Financial / Data Analyst (SQL) Healthcare Insurance
Remote workers will not be considered for this position and relocation assistance is not offered.
Summary: Develops and implements medical economics analysis for operational and finance support. Position works in close collaboration with Claims, Contract Administration, Finance, Medical Management and other staff on a variety of business support functions to evaluate and monitor operational and financial results.
Essential Duties and Responsibilities: The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Other duties may be assigned.
Analyzes and reports financial and operational results for the Plan independently, specifically concentrating on medical expenses and determing root cause of trends.
Identifies and communicates areas of opportunity/concern proactively within medical and administrative performance to management and functional owners based on financial and operational analyses.
Develops, implements and performs analyses w/ tools to enable management and other staff to assess, implement and monitor strategic initiatives and operational plans.
Monitors/analyzes medical cost service lines/lob's for changes in cost and utilization patterns and communicates findings to management
Performs ad-hoc analysis and communicates findings (e.g.cost and utilization impacts) to management and performs impact analysis of changes in contractual relationships.
Education and/or Experience:
Bachelor's degree (B. A.) from four-year college or university and one to two years’ related experience and/or training; or equivalent combination of education and experience. Three to four years related experience preferred.
Other Knowledge, Skills, and Abilities:
Strong PC and financial modeling skills required. Intermediate data mining and reporting skills and excellent writing and research skills required. A strong understanding of relational databases is necessary. Skilled in the use of various technical tools (e.g. SQL, Excel, DxCG, VB).
Experience in either provider contracting; claims repricing and billing; medical initiatives experience; medical trend analysis.
Have knowledge of provider gain share agreement. Have experience with medical episode treatments; patient care and outcome analysis.
Very generous healthcare benefits package
Paid time off