Senior Reporting Analyst jobs at Humana

- 63 jobs

Sr Data Analyst
Humana 4.8
Senior reporting analyst job at Humana
**Become a part of our caring community and help us put health first** Our CenterWell Pharmacy Digital Performance team is looking for a Senior Data Analyst to join us in transforming healthcare. In this role, the Senior Data Analyst will identify unique insights and solve complex business challenges using a variety of data sources. The individual in this role will support the adoption of modernized analytics across CenterWell Pharmacy. This includes supporting the identification of opportunities, establishing operational processes, driving documentation standards, and embracing modern analytic capabilities. A great candidate will have experience consulting with business stakeholders, setting priorities, and work closely with technology partners to build analytics as software. This position is an excellent opportunity for someone with health care analytic consulting experience who has worked with analytic products and has knowledge of modern software best practices. Key responsibilities of the Senior Data Analyst, reporting to the Director, Pharmacy Digital Performance within Pharmacy Digital, include: + Support the transition to modernized analytics + Collaborate with key customers to understand key priorities and represent the voice of the customer in all planning and development discussions and decisions + Research, evaluate, and deploy new tools, frameworks, and patterns, including identification of gaps and opportunities for improvement of existing solutions + Support communication efforts on the benefits and value of the adoption of modernized analytics + Effectively communicate data and analytic findings with many levels of the organization, business stakeholders/SME, project managers, developers, system architects, quality assurance, operations, etc. by written word and presentations **Use your skills to make an impact** **Required Qualifications** + Bachelor's Degree or Equivalent Experience + 3+ years professional experience in digital technology or health care + 3+ years of experience in data-centric roles such as Data Science, Business Intelligence, business analytics, data warehousing, data acquisition, Big Data, or data architecture + 3+ years of experience with analytics and statistical software like Power BI + 3+ years of experience using SQL to integrate and mine large data sets to generate insights and inform business decisions + Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences + Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs and win their co-ownership in the outcome + Embrace a service mentality to collaborate with Operations, Business Intelligence teams, Database teams, and IT to assure data processes are automated, efficient, and to identify insights and/or solve complex business challenges. **Work-At-Home Requirements** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $73,400 - $100,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-17-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$73.4k-100.1k yearly 35d ago
Sr. SCM Oracle Reporting Analyst
Community Health Systems 4.5
Remote
The Senior SCM Oracle Reporting Analyst is responsible for implementing and delivering the reporting strategy for all HR Leaders. This role involves developing ad hoc reports based on customer requests and analyzing consistently requested data elements for inclusion in standard reports. The Senior Reporting Analyst will collaborate closely with HRIS Leadership, HR Leadership, Executive Leadership, IT Application Support, and Business Intelligence (BI) teams to define detailed requirements for the creation of data warehousing reports and interfaces. By facilitating clear communication and understanding of reporting needs, this position plays a critical role in ensuring that HR leaders have access to accurate and relevant data to support decision-making and strategic initiatives. Essential Functions Designs and delivers customized reports to HR teams, site leaders and top executives of the organization. Aggregates sensitive HR data and produce standard, value-added HR reports and dashboards for use by HR teams, site leaders and top executives of the organization. Writes Cognos, Crystal, SQL or relational database queries to pull source data needed for various reporting request as well as build reports via SSRS. Partners with Business Analyst to create requirement documents for the creation of HR data warehouse reporting and interface needs. As well as, maintains strong partnerships with IT, Payroll/Finance and other stakeholders. Demonstrates a strong technical aptitude to provide system support to end users/customers of HR systems, resolving issues and/or working with key partners to achieve resolution. Creates and maintains documentation including requirements analysis, process and data flow diagrams, operational procedures, and other related documentation. Ensures all HRIS work and development complies with corporate and departmental policies and procedures. Troubleshoots reported functional systems issues and recommends solutions or alternate methods to meet requirements. Conduct regular audits of HR data and report on issues to be corrected. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Bachelor's Degree in computer science or related field, or equivalent experience required 2-4 years of previous HRIS experience required 4-6 years of HR report writing and analytics experience required Experience with Ultipro Cognos and Crystal reporting preferred Knowledge, Skills and Abilities Broad knowledge of HR/Payroll concepts and terminology. Excellent analytical and data management skills. Strong SQL skills Ability to work under pressure, manage multiple priorities, think tactically and strategically, demonstrate objectivity, be results-oriented, and show initiative and creativity. Strong computer skills and technical capabilities, including but not limited to, Microsoft Office Excel and SQL Reporting Services (SSRS). Must be flexible, positive under pressure, work well under pressure, and have the ability to readily adapt to change. Knowledge of SSRS, SSAS, ETL, SQL Security, SSIS, APIs, Crystal Reporting and Excel. Knowledge of Business Intelligence and Data Warehouse concepts. Knowledgeable with ETL and data warehouse tools and processes. Must be able to apply principles of critical thinking to a variety of practical and emergent situations and accurately follow standardized procedures that may call for deviations. Must be able to apply sound judgment beyond a specific set of instructions and apply knowledge to different factual situations.
