Data Modeler with Payer

4 weeks ago

Philadelphia, United States NAM Info Inc Full time

Job Responsibilities:

  • Gather and analyze data for potential business expansion.
  • Identify specific business opportunities and ways to capitalize on them.
  • Influence stakeholders to support business projects.
  • Assist with project management for selected projects.
  • Coordinate with different departmental teams to improve productivity.
  • Test business processes and recommend improvements.
  • Write clear and well-structured business requirements and documentation.
  • Identify automation opportunities.
  • Create reports, dashboards, and visualizations to help others understand business performance.
  • Analyze process issues and bottlenecks to make improvements.
  • Communicate and validate requirements with relevant stakeholders.
  • Develop and maintain reporting tools and record-keeping procedures.
  • Perform data discovery, analysis, and modeling.
  • Bridge the gap between financial insights and operational needs, facilitating more informed and strategic decision-making.
  • Prepare reports and visualizations to communicate findings to stakeholders.
  • Identify trends and patterns in data to help inform business decisions.
  • Collaborate with cross-functional teams to develop and implement data-driven solutions.
  • Gathers business data and organizational policies to prepare operational analyses and reports; audits current procedures to monitor and improve efficiency of operations.
  • Research and evaluate data from different sources to identify discrepancies and patterns.
  • Present and explain status reports to management. Recommend ways to improve healthcare quality and minimize costs.
  • Review and analyze P&Ls in collaboration with the management team. Identify changes in charges, revenues and costs.
  • Help design and develop standard and ad hoc department reports (i.e. Anticipate number of deliveries in a given month or period)
  • Maintains department data crosswalks.
  • Compiles and analyzes clinical operating forecasting models.
  • Design and conduct analyses pertaining to data acquired thorough various data sources; Combine disparate data sources into an integrated database or dataset.
  • Compile and review analyses, reporting, key performance indicators, and operational metrics.
  • Participate in corrective actions in response to variances and trends.
  • Create descriptive data summaries including visualizations and written descriptions of data findings for a wide range of audiences.
  • Performs other job-related duties as assigned.




Minimum Qualifications:

  • Bachelor’s degree in business administration, Health Information Systems, Mathematics, or relevant field.
  • A minimum of 10 years of healthcare-related work experience.
  • Excellent analytical and mathematical skills.
  • Good time management abilities.
  • Strong knowledge of data management systems and analysis tools.
  • Outstanding communication and presentation skills.
  • Superior communication skills, both written and verbal.
  • Possess strong customer service and problem-solving skill sets.
  • Proficiency in using Microsoft Office applications such as Word, Excel (including advanced functions, such as complex formulas, pivot tables, graphing), PowerPoint and Outlook.

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