
- Leads in development, implementation, and document quality assurance (QA) processes to ensure that reported data is accurate and reliable.
- Conducts data management, quality improvement studies, statistical analysis, and report generation. Presents findings to higher level Analysts as well as HCI mid and senior management.
- Performs moderate to complex analysis and interprets organizational data, including but not limited to data mining, data verification, mapping, scrubbing, and scrapping.
- Develops and deliver actionable and supportable findings within tight deadlines and changing requirements.
- Conducts investigative research to uncover root causes, interpret results, identify trends, and make recommendations for action.
- Works directly with internal and external stakeholders to troubleshoot and correct data anomalies.
- Manages multiple moderate to complex projects concurrently. Completes them accurately within a specified timeline by effectively prioritizing work and communicating workload issues to manage-ment.
- Leads in training, providing guidance, and supporting lower level Analysts.
- Serve as a point of contact for internal and external customers and resolves both routine and more complex questions and problems. Escalates only the most complex issues to higher levels as needed.
- Ensures understanding of business needs by proactively monitoring and clarifying the technical responses to business requirements on all Medicare related projects.
- We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
- Actively support the achievement of SCAN's Vision and Goals.
- Other duties as assigned.
Your Qualifications- Bachelor's or above degree in Math, Statistics, Biostatistics, Computer Science, or other quantitative disciplines required.
- 5+ years of analytical experience, or 4+ years of analytical experience in a Healthcare, Managed Care environment required.
- Experience with HEDIS is preferred.
- Experience with medical claims / encounters data is preferred.
- MS Office Suite at advanced level required.
- Proficiency with MS SQL (queries) required.
- Snowflake experience is preferred.
- SQL Server Reporting Services and SQL Server Integration Services experience preferred.
- SAS (Statistical Analysis System) experience preferred.
- Power BI tool experience preferred.
- Excellent technical, interpersonal written and oral communication skills required.
What's in it for you?- Base Pay Range: $92,400 to $133,671 annually
- Work mode: Mostly Remote
- An annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- 11 paid holidays per year, 1 floating holiday, and 1 birthday holiday
- Excellent 401(k) Retirement Saving Plan with employer match
- Robust employee recognition program
- Tuition reimbursement
- An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At
SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
