• Compiling and organizing healthcare data.
• Analyzing data to assist in delivering optimal healthcare management and decision making.
• Using healthcare data to achieve administrative needs and goals.
• Understanding data storage and data sharing methods.
• Investigating data to find patterns and trends.
• Understanding healthcare business operations.
• Utilizing different data sources for analyses.
• Converting data into usable information that is easy to understand.
• Developing reports and presentations.
• Build models that capture a wide range of health care operations
• Understand health care operations and systems
• Pull and integrate data from disparate sources

• Bachelor's degree in Mathematics, Statistics, Health Informatics, Healthcare Administration or related field.

• Master's degree advantageous.
• 4+ years' experience in an analytic role.
• Experience in data analysis and visualization methods
• Knowledge of Extract, Transform and Load (ETL) frameworks
• Knowledge of Enterprise Data Warehouse (EDW) and data management systems
• Excellent analytical and communication skills
• Outstanding organizational and problem-solving aptitude
• Proficiency with database programming languages such as SQL.
• Must be hands on with SQL/TSQL/BI/Intelligence studio, SSRS, SSIS and ETL
• Hands on knowledge of SQL database administration, performance tuning, script / package building, deployment methodologies and source control tools
• Should have knowledge of Agile/Scrum framework process and tools
• Experience with data visualization tools.
• Excellent written and verbal communication skills.
• Good interpersonal skills.

• It will do this by building strategic capabilities, enabling transformational efforts, embedding quality in all systems and processes, and delivering the Company experience.
• Responsible for applying analytical skills to determine and document accurate business requirements and present these requirements in a manner that is concise, measurable, and flexible enough to meet project and stakeholder needs.
• The emphasis in the role is to understand the requirements from the business perspective and translate them into the appropriate System Development Life Cycle (SDLC) deliverable.
• This role can be an individual contributor on multiple small projects or lead a team of Business Analysts for a large project/workstream.
• This role manages technical feedback on work products assigned to the Business Analyst team.

• Business Process Modeling and/or Re-engineering (preferred)
• Business Use Case Development
• Business Rules Development
• Use Case Driven Requirement Methods
• UML
• RUP (preferred)

Key Responsibilities:

• Support the EDI project that rolled out in 2018. Support questions from vendors, and assisting new vendors in getting set up with the Loreal EDI program.
• There are over 100 vendors, and will need strong communication to work with internal and external partners.
• Looking for someone open minded who can execute tasks.
• Someone who is familiar with MS office, specifically Access and Excel
• Looking for someone who can work effectively with leaders to support important tasks
• VBA is a plus
• EDI is also a plus

•Experience/Knowledge with Microsoft Access and Excel is a must
•VBA is a plus
•Familiarity with EDI is a plus or SAP or other ERP system is a plus
•Good Communication skills (written/ verbal) NECESSARY

•Experience level: Entry Level
•Minimum 1 year of experience
•Education: Bachelors

•MS Access
•MS Excel

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

• Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify and assess the business impact of trends
  
• Develop, execute, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools
  
• Support execution of large-scale projects with limited direction from leadership
  
• Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers
  
• Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a demanding, quickly changing environment
  
• Support the design, testing, and implementation of process enhancements and identify opportunities for automation
  
• 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
  
• Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners
  
• Independently engage with customers and business partners to gather requirements and validate results
  
• Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required
  Qualifications
  The Data Analyst (Healthcare Analytics) will have the opportunity to make a significant impact through the discovery, development, and implementation of leading-edge analytics that answer important business questions. The analyst will collaborate with key corporate and health plan business partners for the purpose of identifying and delivering robust reporting and analytics capabilities to drive improved business performance.
  Education/Experience:
  Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. 2+ years of experience working with large databases, data verification, and data management, or 1+ years IT experience. Healthcare analytics experience preferred. Knowledge of query development of basic to moderate complexity using SQL or other coding languages. Knowledge of basic statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Working knowledge of analytical tools, including R, Python, SAS, ArcGIS, QGIS, Microstrategy, Tableau, Hadoop, or related tools preferred. Working knowledge of relational databases preferred. Working knowledge of automation capabilities such as batch processes, stored procedures, scripting languages, Microstrategy, or other tools preferred.
  Provider
  Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data science, or geospatial/reimbursement analysis preferred
  Clinical
  Experience in public health (epidemiology, biostatistics), population health, social determinants of health, data science, social science, or geospatial/ROI/financial analysis preferred
  Finance
  Experience working closely with accounting & finance business partners, using analytic techniques & tools to explore financial performance trends, or regulatory reporting with external agencies preferred; Familiarity with claims data, utilization, rate setting, risk adjustment, or member eligibility and reconciliation preferred
  Fraud, Waste & Abuse
  Experience in fraud/waste/abuse identification and investigation, provider billing, or clinical coding preferred; Experience with data mining, machine learning, artificial intelligence, or statistical modeling preferred
  Risk Adjustment
  Experience in risk adjustment, clinical coding, financial reporting/analysis, or CMS/State encounters and regulatory file submissions preferred; Experience with data mining, population health, and statistical modeling preferred
  Quality
  Experience with HEDIS, NCQA, Medicare Star Rating System, QRS, or other quality measures preferred; Quality auditing or analysis of call center performance preferred; Experience with data mining, population health, and statistical modeling preferred
  Tools & Technology
  Experience with report/dashboard development, data/report automation, self-service capabilities, data design and integration, or data quality and governance preferred
  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.

