The Health Data Analyst I is a key member of the Finance management team whose responsibility is to conduct analyses to support Operations staff and the Chief Medical Officer in developing and managing utilization management tools/programs to meet corporate objectives.
Supports the development of effective medical management programs/initiatives through analyzing, monitoring, and reporting the effectiveness of these programs.
Conducts medical budget to actual analysis.
Develops and implements plans to measure and report on corporate-wide health care delivery cost and utilization trends.
Responsible for adhoc analytics including modeling of benefit scenarios. Utilizes statistical applications as necessary.
Serves as data expert for department. Advises Finance department on data warehouse design requests and works with IT to establish priorities.
Responsible for supporting corporate initiatives/projects that require analysis of health plan data.
Bachelor’s Degree in Finance, Health Care Administration, or related field required.
1 or more years experience in managed care data analysis and reporting is required.
A background in managed healthcare, insurance operations preferable.
Competencies, Skills, and Attributes :
Working knowledge of MS tools, including MS Office products, MS Access, MS Project, SQL and SAS or other statistical software. Should be proficient in Microsoft Excel.
Analyst integrates external grouping methodologies such as DRG, ETG and DxCG in analytics.
Ability to meet deadlines, multi-task, problem solve and use appropriate technology to analyze business problems. Project management skills a plus.
Strong communications skills, both verbal and written, are required.
Working Conditions and Physical Effort:
Work is normally performed in a typical interior/office work environment.
No or very limited physical effort required.
No or very limited exposure to physical risk
Regular and reliable attendance is an essential function of the position.
Boston Medical Center HealthNet Plan - 17 months ago