Health Plan Data Analyst

Health Plan Data Analyst – AdventHealth PHSO Resources

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

Benefits from Day One

Paid Days Off from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

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. All while understanding that together we are even better.

Schedule: Full Time

Shift: Monday-Friday

Location: Remote

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 Health Plan Data Analyst engages clients (finance team, senior leaders, 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

The expertise and experiences you’ll need to succeed:

Minimum qualifications:

Bachelor's Degree in Finance, Economics, Mathematics, Accounting, Statistics or related field

4+ years analytic experience

2+ years working with analyses within a Health Plan / Payor organization

Technical experience in utilizing analytical software tools and applications

Preferred qualifications:

Master's Degree in analytical field

analytics with emphasis in healthcare and/or clinical application and health insurance finances

statistical applications like SAS, SPSS or R

analytics interfaces such as Tableau, Business Objects

working with healthcare, insurance or claims data

Six Sigma certified