healthcare analytics specialist

Jhexinc.

We are seeking a detail-oriented and analytical Healthcare Data Analyst to join our team. The ideal candidate will be responsible for collecting, analyzing, and interpreting healthcare data to support business decisions, improve patient outcomes, optimize operations, and ensure compliance with healthcare regulations. This role requires strong analytical skills, experience with healthcare datasets, and the ability to transform complex data into meaningful insights.Key Responsibilities<ul><li>Collect, clean, validate, and analyze large healthcare datasets from multiple sources.</li><li>Interpret healthcare data related to patients, claims, billing, clinical operations, insurance, and provider performance.</li><li>Develop and maintain reports, dashboards, and visualizations for business and clinical stakeholders.</li><li>Identify trends, patterns, and opportunities to improve patient care, operational efficiency, and financial performance.</li><li>Perform data mining, statistical analysis, and data quality checks.</li><li>Work with teams such as clinical, finance, operations, compliance, and IT to understand reporting requirements.</li><li>Analyze electronic health records (EHR), claims data, payer data, utilization data, and population health metrics.</li><li>Support regulatory reporting, healthcare compliance, and quality improvement initiatives.</li><li>Ensure data integrity, accuracy, confidentiality, and adherence to HIPAA and healthcare data governance standards.</li><li>Create ad hoc reports and provide actionable insights to support strategic decision-making.</li><li>Assist in identifying KPIs and performance metrics for healthcare operations and patient outcomes.</li><li>Document data definitions, processes, and reporting methodologies.</li></ul>Required Qualifications<ul><li>Bachelor&rsquo;s degree in Data Analytics, Healthcare Administration, Health Informatics, Statistics, Computer Science, Mathematics, Public Health, or related field.</li><li>2+ years of experience in data analysis, preferably in the healthcare domain.</li><li>Strong experience with SQL for querying and manipulating data.</li><li>Hands-on experience with Excel, Power BI, Tableau, or similar data visualization tools.</li><li>Understanding of healthcare data such as:</li><li>Claims Data</li><li>EHR / EMR Data</li><li>Patient Records</li><li>Provider Data</li><li>Revenue Cycle / Billing Data</li><li>Insurance / Payer Data</li><li>Knowledge of HIPAA, healthcare privacy, and compliance regulations.</li><li>Strong analytical, problem-solving, and communication skills.</li><li>Ability to work with large datasets and present findings clearly to non-technical stakeholders.</li></ul>Preferred Qualifications<ul><li>Experience working with healthcare systems such as Epic, Cerner, Meditech, or other EHR platforms.</li><li>Knowledge of ICD-10, CPT, HCPCS, DRG, HL7, FHIR, or healthcare coding/standards.</li><li>Experience with Python, R, SAS, or other statistical/analytical tools.</li><li>Familiarity with predictive analytics, healthcare quality metrics, and population health reporting.</li><li>Experience in hospital, insurance, payer, provider, or healthcare consulting environments.</li><li>Certification in Healthcare Analytics, Data Analytics, or Health Informatics is a plus.</li></ul>Required Skills<ul><li>SQL</li></ul>Nice to Have Skills<ul><li>Python / R / SAS</li><li>Snowflake / SQL Server / Oracle</li><li>Healthcare Coding Knowledge</li><li>Population Health Analytics</li><li>Revenue Cycle Analysis</li><li>Predictive Modeling</li><li>ETL / Data Warehousing</li><li>Healthcare KPI Reporting</li></ul>Sample Tools / Technologies<ul><li>SQL</li><li>Microsoft Excel</li><li>Power BI</li><li>Tableau</li><li>Python</li><li>R</li><li>SAS</li><li>Epic / Cerner</li><li>Snowflake</li><li>SQL Server</li><li>Azure / AWS (optional)</li></ul>Work Environment<ul><li>Ability to work in a cross-functional healthcare or analytics team</li><li>Comfortable handling sensitive and confidential patient/healthcare data</li><li>Strong collaboration with business, clinical, and technical stakeholders</li></ul>Pay / Employment Type (Optional for Posting)<ul><li>Employment Type: Full-time</li><li>Location:Onsite</li><li>Experience Level: Mid-Level</li><li>Excel</li><li>Power BI / Tableau</li><li>Data Cleaning &amp; Validation</li><li>Data Visualization</li><li>Statistical Analysis</li><li>Reporting &amp; Dashboarding</li><li>Healthcare Claims Analysis</li><li>EHR / EMR Data Analysis</li><li>HIPAA Compliance</li><li>Problem Solving</li><li>Communication Skills</li><li>Attention to Detail</li></ul>Pay: $70,000.00 - $90,000.00 per yearBenefits:<ul><li>401(k)</li><li>Relocation assistance</li></ul>Work Location: On the road

