Health Plan Data Analyst

Location: Virtual

All the benefits and perks you need for you and your family:

Benefits from Day One

Career Development

Whole Person Wellbeing Resources

Award-winning IT Department

Centrus Health

Centrus Health is a clinically integrated, physician-led network, including North Kansas City Hospital, Advent Health and The University of Kansas Health System, and independent primary care and specialist physicians. Centrus Health is a high-quality value-based network for government and commercial payers and employers since 2018. Our network represents a group of Kansas City’s leading providers joining together to transform our community’s health care.

Centrus Health at a Glance:

4,000 providers (and counting)

400 physician/provider practices

Locations throughout the Kansas City Metropolitan area

200,000 patients in value-based arrangements

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.

Schedule: Full-Time, Monday – Friday

The role you’ll contribute:

The Health Plan Data Analyst is responsible for data analytic strategies focused on lowering the cost of healthcare for our managed populations by providing actionable data to the Population Health team. The Analyst engages clients (finance team, senior leaders, health plans, providers) in reviewing financial performance while also providing next-level analyses to ensure resources are being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data (claims, labs, EHR data) analytics to gain insights into provider ordering, member adherence, operational effectiveness, and client-specific metric gaps. The Analyst will be a key part of the Population Health Analytics team and will partner with business and operational owners to identify and execute cost-saving opportunities and return on investment analyses. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you’ll bring to the team:

Knowledge of common analytical methods such as profiling customer segments, data modeling, and concepts of regression analysis

Intermediate level of proficiency in performing data analytics; ability to effectively apply analytical and quantitative skills to solving problems

Ability to use knowledge and understanding of data, data systems, and statistical software applications, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial program performance

Working knowledge of healthcare or insurance accounting methods and reporting, standards development, utilization measurements, risk segmentation, and financial modeling

Ability to conduct oneself professionally, maintain confidence, confidentiality and objectivity

Ability to relate operational and financial performance in the healthcare environment

Ability to learn quickly and work with minimal supervision

Ability to efficiently manage multiple work streams, clients and analyses

Proficiency with Microsoft Access, Excel, Power Point and Word

Proficiency with Microsoft or Vertica SQL

Effective oral and written communication skills, with the ability to articulate complex information in understandable terms to all levels of staff

The expertise and experiences you’ll need to succeed:

Bachelor’s degree in Finance, Economics, Mathematics, Accounting, Statistics or related field and four years of analytic experience

Experience working with analyses within a Health Plan / Payor organization for at least two years

Technical experience in utilizing analytical software tools and applications

Health Plan claims data knowledge

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

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Responsible for collecting and processing data to create engaging data visualizations and compelling statistical data insights Responsibilities Interpret data, analyze results using statistical techniques and provide ongoing reports Develop andimplementdatabases, data collection systems, data analytics, reports, and other strategies that optimize statistical efficiency and quality Acquiredata from primary or secondary data sources and maintain databases/data systems Identify, analyze, and interpret trends or patterns in complex data sets Filter and "clean" data by reviewing data analysis and BI reports, to locate trends and correct code problems Work with management toprioritizebusiness and information needs Identify and define process improvement opportunities Qualifications Required Bachelor's degree in Mathematics, Computer Science, Statistics, Economics, Information Management or related experience At least 1 year of professional business analytics experience including developing queries, report writing, and data visualization Experience with reporting packages (Microsoft SSRS, SAP Crystal Reports, etc.) and industry leading BI tools such as Tableau, Qlik, or Power BI Experience with SQL and RDBMS databases Programming languages and coding technologies such as Java, .NET, Python, XML, JavaScript Experience analyzing large datasets from ETL frameworks Experience using statistical packages for analyzing datasets (Excel, SPSS, SAS etc.) Experience with relational and NoSQL database systems Preferred Work experience in the healthcare industry including clinical, financial and operational data Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate. Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart's sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart's third party screening provider. If you are located in a state which grants you the right to receive information on salary range, pay scale, description of benefits or other compensation for this position, please use this form to request details which you may be legally entitled. All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position. Netsmart's Job Applicant Privacy Notice may be found here.

The primary task of this individual will be creating source-to-target mappings in Erwin Mapping Manager based on existing documentation. However, the ideal candidate will be a well-rounded data analyst with the following background Proficient in creation of source-to-target data mappings; mapping of tables, files, XML schemas, etc. from source to target; experience with Erwin Mapping Manager would be a huge plus Proficient in data modeling for both transactional and dimensional data warehouse databases Prefer knowledge of and applied use of Kimball Data Warehouse Methodology Experience using a standard data modeling toolset; prefer working knowledge of Erwin Data Modeler and Mart Data mining skills (including data auditing, aggregation, validation and reconciliation) 2 years' experience coding in a development language such as Data Stage, Python, C++, or other language is a plus Strong ability to work with SQL databases; (SQL Server, Azure Synapse and/or Netezza DBMS a plus) Working knowledge of Azure Synapse Cloud Platform and data components is a plus Knowledge of real-time analytics and BI platforms such as Tableau and/or Power BI Data Analysis experience with data profiling and data validation Understanding of Data Quality (DQ) concepts and familiarity with DQ tools and methods; experience working on an active Data Governance Program is a plus Ability to communicate with customers to obtain data requirements and perform data analysis on data provided Strong oral and written communication skills - a MUST Ability to communicate complex findings and ideas in plain language Ability to work with teams towards a shared goal Ability to change direction quickly based on data analysis and/or architecture direction Ability to proactively seek clarification of requirements and direction to gain optimal solutions Required Skills : 2 days per week onsite in Kansas City Erwin Source to Target Mapping Data Modeling Data Governance Basic Qualification : 2 days per week onsite in Kansas City Additional Skills : 2 days per week onsite in Kansas City Background Check :Yes Drug Screen :Yes Notes : Selling points for candidate : Project Verification Info : Candidate must be your W2 Employee :No Exclusive to Apex :No Face to face interview required :No Candidate must be local :Yes Candidate must be authorized to work without sponsorship ::No Interview times set :Yes Type of project :Administration/Support Master Job Title :Data Analyst Branch Code :Kansas City

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