Data Analyst, Member Services

21 hours ago

Nashville, Tennessee, United States ArchWell Health Full time
Job Summary:

The Senior Member Services Analyst will play a key role in supporting analytical needs across ArchWell Health's member services team. This colleague will be motivated by the challenge of solving complex problems, conducting root cause analysis, and driving toward resolution.

Duties and Responsibilities:
  • Identify, monitor, and analyze member assignment by market to identify outliers and trends
  • Research member assignment issues, analyze data, present results, and recommend solutions to address business challenges by applying knowledge of member assignment, critical-thinking skills, and healthcare experience/expertise
  • Analyze membership to identify early signs of trends or other issues related to payor errors in reporting
  • Structure analytical results in an organized, visual manner to tell a meaningful, actionable story to cross-functional stakeholders
  • Interpret contractual language with a clear understanding of business rules around member attribution
  • Execute other duties and special projects as needed, focusing on knowledge and skills development
Required Skills and Abilities:
  • Demonstrated ability to conduct independent research and present solutions to complex problems
  • Ability to work both collaboratively and independently to complete complex analyses, leading to actionable strategic and financial business decisions
  • Strong critical thinking skills to anticipate questions from key stakeholders and consider all aspects of an analysis before completion
  • Exhibit initiative in exploring and discovering opportunities to improve company performance through data analysis
  • Strong communication skills with the ability to explain complex problems succinctly and effectively for all levels of leadership
  • Ability to establish trusting, professional relationships with internal, senior stakeholders
  • Willingness to learn and tackle new problems and opportunities as they arise
  • Ability and willingness to travel on occasion (up to 5%)
About ArchWell Health:

At ArchWell Health, we're creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60.

We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life.

Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life.

We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community.

We're passionate about caring for older adults and united by the belief that caring has the power to change everything for our members.

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