Healthcare Data Analyst

Quest Diagnostics

<div>Healthcare Analytics Solutions (HAS) is an innovative team within Quest Diagnostics that leverages Quest data to develop products and services to improve outcomes in healthcare across many different markets (Pharma, Clinical Trials, Health Plans/Payers, Hospitals/Health Systems, and Public Health agencies). 
Join HAS to build, productionize, and operationalize clinical ML products using billions of results from Quest laboratory data. You will partner with clinicians, engineers, and product teams to deliver robust, compliant, and well‑documented models that impact patient care and downstream products. Fully remote, minimal travel required; strong emphasis on hands‑on production experience and pragmatic problem solving.<div>
<div><div><div>Quest Diagnostics honors our service members and encourages veterans to apply. 
 
While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. 
 
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.</div>
</div> 
</div></div><ul><li>End-to-end ML delivery: data curation, feature design, modelling, validation, CI/CD deployment, and monitoring.</li><li>Productionization: containerization, model serving, performance tuning, rollout strategies, and observability (drift, performance, alerts).</li><li>Model governance: reproducibility, versioning, bias/fairness checks, and audit-ready documentation.</li><li>Integration of advanced analytics and machine learning models into business products and services including business intelligence dashboards and real-time analytics.</li><li>Curation of data sets from Quest and non-Quest data sources in support of deriving business insights driven by advanced analytics.</li><li>Cross-functional partnership with clinicians and product owners to define outcomes, acceptance criteria, and validation plans.</li><li>Mentor and raise engineering standards across the team: coding best practices, testing, and deployment patterns.</li><li>Translate technical results into clear explanations and recommendations for technical and executive stakeholders.</li></ul> 
<ul><li>5+ years demonstrated track record delivering ML models to production (architecture, deployment, and monitoring), preferably in the healthcare industry.</li><li>5+ years relevant experience with Python and SQL; production-grade code and testing practices.</li><li>Practical experience with model serving and monitoring, CI/CD for ML, and feature pipeline orchestration.</li><li>Experience working with healthcare data (labs, EHR, claims) and familiarity with PHI handling/HIPAA considerations.</li><li>Strong statistics, model evaluation, and pragmatic approach to validation.</li><li>Excellent communication and problem‑solving skills; comfortable leading technical discussions with clinicians and engineers and presenting to senior executives</li><li>A bachelor&rsquo;s degree from an accredited college or university in a related area of Data Science, Statistics, Computer Science, Mathematics, Economics, or Information Technology. Master&rsquo;s or PhD preferred.</li></ul><div>
Preferred 
<ul><li>Familiarity with feature stores and SHAP/interpretability tooling.</li><li>Prior experience in regulated environments or deploying clinical decision support tools.</li><li>Demonstrated ability to leverage data visualization tools and software to present advanced analytics that are easy to interpret and spot patterns, trends, and correlations</li><li>Experience developing, deploying, and monitoring production models in the C3.ai platform</li><li>Excellent scientific writing skills; we may publish studies based on novel models or methods</li><li>Experience supporting the creation of SOWs and Contracts.</li><li>Aptitude in other programing languages like R, SAS, JavaScript</li></ul></div> 
Why join this team?<ul><li>High-impact work across products and markets; you have the opportunity to meaningfully improve patient outcomes and healthcare delivery in the United States in this role</li><li>Fully remote, collaborative team.</li><li>Opportunity to define production ML standards.</li><li>Clear ownership of end-to-end model lifecycle and opportunity to mentor others.</li></ul></div>

