Healthcare Analytics Specialist

3 weeks ago


Akron, Ohio, United States Akron Children's Full time
Senior Health Plan Analytics Specialist

Job Summary:

The Senior Health Plan Analytics Specialist will play a pivotal role in driving data-driven decision-making within our healthcare organization. This individual will leverage advanced analytical techniques to provide insights into payer/health plan performance, identify trends, and recommend strategies to optimize payer contract terms and address trends in payer contract performance.

Key Responsibilities:

  1. Develop and maintain dashboards, reports, and data visualizations to communicate key metrics and findings on contract performance and identify opportunities for improvements in payer contracts.
  2. Present payer analytical findings in a clear and concise manner to senior leadership.
  3. Act as a liaison between the analytics team and other departments, fostering a collaborative environment.
  4. Provide conceptual and analytic direction for developing recommendations for commercial and Medicaid fee-for-service payor contract financial proposals.
  5. Conduct detailed analysis of health plan data to evaluate performance, trends, and patterns.

Requirements:

  • Bachelor's degree in data science, statistics, health informatics, public health, or a related field. Master's degree preferred.
  • Minimum of 5-7 years of experience in health plan analytics or a similar role within the healthcare industry.
  • Proven experience with statistical analysis, predictive modeling, and data visualization tools.
  • Strong analytical and problem-solving skills with the ability to interpret complex data sets.
  • In-depth knowledge of healthcare data sources, including claims, EHR, and patient registries.
  • Excellent communication and presentation skills.
  • Ability to work independently and manage multiple projects simultaneously.
  • Familiarity with healthcare regulatory requirements and industry standards.


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