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Job Details:
Position Name : Healthcare Data Analyst -REMOTE
Location: Virginia Beach, VA
Job ID : f40a74e0bbe65f93
Description : Sentara Health Plans is currently hiring a
Healthcare Data Analyst
for Optima Health!
This is a Full-Time position with day shift hours and great benefits!
REMOTE
Job Requirements:
Required Education:
Bachelor’s Level Degree OR Master’s Level Degree – Experience in lieu of education
Required Experience:
Data Analysis – 1 year
SQL – Minimum of 2 years’ experience
Advanced Tableau experience
Preferred Experience:
Financial Analysis – 1 year,
Population Management – 1 year
Statistics – 1 year
Required Skills:
Working knowledge of the intricacies of data warehouses.
Strong analytical skills with an aptitude for data and numbers.
Able to create and interpret reports based on data requirements provided the Business Owners.
Basic understanding of the frontend claims system and a be proficient with understanding the backend of the claims systems.
Ability to communicate effectively with Business Owners, other departments and their team.
Job Responsibilities:
The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance.
Promotes self-service analytics for customer adoption, understanding and use of data.
Supports design of programmatic analyses and reporting capabilities in addition to business requirement definition for new analyses and performs ad-hoc analysis as directed.
This position supports data quality and data stewardship functions to maintain data accuracy and identify new metrics.
As a subject matter expert, the Healthcare Data Analyst uses analytic skills to offer data-driven conclusions and recommendations to business partners.
Sentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier.
Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.
With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.
The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self-service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requirement definition for new analyses and performs ad-hoc analysis as directed. This position supports data quality and data stewardship functions to maintain data accuracy and identify new metrics. As a subject matter expert, the Healthcare Data Analyst uses analytic skills to offer data-driven conclusions and recommendations to business partners.
Education Level
Bachelor’s Level Degree OR
Master’s Level Degree – Experience in lieu of education: Yes
Experience
Required: Data Analysis – 1 year
Preferred: Financial Analysis – 1 year, Population Management – 1 year, Statistics – 1 year
License
None, unless noted in the “Other” section below
Skills
Required:
Preferred: None, unless noted in the “Other” section below
Other
As an integrated health system, Sentara delivers analytics across a wide variety of domains, including payer functions, ambulatory, acute & post-acute care and support functions. The subject matter expertise required will vary based on the specific opening, but include the following: Medical expense and trends Quality including HEDIS reporting, interventions, and STAR ratings Clinical gaps and adherence Network Management contracting and pay-for-performance/value-based measures State and Federal regulatory reporting Employer groups reporting and client ad-hoc reporting related to clinical and financial services Population health reporting & analysis Risk, member/patient stratification, member/patient segmentation, quality, provider scoring, and cost savings Ambulatory, acute & post-acute quality, clinical performance, and operations reporting & analysis Quality & performance benchmarking Research data & analytic support Works directly with internal customers and external provider partners.
Knowledge of SQL and Tableau Excellent Oral and Written Communication Skills Problem Solving Consultative Engagement Skills
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