Data Scientist Manager - Eso

Viva Health

<div>Value-Based Care Provider Performance Analyst

Location: Birmingham, AL

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare &amp; Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits
<ul>
<li>Comprehensive Health, Vision, and Dental Coverage</li>
<li>401(k) Savings Plan with company match and immediate vesting</li>
<li>Paid Time Off (PTO)</li>
<li>9 Paid Holidays annually plus a Floating Holiday to use as you choose</li>
<li>Tuition Assistance</li>
<li>Flexible Spending Accounts</li>
<li>Healthcare Reimbursement Account</li>
<li>Paid Parental Leave</li>
<li>Community Service Time Off</li>
<li>Life Insurance and Disability Coverage</li>
<li>Employee Wellness Program</li>
<li>Training and Development Programs to develop new skills and reach career goals</li>
<li>Employee Assistance Program</li>
</ul>
See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits

Job Description

The Value-Based Care Provider Performance Analyst applies advanced analytical and technical skills to support the organization's value-based care initiatives, provider performance measurement, and fee-for-service contracting strategies. This role leverages diverse data sources to develop dashboards, financial models, and analytical outputs that drive performance improvement across value-based contracts, network adequacy, and reimbursement optimization.

This individual collaborates with provider strategy leadership to identify insights, model contract scenarios, and communicate findings to internal and external stakeholders. This position supports analytics for corporate initiatives including value-based care program performance, provider incentive programs, Star/HEDIS quality measures, population health management, and FFS contracting analysis.

Key Responsibilities
<ul>
<li>Design, develop. and maintain dashboards and performance reports that track value-based care program metrics including quality, utilization, cost, and risk-adjusted outcomes across Medicare Advantage and commercial lines of business.</li>
<li>Build and maintain financial models to support fee-for-service contract negotiations including rate analysis, trend modeling, case mix adjustments, stop-loss thresholds, and reimbursement scenario comparisons.</li>
<li>Analyze provider performance data against contract benchmarks and quality targets. Identify opportunities for improvement and present actionable findings to provider strategy leadership and external provider partners.</li>
<li>Support development of value-based contract structures including shared savings, pay-for-performance, and bundled payment arrangements through quantitative modeling and historical utilization analysis.</li>
<li>Monitor and report on Star Rating and HEDIS measure performance at the provider and network level. Integrate quality metrics into provider scorecards and incentive calculations.</li>
<li>Develop and apply predictive analytics and risk stratification models to identify high-risk member populations, support proactive care management, and prioritize provider-level interventions.</li>
<li>Incorporate social determinants of health (SDOH) data into population health analyses to inform health equity initiatives, network gap assessments. and targeted intervention strategies.</li>
<li>Execute data retrieval, transformation, and analysis using tools including SQL, SAS, Tableau, Power BI, Excel, and other data platforms to support provider contracting and population health analytics.</li>
<li>Ensure data integrity and accuracy across analytical outputs. Define and implement automated queries, reports, and validation checks to maintain consistency and scalability.</li>
<li>Maintain and document data sources, technical specifications, and analytical methodologies pertaining to value-based care and contracting analytics within the department data infrastructure.</li>
<li>Prepare presentation materials and written analyses for internal leadership and external provider meetings, translating complex data findings into clear, decision-ready insights.</li>
</ul>
REQUIRED:
<ul>
<li>Bachelor's Degree in Health Informatics, Business Analytics, Mathematics, Healthcare Management, Health Services Research, Public Health, or other related field</li>
<li>4+ years&rsquo; experience conducting data analytics using tools such as SQL, SAS, Tableau, or equivalent
</li><li>Highly proficient in Microsoft Excel including complex formulas, conditional formatting, and Pivot Tables</li>
<li>Working knowledge of SQL, SAS, Crystal, or similar query and data manipulation tools</li>
<li>Proficient in Tableau and/or Power BI for dashboard development and data visualization</li>
<li>Experience working with healthcare claims and encounter data, including familiarity with ICD-10, CPT, and revenue code structures</li>
<li>Understanding of HIPAA data privacy and security requirements as they apply to member and provider analytics</li>
<li>Demonstrated ability to build and interpret financial models related to healthcare reimbursement, cost trends, or contract performance</li>
<li>Ability to manage multiple projects simultaneously within defined timelines with minimal supervision</li>
<li>Strong diagnostic and analytical skills to identify data quality issues, validate findings, and troubleshoot reporting problems</li>
<li>Experience presenting data-driven findings to leadership and stakeholders in clear, actionable formats</li>
<li>Ability to interpret technical specifications and apply them to business operations and analytic workflows</li>
<li>Strong oral, written, and interpersonal communication skills</li>
<li>High level of integrity and quality in all performed work</li>
<li>Valid driver's license in good standing</li>
</ul>
PREFERRED:
<ul>
<li>Master&rsquo;s degree in a related field (MBA, MHA, MPH, or MS in Analytics)</li>
<li>Experience in managed care or health plan analytics, particularly value-based care, provider contracting. or Medicare Advantage</li>
<li>Experience with FFS reimbursement methodologies, rate modeling, and contract financial analysis</li>
<li>Experience with advanced statistical or actuarial methodologies</li>
<li>Knowledge of national healthcare quality metrics including CMS Star Ratings, HEDIS, Risk Adjustment, HCC coding, and medical coding (ICD-10, CPT, LOINC)</li>
<li>Familiarity with value-based care contract structures: shared savings, pay-for-performance, episode-based payments, and ACO/CIN frameworks</li>
<li>Knowledge of fee-for-service reimbursement methodologies including DRG-based, per diem, percent-of-charges, and APC structures</li>
<li>Experience in Medicare Advantage plan operations, HMO/PPO managed care environments, or health insurance analytics</li>
<li>Experience with predictive analytics, risk stratification modeling, or machine learning applications in a healthcare setting</li>
<li>Familiarity with social determinants of health (SDOH) data integration and health equity analytics</li>
<li>Knowledge of healthcare interoperability standards (HL7, FHIR, C-CDA) and experience working with EHR-sourced or claims-based data</li>
<li>Experience with R or Python for statistical analysis or advanced data manipulation</li>
<li>Capability to independently identify and evaluate performance improvement opportunities related to provider KPIs</li>
<li>Highly proficient in both Tableau and Power BI, with experience building executive-level interactive dashboards</li>
<li>Intermediate to advanced SQL proficiency; experience with data warehouse environments (Snowflake, Azure, Databricks)</li>
<li>Knowledge of data governance principles, data dictionary maintenance, and data quality management frameworks</li></ul></div>

