Health Data Analyst

1 day ago


United, United States CAI Full time
Job Title: Health Data Analyst

We are seeking a highly skilled Health Data Analyst to join our team at CAI. As a key member of our team, you will be responsible for analyzing and supporting business operating decisions related to Medicaid, Managed Care, and other health and human services programs.

Key Responsibilities:
  • Conduct data analyses to support Department of Human Services decision-making processes
  • Analyze data to support business-operating decisions related to Medicaid, Managed Care, and other health and human services programs
  • Develop processes for the analysis of claim/encounter data for various initiatives, including reporting on high cost and high utilization services and specific populations such as individuals with Serious and Persistent Mental Illness (SPMI)
  • Analyze data by geography, services, provider type, place of services, and other factors to discover trends and suggest action plans
  • Develop processes that support the evaluation of fiscal impact analysis for existing and potential cost containment initiatives
  • Extract and analyze large data sets to determine whether targeted goals were achieved or identify performance measures with target goals
  • Meet with Commonwealth staff to advise on work results
  • Develop reports, presentations, and data dashboards to be shared with internal and external stakeholders
Requirements:
  • Master's Degree in Mathematics, Economics, Statistics, Information Systems, or a similar field
  • Proficiency in financial, demographic, encounter, and claims data for both managed care and fee-for-service Medicare and Medicaid, as well as commercial and healthcare-related insurance
  • At least 3 years of experience in senior-level medical economic analyses
Work Environment:

This is a sedentary role that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc.

Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitors.

Equal Employment Opportunity Policy Statement:

CAI is an equal opportunity employer and does not discriminate against any employee or applicant due to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or being a protected veteran.

CAI takes affirmative action to employ and advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or being a protected veteran, and to base all employment decisions only on valid job requirements.



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