$76k-94k yearly est. Auto-Apply 1d ago
Senior Data Analyst (Remote)
Molina Healthcare 4.4
Long Beach, CA jobs
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data analysis, and reporting Extracts and compiles various sources of information and large data sets from various systems or applications Set up process for monitoring, tracking and trending information and data using various systems or applications Prepares well-organized, easily understood reports, analysis, and summary of findings for use by management Assists in preparation of regularly produced reports to support executive decision-making Researches and analyze report results identifying opportunities and trends Works with internal, external and enterprise individuals as needed to research, develop, and document new standard reports or processes Consolidates data from multiple sources, using industry-based tools or manually; able to process data effectively using Microsoft Excel Supports management and other team members as requested on all things data related. JOB QUALIFICATIONS Required Education Associate degree or equivalent combination of education and experience Required Experience 3-5 years Preferred Education Bachelor's Degree or equivalent combination of education and experience Preferred Experience 5-7 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJShared #LI-AC1
$111k-146k yearly est. Auto-Apply 42d ago
Data Analyst III
Centene 4.5
Remote
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management Develop reports and deliverables for management Model data using MS Excel, Access, SQL, and/or other data ware house analytical tools Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis Assist with training and mentoring other Data Analysts Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in related field or equivalent experience. 4+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Power BI and Snowflake experience preferred. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$68.7k-123.7k yearly Auto-Apply 17d ago
Data Management Strategy & Governance Lead Analyst - Cura Script - Remote
The Cigna Group 4.6
Bloomfield, CT jobs
**Join Us as a Data Management Strategy & Governance Lead Analyst** Are you passionate about transforming data into strategic insights that drive organizational excellence? At Cura Script, we're ambitious experts who believe in the power of data to shape a better future. We're looking for a dynamic leader who thrives on solving complex challenges, inspires collaboration, and is energized by making a meaningful impact. If you're ready to grow with a team that values innovation, compassion, and expertise, this is your opportunity to shine. **Responsibilities:** + Lead the design and execution of data management strategies that elevate data quality, integrity, and accessibility across the organization. + Champion data governance initiatives, ensuring data is reliable, secure, and used to its fullest potential for business outcomes. + Collaborate with cross-functional teams to drive consistency and excellence in data practices, fostering a culture of continuous improvement. + Analyze complex data sets to uncover actionable insights, supporting strategic decision-making at all levels. + Develop and implement solutions for data validation, system integrity, and process optimization, proactively addressing challenges. + Provide thought leadership and expert guidance on data management best practices, influencing both immediate projects and long-term vision. + Contribute to the SharePoint Community of Practice, sharing knowledge and advancing organizational capabilities. **Qualifications:** **Required:** + Minimum 5 years of experience in data management, data governance, or a related field. + Proven expertise in data analysis, data governance, and system validation. + Strong communication skills with the ability to influence and collaborate across departments. + Demonstrated ability to lead initiatives and deliver results in complex environments. **Preferred:** + Bachelor's degree in a relevant field. + Experience with SharePoint and Power Platform. + Recognized as a subject matter expert in data management or governance. + Track record of contributing to communities of practice or similar collaborative groups. **Why Cura Script?** We are a team of ambitious and compassionate professionals, committed to growth-both for our people and our organization. Here, your expertise will be valued, your ideas will shape our future, and your career will flourish. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 80,400 - 134,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._
$59k-79k yearly est. 2d ago
Senior Analyst, Medical Economics
Molina Healthcare 4.4
Columbus, OH jobs
Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. **Essential Job Duties** - Extracts and compiles data and information from various systems to support executive decision-making. - Mines and manages information from large data sources. - Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. - Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership. - Draws actionable conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. - Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. - Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. - Collaborates with business owners to track key performance indicators of medical interventions. - Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. - Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. - Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. - Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes - Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. - Supports financial analysis projects related to medical cost reduction initiatives. - Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. - Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. - Supports scoreable action item (SAI) initiative tracking to performance. **Required Qualifications** - At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Demonstrated understanding of Medicaid and Medicare programs or other health care plans. - Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Proficiency with retrieving specified information from data sources. - Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Understanding of value-based risk arrangements - Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Ability to mine and manage information from large data sources. - Demonstrated problem-solving skills. - Strong critical-thinking and attention to detail. - Ability to effectively collaborate with technical and non-technical stakeholders. - Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Effective verbal and written communication skills. - Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** - Proficiency with Power BI and/or Tableau for building dashboards. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$78k-155.5k yearly 4d ago
Senior Analyst, Medical Economics
Molina Healthcare Inc. 4.4
Columbus, OH jobs
Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. Essential Job Duties * Extracts and compiles data and information from various systems to support executive decision-making. * Mines and manages information from large data sources. * Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. * Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership. * Draws actionable conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. * Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. * Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. * Collaborates with business owners to track key performance indicators of medical interventions. * Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. * Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. * Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes * Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. * Supports financial analysis projects related to medical cost reduction initiatives. * Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. * Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. * Supports scoreable action item (SAI) initiative tracking to performance. Required Qualifications * At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Demonstrated understanding of Medicaid and Medicare programs or other health care plans. * Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with retrieving specified information from data sources. * Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Understanding of value-based risk arrangements * Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Ability to mine and manage information from large data sources. * Demonstrated problem-solving skills. * Strong critical-thinking and attention to detail. * Ability to effectively collaborate with technical and non-technical stakeholders. * Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Effective verbal and written communication skills. * Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Proficiency with Power BI and/or Tableau for building dashboards. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$78k-155.5k yearly 5d ago
Provider Data Coordinator II
Centene 4.5
Remote
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform day to day functions to inbound requests and maintain provider database. Audit analyses on completed requests and monitor compliance status of submitted requests. Analyze inbound request to determine accuracy and route request to provider changes or other cross functional teams Maintain provider data management systems for accuracy Handle and resolve provider data issues, such as mass change updates, limited reconciliations and direct submissions of urgent requests Coordinate provider data between the health plan database and various internal databases Participate in reconciliation and provider data projects Review, investigate and resolve inquiries regarding loaded providers that may have issues reported from internal and external customers Submit daily and weekly internal and external status reports Initiate and process provider add, change and termination forms Track, update and audit provider information in database Assist in Corporate audit activities or requests for claims provider set up Education/Experience: High school diploma or equivalent. Associate's degree in related field preferred. 3+ years of provider data or network administration experience, preferably in managed care. Proficient in Microsoft Access and Excel applications. Experience with data management in large databases, reporting, and analysis preferred. This position is remote within the state of New York or the Tri-State area. Quarterly and as needed meetings in office are required. Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$22.8-38.8 hourly Auto-Apply 3d ago
Sr. Data Analyst, L3, Information Technology
Community Health Systems 4.5
Remote
As a Senior Data Analyst for the Information Technology organization, you'll be responsible for identifying, curating, publishing, and visualizing data in a way that is easily interpreted and understood. Successful data analysts have strong SQL skills, a deep understanding of data warehousing and data products, and the ability to quickly understand the structure and relationship of data from a broad range of sources. You will have the opportunity to work with various programming languages, technologies, and both structured and unstructured data. A Qualified Candidate: Is a Lifelong Learner and Passionate about Technology Is Experienced with Business Intelligence (BI) and data visualization and can show examples of past work Is very proficient with SQL, with the ability to demonstrate understanding of various concepts, capabilities, and functions including, but not limited to, the following: Joins, grouping, ordering, common table expressions, case functions, regex Derives joy from tackling complex problems and working through solution tradeoffs Can learn on the fly and fill knowledge gaps on demand Has experience working with a variety of people at various levels Has a strong ability to interpret datasets and identify information, trends, and patterns. Has excellent data management and QA skills - Process Oriented Recognizes business requirements in the context of data visualization and reporting and creates data models to transform raw data into relevant insights Has aptitude for data presentation and ability to transform raw data into meaningful, actionable reports Has experience with Looker / Google Data Studio or similar platforms Has strong exploratory data analysis skills and can translate stakeholder requirements into data products Has excellent communication skills Essential Functions Provides technical consultation on data product projects by analyzing end to end data product requirements and existing business processes to lead in the design, development and implementation of data products. Collaborates with stakeholders to understand data needs and requirements for visualizations taking a “Design Thinking” approach to problem solving and interactive solutioning. Collaborates with stakeholders to define metrics and cultivate data sources to support reporting insights aligned to business goals. Creates dashboards and interactive visualizations that allow users to explore data in meaningful ways. Develops complex SQL queries to combine and transform raw data into datasets needed for metrics and other analytical functions. Provides training and support to end-users on how to interpret and interact with data visualizations. Produces data views, data models, and data flows for varying client demands such as dimensional data, standard and ad hoc reporting, data feeds, dashboard reporting, and data science research & exploration. Translates business data stories into a technical story breakdown structure and work estimate so value and fit for a schedule or sprint is determined. Collaborates with enterprise teams and other internal organizations on CI/CD best practices experience using JIRA, Jenkins, Confluence etc. Implements production processes and systems to monitor data quality, ensuring production data is always accurate and available for key stakeholders and business processes that depend on it. Practices code management and integration with engineering Git principle and practice repositories. Participates as an expert and learner in team tasks for data analysis, architecture, application design, coding, and testing practices. Qualifications: Required Education: Bachelor's degree in computer science, information systems, cyber security, business, statistics, mathematics, or a related field Preferred Education: Master's degree in computer science, information systems, cyber security, business, statistics, mathematics, or a related field Computer Skills Required: Advanced skills with SQL Experience with python, javascript, CSS, or other languages a plus. Desired experience in: Looker Studio / Google Data Studio, BigQuery Required Experience: 3+ years of experience with developing compelling stories and distinctive visualizations. 