Value-Based Care Provider Performance Analyst

Oak Ridge National Laboratory

<div>Requisition Id 16214 
This position is onsite located in Oak Ridge, TN. 
Overview:
We are seeking a Healthcare Data Analyst who will serve as a subject matter expert (SME) in healthcare data management, statistical design and analysis, and reporting, to improve care quality, reduce costs, and enhance patient experience. 
This position resides in the Health Services Division, Environmental, Safety, Health, and Quality Directorate, at Oak Ridge National Laboratory (ORNL). 
Major Duties/Responsibilities:<ul><li>
Serve as the lead SME for healthcare analytics activities for Health Services Division (HSD).</li><li>
Consulting on strategic design and responsibility for performing data analytics to include data collection, cleaning, management, analysis, and visualization.</li><li>
Execute projects and tasks as directed by the Division Director/Medical Director, HSD Group Leader, and HSD Compliance Officer.</li><li>
Compiling and organizing healthcare data for purpose of analysis and reporting.</li><li>
Converting data into usable information that is easy to understand.</li><li>
Analyzing data to solve problems using experience and knowledge to deliver optimal healthcare management.</li><li>
Understanding data storage and data sharing methods.</li><li>
Work closely with senior technical staff on technical projects using data to drive solutions and streamlined practices.</li><li>
Possessing strong administrative and organizational skills.</li><li>
Communicating analytic insights to management.</li><li>
Independently working and solving technical problems and making recommendations to management through written reports or presentations.</li><li>
Other duties supporting HSD needs at the discretion of division leadership based on education, training, and experience.</li><li>
Deliver ORNL&rsquo;s mission by aligning behaviors, priorities, and interactions with our core values of Impact, Integrity, Teamwork, Safety, and Service. Promote equal opportunity by fostering a respectful workplace &ndash; in how we treat one another, work together, and measure success.</li></ul> 
Basic Qualifications:
Analytics and Technical Skills<ul><li>
BS/BA degree in a scientific, statistical, mathematical, informatics, engineering, or related quantitatively oriented field.</li><li>
Minimum 2 years prior experience in occupational health, industrial hygiene, or working with epidemiological data sets for analysis/surveillance environment.</li><li>
Strong foundation in descriptive and inferential statistics, multivariate analysis, and applied statistical modeling in a healthcare setting.</li><li>
Familiarity with longitudinal methods (e.g., mixed-effects models, generalized estimating equations [GEE], interrupted time series) and ability to adapt methods to diverse healthcare metric analysis.</li><li>
Proficiency in survey design and statistical analysis.</li><li>
Experience working in compliance-driven or DOE-regulated environments.</li><li>
Facility with AI and large language models (LLM) tools to support analysis, documentation, reporting, and knowledge integration, consistent with data security and regulatory requirements.</li><li>
Experience using statistical software and relational database management tools with at least four of:</li><li><div><ul><li>
Electronic Health Record (EHR) systems</li><li>
Excel (advanced; pivot tables, power inquiry)</li><li>
JMP</li><li>
Microsoft Access</li><li>
Oracle Database</li><li>
Python</li><li>
R</li><li>
REDCap</li><li>
SAS</li><li>
SPSS</li><li>
SQL</li><li>
STATA</li><li>
AI Tools</li></ul></div></li></ul> 
Communication and Collaboration Skills<ul><li>
Understanding of healthcare operations, terminology, and multi-disciplinary healthcare functions.</li><li>
Strong systems analysis and process-optimization skills.</li><li>
Excellent written and verbal communication skills with proven ability to explain complex information to multiple audiences in written and oral delivery.</li><li>
Ability to work independently while maintaining strong collaborative relationships and serving as the lead SME in this field.</li></ul> 
Preferred Qualifications:<ul><li>
MS degree in biostatistics, epidemiology, data science, health informatics, applied mathematics, statistics, systems engineering, or related fields.</li><li>
Experience with Power BI, Tableau, or similar business intelligence tools.</li><li>
Training and certification in Lean Six Sigma.</li><li>