The Data Analyst is responsible for extracting, cleaning, analyzing, interpreting, and communicating results of analyses based on a variety of complex primary and secondary data. This role ensures the integrity of data used in reporting and seeks to maximize alignment of data collection through the development of sophisticated but user-friendly data reporting. The ideal candidate will enjoy being the organization’s subject matter expert on the association’s organization data.

Candidates outside the Tampa, Florida area are encouraged to apply.

Core Responsibilities

• Advise business units on use and interpretation of organizational data as subject matter expert on the association's organization data.
• Maps, combines, and queries data sets from different platforms as appropriate for analyses aligned with internal and external research projects.
• Reviews, audits, and identifies areas for cleaning data to ensure the ongoing integrity of data used in reporting; develops repeatable processes for data management and quality auditing.
• Works directly with databases to respond to requests from member representatives and AACSB staff.
• Communicates key findings of data summaries and reports with appropriate visualizations through various channels, including presentations, blogs, briefings, and reports.

Requirements

• Associate’s degree in a related field
• Three years of related experience, especially using data analysis software/tools (Python, SQL, Power BI, etc.)
• Experience with Git/GitHub and creating R packages
• Experience with the tidyverse packages and R Markdown

Benefits

Medical, Dental, Vision, 401k, STD/LTD, FSA, Life Insurance, Wellness Allowance

Required Qualifications:

• Bachelor's degree in Mathematics, Statistics, Healthcare Administration or related field.
• Master's degree advantageous.
• 4+ years experience in an analytic role.
• Proficiency with database programming languages such as SQL. Must be hands on with SQL/TSQL/BI/Intelligence studio, SSRS, SSIS and ETL
• Hands on knowledge of SQL database administration, performance tuning, script / package building, deployment methodologies and source control tools
• Should have knowledge of agile/scrum framework process and tools
• Experience with data visualization tools.
• Excellent written and verbal communication skills.
• Good interpersonal skills.

More than a career - a chance to make a difference in people's lives!

When you have the power to make a difference in the health and well-being of others, every day is extraordinary.

Candidates are required to work in the Clearwater Office

As a Business Data Analyst, you will utilizes data mining to assist in the preparation of standard & non-standard reports.  Provides analytic support to multiple departments & business units and performs special financial projects as directed.

What you’ll be doing...

• Prepares standard reports and analysis that support business operations
• Prepares routine daily/weekly/monthly revenue and sales reports
• Assist in the financial analysis support of revenue cycle team
• Develops and provides Ad Hoc requests from FP&A Leadership Team in their effort to support multiple departments throughout the company
• Assist in day-to-day departmental requirements related to data translation, validation and report writing
• Follows existing departmental controls and procedures
• Always maintains a high degree of confidentiality due to access to sensitive information
• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
• Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
• Abides by all regulations, policies, procedures and standards

What WE Bring to the Table:

We offer a wide variety of insurance benefits after 60 days of employment (medical, dental, vision, short and long-term disability and life) with a large portion of premiums paid by the company, as well as paid time off within the first year. We also offer a 401(k) plan with a generous company match and vesting schedule, financial planning, competitive salary, and an EAP-Employee Assistance Plan.  

What YOU Bring to the Table:

• Bachelor’s Degree (BA/BS) from a four-year college or university in Statistics, Analytics or related major, and 1-2 years analysis experience preferably healthcare related or equivalent combination of education and experience
• Strong knowledge of and proven experience with Excel and query writing within SQL databases (Oracle, SQL Server)
• Experience working with large datasets using strong analytical skillswith the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy
• Ability to manage multiple priorities and work under deadline with minimal supervision required
• Eager to learn, enthusiastic, motivated, and a self-starter
• Must be an analytical thinker and problem solver, as well as possess and display effective organizational and communication skills

CCS Medical is an Equal Opportunity Employer /Veterans/Disabled