3+ years of relevant experience with data quality rules, data management organization/standards, practices and software development. 4+ years of SQL experience. 3+ years of dashboarding / BI tool experience (Looker Studio, PowerBI, Tableau, etc). Experience in statistical analysis, data models, data warehousing, and queries. Data application and practice knowledge. Good problem solving, oral and written communication skills. Strong working knowledge of graphic design or UI design. Preferred Experience: Healthcare/Insurance/financial services industry knowledge Python Javascript CSS Looker Studio / Google Data Studio
$81k-103k yearly est. Auto-Apply 8d ago
Business Technical Analyst
Centene 4.5
Remote
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Provides functional business knowledge and technical support to the business unit through developed and ad hoc analysis/reporting , as well as designing and programming new processes/reports. Acts as subject matter expert for department or business unit on business systems/applications. Analyzes company functions, processes, and activities to improve computer-based business applications for the most effective use of money, materials, equipment, and people. Performs application/system design and implementation. Documents development requirements. Consults with end users to test and debug applications to meet client needs. Responsible for submitting any necessary clean up scripts (SQL) and validating the results. Responsible to configure source system (Xcelys - Claims processing system) - setting up members benefits and authorization requirements within Xcelys Claim processing system. Develops ad-hoc reports to conduct data analysis and validation. Confers with area/department to analyze current operational procedures and trends and identify problems. Conducts business analysis and recommends technical alternative solutions to management as to course of action that best meets the organization's goals. Research, evaluate and assess the financial impact of issues identified in data/processes. Supports, troubleshoots, and maintains systems and applications as required, optimizing performance, resolving problems, and providing timely follow-up on identified issues. Analyzes requirements, procedures, and problems to automate processing or to improve existing business systems. Creates multiuser, real-time, robust database solutions. Acts as content expert to provide business and technical expertise in requirements solicitation, system analysis, technical design, programming and documentation of business applications/systems. May be responsible for monitoring and reporting to management on the status of departmental projects: Anticipates and identifies issues that could inhibit achieving the project goals and objectives, and implementing corrective actions and mitigation strategies. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Required A Bachelor's Degree in a related field, Required or equivalent work experience in technical data analysis, conducting system analysis meetings, developing system design documents, developing project plans with achievable milestones and deadlines, and mediating different department demands to gain approvals on system scope and design. Preferred a Master's degree in a related field, i.e., Mathematics, Computer Science, etc may be considered in lieu of some of the required experience (not to exceed 2 years) Candidate Experience: Preferred 1+ year of experience in Healthcare Required 2+ years of experience in relevant programming to include SAS, SQL, VB.NET, or Oracle (or similar depending upon departmental requirements) Required 3+ years of experience in related business analysis Preferred 1+ year of experience in ASP/ASP.NET Licenses and Certifications: A license in one of the following is preferred SAS Certification Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$68.7k-123.7k yearly Auto-Apply 3d ago
Senior Analyst, Medical Economics
Molina Healthcare Inc. 4.4
Cleveland, OH jobs
Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. Essential Job Duties * Extracts and compiles data and information from various systems to support executive decision-making. * Mines and manages information from large data sources. * Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. * Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership. * Draws actionable conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. * Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. * Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. * Collaborates with business owners to track key performance indicators of medical interventions. * Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. * Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. * Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes * Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. * Supports financial analysis projects related to medical cost reduction initiatives. * Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. * Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. * Supports scoreable action item (SAI) initiative tracking to performance. Required Qualifications * At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Demonstrated understanding of Medicaid and Medicare programs or other health care plans. * Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with retrieving specified information from data sources. * Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Understanding of value-based risk arrangements * Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Ability to mine and manage information from large data sources. * Demonstrated problem-solving skills. * Strong critical-thinking and attention to detail. * Ability to effectively collaborate with technical and non-technical stakeholders. * Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Effective verbal and written communication skills. * Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Proficiency with Power BI and/or Tableau for building dashboards. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$78k-155.5k yearly 5d ago
Senior Analyst, Medical Economics
Molina Healthcare 4.4
Akron, OH jobs
Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. **Essential Job Duties** - Extracts and compiles data and information from various systems to support executive decision-making. - Mines and manages information from large data sources. - Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. - Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership. - Draws actionable conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. - Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. - Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. - Collaborates with business owners to track key performance indicators of medical interventions. - Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. - Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. - Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. - Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes - Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. - Supports financial analysis projects related to medical cost reduction initiatives. - Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. - Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. - Supports scoreable action item (SAI) initiative tracking to performance. **Required Qualifications** - At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Demonstrated understanding of Medicaid and Medicare programs or other health care plans. - Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Proficiency with retrieving specified information from data sources. - Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Understanding of value-based risk arrangements - Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Ability to mine and manage information from large data sources. - Demonstrated problem-solving skills. - Strong critical-thinking and attention to detail. - Ability to effectively collaborate with technical and non-technical stakeholders. - Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Effective verbal and written communication skills. - Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** - Proficiency with Power BI and/or Tableau for building dashboards. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$78k-155.5k yearly 4d ago
Senior Analyst, Medical Economics
Molina Healthcare Inc. 4.4
Akron, OH jobs
Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. Essential Job Duties * Extracts and compiles data and information from various systems to support executive decision-making. * Mines and manages information from large data sources. * Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. * Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership. * Draws actionable conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. * Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. * Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. * Collaborates with business owners to track key performance indicators of medical interventions. * Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. * Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. * Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes * Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. * Supports financial analysis projects related to medical cost reduction initiatives. * Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. * Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. * Supports scoreable action item (SAI) initiative tracking to performance. Required Qualifications * At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Demonstrated understanding of Medicaid and Medicare programs or other health care plans. * Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with retrieving specified information from data sources. * Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Understanding of value-based risk arrangements * Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Ability to mine and manage information from large data sources. * Demonstrated problem-solving skills. * Strong critical-thinking and attention to detail. * Ability to effectively collaborate with technical and non-technical stakeholders. * Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Effective verbal and written communication skills. * Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Proficiency with Power BI and/or Tableau for building dashboards. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$78k-155.5k yearly 5d ago
Senior Analyst, Medical Economics
Molina Healthcare 4.4
Cincinnati, OH jobs
Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. **Essential Job Duties** - Extracts and compiles data and information from various systems to support executive decision-making. - Mines and manages information from large data sources. - Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. - Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership. - Draws actionable conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. - Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. - Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. - Collaborates with business owners to track key performance indicators of medical interventions. - Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. - Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. - Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. - Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes - Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. - Supports financial analysis projects related to medical cost reduction initiatives. - Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. - Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. - Supports scoreable action item (SAI) initiative tracking to performance. **Required Qualifications** - At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Demonstrated understanding of Medicaid and Medicare programs or other health care plans. - Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Proficiency with retrieving specified information from data sources. - Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Understanding of value-based risk arrangements - Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Ability to mine and manage information from large data sources. - Demonstrated problem-solving skills. - Strong critical-thinking and attention to detail. - Ability to effectively collaborate with technical and non-technical stakeholders. - Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Effective verbal and written communication skills. - Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** - Proficiency with Power BI and/or Tableau for building dashboards. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$78k-155.5k yearly 4d ago
Senior Analyst, Medical Economics
Molina Healthcare Inc. 4.4
Cincinnati, OH jobs
Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. Essential Job Duties * Extracts and compiles data and information from various systems to support executive decision-making. * Mines and manages information from large data sources. * Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. * Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership. * Draws actionable conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. * Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. * Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. * Collaborates with business owners to track key performance indicators of medical interventions. * Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. * Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. * Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes * Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. * Supports financial analysis projects related to medical cost reduction initiatives. * Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. * Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. * Supports scoreable action item (SAI) initiative tracking to performance. Required Qualifications * At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Demonstrated understanding of Medicaid and Medicare programs or other health care plans. * Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with retrieving specified information from data sources. * Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Understanding of value-based risk arrangements * Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Ability to mine and manage information from large data sources. * Demonstrated problem-solving skills. * Strong critical-thinking and attention to detail. * Ability to effectively collaborate with technical and non-technical stakeholders. * Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Effective verbal and written communication skills. * Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Proficiency with Power BI and/or Tableau for building dashboards. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$78k-155.5k yearly 5d ago
Senior Analyst, Medical Economics
Molina Healthcare 4.4
Dayton, OH jobs
Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. **Essential Job Duties** - Extracts and compiles data and information from various systems to support executive decision-making. - Mines and manages information from large data sources. - Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. - Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership. - Draws actionable conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. - Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. - Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. - Collaborates with business owners to track key performance indicators of medical interventions. - Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. - Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. - Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. - Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes - Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. - Supports financial analysis projects related to medical cost reduction initiatives. - Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. - Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. - Supports scoreable action item (SAI) initiative tracking to performance. **Required Qualifications** - At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Demonstrated understanding of Medicaid and Medicare programs or other health care plans. - Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Proficiency with retrieving specified information from data sources. - Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Understanding of value-based risk arrangements - Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Ability to mine and manage information from large data sources. - Demonstrated problem-solving skills. - Strong critical-thinking and attention to detail. - Ability to effectively collaborate with technical and non-technical stakeholders. - Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Effective verbal and written communication skills. - Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** - Proficiency with Power BI and/or Tableau for building dashboards. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$78k-155.5k yearly 4d ago
Senior Analyst, Medical Economics
Molina Healthcare Inc. 4.4
Dayton, OH jobs
Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. Essential Job Duties * Extracts and compiles data and information from various systems to support executive decision-making. * Mines and manages information from large data sources. * Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. * Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership. * Draws actionable conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. * Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. * Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. * Collaborates with business owners to track key performance indicators of medical interventions. * Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. * Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. * Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes * Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. * Supports financial analysis projects related to medical cost reduction initiatives. * Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. * Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. * Supports scoreable action item (SAI) initiative tracking to performance. Required Qualifications * At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Demonstrated understanding of Medicaid and Medicare programs or other health care plans. * Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with retrieving specified information from data sources. * Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Understanding of value-based risk arrangements * Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Ability to mine and manage information from large data sources. * Demonstrated problem-solving skills. * Strong critical-thinking and attention to detail. * Ability to effectively collaborate with technical and non-technical stakeholders. * Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Effective verbal and written communication skills. * Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Proficiency with Power BI and/or Tableau for building dashboards. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$78k-155.5k yearly 5d ago
Senior Analyst, Medical Economics
Molina Healthcare Inc. 4.4
Ohio jobs
Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. Essential Job Duties * Extracts and compiles data and information from various systems to support executive decision-making. * Mines and manages information from large data sources. * Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. * Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership. * Draws actionable conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. * Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. * Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. * Collaborates with business owners to track key performance indicators of medical interventions. * Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. * Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. * Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes * Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. * Supports financial analysis projects related to medical cost reduction initiatives. * Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. * Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. * Supports scoreable action item (SAI) initiative tracking to performance. Required Qualifications * At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Demonstrated understanding of Medicaid and Medicare programs or other health care plans. * Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with retrieving specified information from data sources. * Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Understanding of value-based risk arrangements * Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Ability to mine and manage information from large data sources. * Demonstrated problem-solving skills. * Strong critical-thinking and attention to detail. * Ability to effectively collaborate with technical and non-technical stakeholders. * Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Effective verbal and written communication skills. * Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Proficiency with Power BI and/or Tableau for building dashboards. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$78k-155.5k yearly 5d ago
Sr. EPIC Analyst (MyChart or Cadence Certified) - Kelsey Seybold Clinic - Remote
Unitedhealth Group 4.6
Pearland, TX jobs
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind **Caring. Connecting. Growing together.** The Sr Systems Analyst will work at the highest technical level of all phases of application systems analysis, workflow analysis, build, design, testing, interface knowledge and programming activities. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Under general direction, formulates/defines system scope and objectives + Able to work individually on a team or project teams and can multi-task + May be responsible for completion of a phase of a project or responsible for leading and completing a project + Regularly provides guidance and training to less experienced analysts + Works with business owners, physicians, clinicians, stakeholders, and IT personnel to assess and develop best practice models + May support implementation and upgrades to clinical and bio-medical applications + Provide weekly status updates on project(s) progress + Position will require travel to KSC clinic locations for implementation, training and support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree or at least 3+ years of equivalent relevant work experience + EPIC MyChart or EPIC Cadence certification + 3+ years of experience in applicable healthcare clinical operations, project management, or systems design, implementation, configuration or support + Ability to learn quickly, and to obtain Epic System Certification level (as defined by Epic) and/or other clinical system certifications + Proven solid ability to define clinical and operating requirements, and translate requirements into clear, specific, actionable system configurations, and ability to implement those configurations + Ability to test and audit personally developed system configurations, in order to assure functional accuracy + Demonstrated excellent communication, relationship, teamwork and project management skills + Demonstrably solid conceptual, process and data analysis skills, and in depth understanding of medical practice informatics, clinical and operating data sets + Proven solid understanding of physician practice operations, and ways improved information management can lead to clinical, operating and financial improvement in a health care organization + Demonstrated proficiency with use of desktop computer systems (Windows, Microsoft Office, email) and experience in use of clinical or practice management systems in medical practice + Demonstrated clear ability to articulate benefit realization personally achieved on previous projects + Proven communication, presentation, teamwork, project management, problem solving and technical skills **Preferred Qualifications:** + Clinical, or Advanced degree + Complex project management experience with demonstrably successful outcome *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$51k-63k yearly est. 12d ago
Sr. EPIC Analyst (MyChart or Cadence Certified) - Kelsey Seybold Clinic - Remote
Unitedhealth Group Inc. 4.6
Pearland, TX jobs
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The Sr Systems Analyst will work at the highest technical level of all phases of application systems analysis, workflow analysis, build, design, testing, interface knowledge and programming activities. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Under general direction, formulates/defines system scope and objectives * Able to work individually on a team or project teams and can multi-task * May be responsible for completion of a phase of a project or responsible for leading and completing a project * Regularly provides guidance and training to less experienced analysts * Works with business owners, physicians, clinicians, stakeholders, and IT personnel to assess and develop best practice models * May support implementation and upgrades to clinical and bio-medical applications * Provide weekly status updates on project(s) progress * Position will require travel to KSC clinic locations for implementation, training and support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's degree or at least 3+ years of equivalent relevant work experience * EPIC MyChart or EPIC Cadence certification * 3+ years of experience in applicable healthcare clinical operations, project management, or systems design, implementation, configuration or support * Ability to learn quickly, and to obtain Epic System Certification level (as defined by Epic) and/or other clinical system certifications * Proven solid ability to define clinical and operating requirements, and translate requirements into clear, specific, actionable system configurations, and ability to implement those configurations * Ability to test and audit personally developed system configurations, in order to assure functional accuracy * Demonstrated excellent communication, relationship, teamwork and project management skills * Demonstrably solid conceptual, process and data analysis skills, and in depth understanding of medical practice informatics, clinical and operating data sets * Proven solid understanding of physician practice operations, and ways improved information management can lead to clinical, operating and financial improvement in a health care organization * Demonstrated proficiency with use of desktop computer systems (Windows, Microsoft Office, email) and experience in use of clinical or practice management systems in medical practice * Demonstrated clear ability to articulate benefit realization personally achieved on previous projects * Proven communication, presentation, teamwork, project management, problem solving and technical skills Preferred Qualifications: * Clinical, or Advanced degree * Complex project management experience with demonstrably successful outcome * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$51k-63k yearly est. 12d ago

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