Staying current on relevant occupational health and metric literature and critically apply design and statistical analysis in ongoing work.</li><li>
Familiarity with medical surveillance, exposure monitoring, and large administrative datasets.</li><li>
Experience developing reproducible analytic code and workflow.</li><li>
Ability to perform scripting in common statistical software packages.</li><li>
Membership in relevant professional organizations (e.g. American Statistical Association [ASA]. National Association for Healthcare Quality [NAHQ], etc.) and/or professional certifications from relevant organizations; these may be used to demonstrate professional engagement or advanced competency.</li></ul> 
Advanced Skills Development Expectation:<ul><li>
Candidates lacking expertise in longitudinal methods, complex healthcare study design, coding, and AI-enabled analytic tools are expected to demonstrate these competencies within 18 months of hire through formal graduate-level coursework or professional certification; this may also be demonstrated by completing an additional relevant graduate degree within 24 months of hire.</li></ul> 
Visa Sponsorship: Visa sponsorship is not available for this position. 
Security, Credentialing, and Eligibility Requirements:<ul><li>
This position requires the ability to obtain and maintain an HSPD-12 PIV badge.</li><li>
For employment at Oak Ridge National Laboratory (ORNL), a Real ID compliant form of identification will be required.</li><li>
Additionally, ORNL is subject to Department of Energy (DOE) access restrictions. All employees must also be able to obtain and maintain a federal Personal Identity Verification (PIV) card as mandated by Homeland Security Presidential Directive 12 (HSPD-12) and Department of Energy (DOE) Order 473.1A, which requires a favorable post-employment background investigation.</li><li>
To obtain this credential, new employees must successfully complete and pass a Federal Tier 1 background check investigation. This investigation includes a declaration of illegal drug activities, including use, supply, possession, or manufacture within the last year. This includes marijuana and cannabis derivatives, which are still considered illegal under federal law, regardless of state laws.</li></ul> 
About ORNL:
As a U.S. Department of Energy (DOE) Office of Science national laboratory, ORNL has an impressive 80-year legacy of addressing the nation&rsquo;s most pressing challenges. Our team is made up of over 7,000 dedicated and innovative individuals! Our goal is to create an environment where a variety of perspectives and backgrounds are valued, ensuring ORNL is known as a top choice for employment. These principles are essential for supporting our broader mission to drive scientific breakthroughs and translate them into solutions for energy, environmental, and security challenges facing the nation. 
ORNL offers competitive pay and benefits programs to attract and retain individuals who demonstrate exceptional work behaviors. The laboratory provides a range of employee benefits, including medical and retirement plans and flexible work hours, to support the well-being of you and your family. Employee amenities such as on-site fitness, banking, and cafeteria facilities are also available for added convenience. 
Other benefits include the following: Prescription Drug Plan, Dental Plan, Vision Plan, 401(k) Retirement Plan, Contributory Pension Plan, Life Insurance, Disability Benefits, Generous Vacation and Holidays, Parental Leave, Legal Insurance with Identity Theft Protection, Employee Assistance Plan, Flexible Spending Accounts, Health Savings Accounts, Wellness Programs, Educational Assistance, Relocation Assistance, and Employee Discounts. 
If you have difficulty using the online application system or need an accommodation to apply due to a disability, please email: ORNLRecruiting@ornl.gov. 
This position will remain open for a minimum of 5 days after which it will close when a qualified candidate is identified and/or hired. 
We accept Word (.doc, .docx), Adobe (unsecured .pdf), Rich Text Format (.rtf), and HTML (.htm, .html) up to 5MB in size. Resumes from third party vendors will not be accepted; these resumes will be deleted and the candidates submitted will not be considered for employment. 
ORNL is an equal opportunity employer. All qualified applicants, including individuals with disabilities and protected veterans, are encouraged to apply. UT-Battelle is an E-Verify employer.</div>

