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Senior Healthcare Analyst

4 months ago

Minnetonka, Minnesota, United States Medica Full time

As a Senior Healthcare Analyst, you will provide analytic support for Medica's risk adjustment programs.

You will develop your understanding of Medicare, ACA and Medicaid risk adjustment programs while utilizing business intelligence, analytics and financial analysis to improve results for these populations.

You will work on projects including risk score and revenue forecasting, coding accuracy, program operations, program evaluation (ROI and effectiveness) and more.

The position is within our Enterprise Analytics department that provides analytic support to the entire company and includes teams focused on business intelligence & reporting, data governance, advanced analytics, risk adjustment analytics, quality measurement, trend & affordability analytics, employer reporting, pharmacy analytics and provider reporting.

Required Qualifications:

  • Bachelor's degree in Statistics, Mathematics, Data Science, Economics, Actuarial Science, or a similar field.
  • 5 years of relevant experience

Preferred Qualifications:

  • Experience with at least one programming language (SAS, SQL, Python, R, etc.)
  • Experience working with Medicare, ACA, or Medicaid risk adjustment.
  • Analytical expertise: data manipulation, financial and statistical analysis, visualization, reporting.
  • Curiosity and a learning mindset
  • Ability to independently solve problems
  • Experience working with healthcare administrative data (medical claims, enrollment, pharmacy claims, provider data)

This position is a Hub role, which requires an employee to occasionally come onsite to the designated office, Minnetonka, for applicable heads-up work. Frequency is determined by business need as decided by leadership.

Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.



Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR c)

Equal Opportunity Employer including Veterans and Disabled Individuals