About the Company:
A Fortune 500 company, is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government sponsored healthcare programs, focusing on underinsured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans).
The Company operates local health plans and offers a range of health insurance solutions. It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services.
Responsible for analytical data needs. Handle complex data requests, reports, and predictive data modeling.
Analyze health management programs including: data collection, validation and outcome measurement. May include:
Financial, pharmacy, claims, provider, and member data
IRS, CMS, HHSC, HEDIS reporting
Internal data cleansing and data reconciliation analysis
Trend analysis in various functional areas of healthcare management.
Create and generate reports through MS-Excel, MS-Access, and SQL using Business Objects interface and direct links to core databases (ODS/EDW)
Produce reports for and interface with senior management and internal and external stakeholders.
Gather and interpret business requirements and monitor data trends to proactively identify issues
Execute data changes and update core systems as needed
Handle multiple projects and timelines effectively and communicate risks and issues to manager regularly
Assist with training lower level Data Analysts.
Bachelor’s degree related field or equivalent experience.
2+ years of statistical analysis or data analysis experience.
Advanced knowledge of Business Objects, SQL, and Microsoft Applications, including Excel and Access.
The company offers more than just medical insurance. They pay most of your benefits costs and in some cases – they pay 100 percent. Most of the benefits not covered by the company are paid with pre-tax payroll deductions.
Flexible spending accounts (includes health care, dependent care mass transit reimbursement)
Short- and long-term disability insurance
Basic Life insurance
Supplemental life insurance
401(k) retirement with company match
Employee stock purchase plan
Vacation, Personal and Sick time
Paid Company Holidays
Employee Assistance Program (EAP)
Training and Learning Opportunities
Tuition Reimbursement/Educational Assistance
On-site fitness center or discount at local fitness centers (most locations)
Discounts for select local and national products and services, including cell phones, computers and more
Other amenities may be available, but vary by location