FrontPath Health Coalition

<div><div><div>Benefits:</div>
<ul><li>401(k)</li>
<li>401(k) matching</li>
<li>Competitive salary</li>
<li>Dental insurance</li>
<li>Health insurance</li>
<li>Paid time off</li>
<li>Vision insurance</li>
</ul></div><div><div>PURPOSE 
 
This position leads data analytics and insight for a local healthcare coalition. Managing and interpreting healthcare data to support provider contracting, business development, and member experience are primary responsibilities. The Business Intelligence Analyst ensures compliance with all regulatory requirements and provides reporting to assist the President &amp; CEO in strategic planning and best practice business procedures. This position is the liaison between software vendors, the organization and its&rsquo; members. Management and configuration of internal and vendor software is a core function. 
</div><div>ACCOUNTABILITIES 
</div><div>Responsible for compliance with all data management and reporting regulations. 
</div><div>Data Analytics: 
</div><ul><li>Analyzing data to identify trends, patterns, and insights that can inform strategic decisions.</li>
<li>Interpreting data to support provider contracting and healthcare provider pricing activities and administration of a managed care network; leads the analysis and reporting of healthcare quality, cost and utilization data.</li>
<li>Collect, analyze and interpret health care data to develop network discount analyses, utilization, cost and quality analyses or other benchmarking analyses and reports.</li>
<li>Manage data collection process for provider contract renewals or pricing: gather, organize, and summarize data; Provide analytical support for managed care network development, including provider pricing and contract base analyses, results summaries and recommendations and assist in other PPO contracting activities as directed. Provide reports and financial analysis/prep to support negotiations.</li>
<li>Predictive analytics, estimate future network costs and develop pricing models and data analysis.</li>
</ul><div>Management and configuration of internal and vendor software. 
</div><div>Evaluation of technology business partners and industry opportunities such as AI. 
</div><div>Establishes key metrics and reporting that provides valuable data to members. 
</div><div>Manages website; updating and ensuring accuracy of information posted publicly. 
</div> <div>Develop and generate standard claims repricing reporting; Create data summary reports. 
 
 Conduct network performance/administration analysis and prepare network administrative tools. 
 
 Work with Request for Proposal (RFP) team on RFP responses and related issues; Review proposal responses for reasonableness, accuracy, and meeting requirements. 
 
