Senior Healthcare Data Analyst - (Richmond) in Richmond, Virginia For Sale
Verisk Health builds a smarter healthcare ecosystem through analytics. Our 1,500+ global professionals work at the intersection of high tech, healthcare, and big data in order to realize audacious aspirations for our healthcare system. Be it eliminating fraud, waste, and abuse; guiding population health management with data-driven insights; improving revenue cycles for our clients; or re-envisioning support systems for new models of healthcare delivery, we hold ourselves to a single standard: having immediate and outsized impact for our clients, and by extension, the broader health community. To find out more about us click on the link below. https://www.youtube.com/watch?v=W3v7ONJWycc Summary The Senior Health Care Analyst (HCA) is an individual contributor role that provides senior-level healthcare analysis for Medicare and Commercial lines of business. The HCA will manage various sources of information and large data sets including member, pharmacy, claims and encounter data to support Reporting and Analytics projects. The HCA will provide a strong link between the business customers and development team, gather and document requirements, create SQL queries to pull and perform analysis of data and conduct impact assessments and recommend solutions while staying current with industry regulations and trends. Be part of an exciting and winning team! Responsibilities Assist with the development of predictive modeling processes at the project and product level for Medicare and Health Insurance Marketplace segments Design innovative analytic methods that improve the accuracy or efficiency of the existing services while meeting the design requirements and project timelines Identify opportunities in the development of new capabilities that increase the value added to our clients Meet with users to gather requirements for project definition. Analyze existing procedures to identify system/process changes needed to meet such requirements Assist in testing of deliverables to ensure that requirements are accurately met Develop specifications for needed data structures and execute plans for exploratory analysis of data. Identify inefficiencies and recommend changes to improve quality streamline processes Become a subject matter expert on our data, processes and business methodologies Be a liaison between product development, technology and internal business units Be responsible for the design, analysis, development and testing of ad hoc or standard reports to support effective and rapid decision making Assist in determining and monitoring of quality measures for reporting and analytics processes Ensure that consistent documentation is developed and actively maintained throughout all phases of work including but not limited to: Process overviews, Reporting Inventory, Business Requirements, Technical Requirements, Report Workbooks, Release Checklists. Requirements Minimum of 6 years of experienceanalyzing and manipulating Healthcare data, including general knowledge of medical procedures, health conditions and provider practices Thorough knowledge of Medicare Risk Model and CMS guidelines, Encounter data submissions, Risk Adjustment processing and data validations (RADV) preferred Data manipulation skills using database and spreadsheet applications Working knowledge of database applications,including extraction and querying skills. Proficient using SQL to extract data, SAS experience, a plus Experience analyzing raw data, with ability to think logically and process sequentially with a high level of detailed accuracy Problem solver, resourceful, quick learner Strong written and verbal communication skills and discipline to multitask and prioritize projects to meet scheduled deadlines Professionally interact with a diverse group of stakeholders including executives, managers, clients and subject matter experts Bachelors degree in an Allied Health, Analytics/Informatics, Computer Science, Programming or equivalent work experience
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