 Develop awareness of health care plan design, cost factors and the renewal process. 
 
 Conduct service area analysis and reporting which may include analyses such as 
 GeoAccess analysis and other provider access analysis. 
 
 Complete special projects and ad hoc report requests as assigned. 
 
 Other duties as assigned. 
</div><div>GENERAL INFORMATION</div>
<div>
 
 Bachelor&rsquo;s degree in accounting, finance, business administration, mathematics, economics, statistics or related field required. Master&rsquo;s Degree Preferred. 
 
 Prior healthcare finance or managed care reimbursement experience preferred.</div>
<div></div>
<div>Prior healthcare information technology experience preferred. 
 
 Excellent quantitative, analytical, database, and spreadsheet utilization skills required with strong orientation to detail and complex problem solving skills. 
 
 Strong experience with managed care and governmental reimbursement methodologies, healthcare financial analysis.</div>
<div></div>
<div>Experience in healthcare industry regulations is required. 
 
 Excellent interpersonal skills; strong oral and written communication skills with the ability to communicate effectively with a variety of audiences. 
 
 Ability to prioritize and perform several tasks/projects simultaneously with attention to detail. 
 
 Ability to work independently and on a team. 
 
 Successful track record of managing multiple deadlines. 
 
 The above list of duties is intended to describe the general nature and level of work performed by the incumbent. It is not to be construed as an exhaustive list of duties performed by the incumbent.</div> 
<div></div>
<div>
</div><div>Position Overview/ Ad for position.</div>
<div></div>
<div>FrontPath Health Coalition is a mission-based, not-for-profit provider network spanning across Northwest Ohio, Southeastern Michigan, and Northeastern Indiana. FrontPath is a member-focused coalition dedicated to providing flexible and cost-effective benefit solutions to health plan sponsors in collaboration with our broad network of providers.</div>
<div></div>
<div>FrontPath is committed to reducing health costs for the community by preserving access to quality care at a fair price. This position is located in Perrysburg, Ohio and reports directly to the President &amp; CEO.</div>
<div></div>
<div>This is a unique opportunity for the right candidate to join an expanding organization and influence strategic direction, growth, and coalition member satisfaction. To be considered for this position please send a resume and interest letter to: careers@frontpathcoalition.com</div> 
<div></div>
<div></div>
<div>Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job please send an email to careers@frontpathcoalition.com.</div></div></div>

Business Intelligence Analyst

Centene

<div>You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you&rsquo;ll have access to competitive benefits including a fresh perspective on workplace flexibility. 
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes. This Data Analyst III focuses on enterprise provider analytics to measure and report the actual impact of contract and network changes against projected outcomes. The team delivers standardized, structured reporting to track implementation accuracy and validate savings. With clearly defined initiatives and QAIs, the goal is consistent measurement to support network strategy and business decision-making.<ul><li>
Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify and assess the business impact of trends</li><li>
Develop, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools</li><li>
Contribute to the planning and execution of large-scale projects with limited direction from leadership</li><li>
Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation</li><li>
Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers</li><li>
Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a demanding, quickly changing environment</li><li>
Demonstrate a sense of ownership over projects and ask probing questions to understand the business value of tasks</li><li>
Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products</li><li>
Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners</li><li>
Independently engage with customers and business partners to gather requirements and validate results</li><li>
Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required</li><li>
Provide technical guidance to junior analysts</li></ul>
Education/Experience: Bachelor&rsquo;s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. Master's degree preferred. 4+ years of experience working with large databases, data verification, and data management or 2+ years of IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/querying languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.<div><div><div><div><div><div><div><div><div>
By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</div></div></div></div></div></div></div></div></div>
Pay Range: $70,100.00 - $126,200.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. 
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</div>

Data Analyst III Healthcare Analytics, Provider Analytics

Progyny

<div>Thank you for considering Progyny!
Progyny [NASDAQ: PGNY] is a leading healthcare company and is reshaping family building by providing innovative fertility benefits to millions of people. We are hiring a Business Analyst to join the Medical Economics and Analytics team in New York City.
Our team is at the forefront of key strategic initiatives of the nation&rsquo;s leading fertility benefits management company. In this role, you&rsquo;ll advise on strategic initiatives by conducting data analysis, collaborating cross-functionally, and presenting to various internal stakeholders, including senior leadership. You will learn the nuances of fertility, dive into the complex world of healthcare analytics and contribute to meaningful changes in the way we support our members and clients.
What you'll do...<ul><li>
Analyze sales performance, pipeline health, conversion rates, and customer segments to identify growth and upsell opportunities</li><li>
Create dashboards and regular reporting to track project impact on KPIs; celebrate successes and identify &amp; address failures</li><li>
Identify opportunities for operational or strategic improvements and communicate recommendations to leadership</li><li>
Develop mastery in Excel, SQL and PowerBI to support analysis and operations of your stakeholder&rsquo;s key initiatives</li><li>
Drive cross-functional collaboration by creating developing project plans and managing stakeholders across teams including any of the following Sales, Client Success, Partnerships, Marketing, Finance and Data Engineering teams</li><li>
Support in the presentation of insights to key stakeholders (including VPs, Sales and Client Success Leaders, and C-suite)</li></ul>
About you...<ul><li>
1-3 years of relevant experience, preferably at a top-tier consulting firm or healthcare company</li><li>
Bachelor&rsquo;s degree required</li><li>
Enjoys analyzing large sets of data (30M+ rows)</li><li>
Proficiency in Excel required</li><li>
Proficiency in SQL required</li><li>
Prior experience with data visualization tools (e.g. Power BI, Cognos, Tableau, Looker) preferred</li><li>
Organized and methodical with strong attention to detail</li><li>
Demonstrated ability to be adaptive and inquisitive; natural problem solver</li><li>
Ability to work autonomously with minimal direction on multiple endeavors at once</li><li>
Driven to deliver results with the ability to establish rapport, earn trust, and effectively collaborate with others</li></ul>
Please note: This is not a digital nomad or remote international position; candidates must be based in the United States. Progyny is unable to provide visa sponsorship for this position. Candidates must be authorized to work in United States without the need for sponsorship, now or in the future.
About Progyny:
Progyny (Nasdaq: PGNY) is a global leader in women&rsquo;s health and family building solutions, trusted by the nation&rsquo;s leading employers, health plans and benefit purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians.
Our benefits solution empowers patients with concierge support, coaching, education, and digital tools; provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.
Our mission is to empower healthier, supported journeys through transformative fertility, family building and women&rsquo;s health benefits.
Headquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Power Partners, and Crain's Fast 50 for NYC. For more information, visit www.progyny.com.
Our perks:
<ul><li>Family friendly benefits: Paid family and parental leave, preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support), family and pet care fund, and Parents&rsquo; Employee Affiliation Group</li><li>
Menopause and midlife care</li><li>
Health, dental, vision and life insurance options for employees and family</li><li>
Free in-person, virtual and text-based mental health and wellness support
</li><li>Paid time off, including vacation, sick leave, personal days and summer flex time</li><li>
Company equity</li><li>
Bonus program</li><li>
401(k) plan with company match</li><li>
Access to on-demand legal and financial advice</li><li>
Learning and development programs to help you grow professionally and a mentorship program</li><li>
Company social events to include annual volunteer day and donation matching</li><li>
Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office</li></ul>
In compliance with New York City's Wage Transparency Law, the annual salary [wage] range for NYC-based applicants is: $70,000 - $90,000. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity.
Progyny is proud to be an Equal Opportunity and Affirmative Action employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences within our workforce. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, marital status, pregnancy or related condition, status as a protected veteran, criminal history consistent with legal requirements or any other basis protected by law.
If you are an individual with a disability and need assistance or an accommodation during the recruiting process, please send an e-mail to apply@progyny.com.
#LI-BG1</div>

Business Analyst, Commercial Sales

Search 10000+ Healthcare analytics specialist jobs near you this April. New roles added regularly across leading industries. Apply today.

10000 healthcare analytics specialist jobs Near Me

Healthcare Data Analyst

Data Scientist Manager - Eso

Value-Based Care Provider Performance Analyst

Healthcare Data Analyst

Business Intelligence Analyst

Data Analyst III Healthcare Analytics, Provider Analytics

Business Analyst, Commercial Sales