Job Summary: 

• Collects and understands historical health care data
• Extracts, aggregates, and quality assurance on applicable data from multiple sources and tables for purposes of root cause analysis
• Performs statistical analyses to determine the effectiveness of clinical programs (e.g., pre-post analysis, clinical trial results)
• Works with the clinical team to identify areas of opportunity to drive the financial performance of programs
• Performs data analytics in support of trend identification, initiative, program development, and validation
• Solves complex problems and develops innovative solutions
• Communicate results to relevant audiences and incorporate results into the medical forecast
• Provides ongoing communications on project status, results, and conclusions from analyses
• Interprets and analyzes clinical data from various sources and recommends the best approaches
• Creates and updates automated processes

Skills on Resume: 

• Data Collection (Hard Skills)
• Data Extraction (Hard Skills)
• Quality Assurance (Hard Skills)
• Statistical Analysis (Hard Skills)
• Financial Performance Optimization (Soft Skills)
• Trend Identification (Hard Skills)
• Problem Solving (Soft Skills)
• Communication (Soft Skills)

Job Summary: 

• Develop and apply statistical methods to evaluate program performance
• Identify and deploy appropriate analytic techniques to solve complex business problems and overcome measurement challenges
• Build statistical and machine learning models to model outcomes and improve program performance
• Perform analytic dataset creation and statistical modeling, and summarize results
• Work closely with stakeholders to understand business needs, explain methods, and interpret findings
• Manage multiple priorities, work independently, and meet non-negotiable deadlines
• Anticipate customer needs and proactively develop solutions to meet them
• Conduct cost-benefit analyses on potential new clinical initiatives to model the possible impact of these initiatives and assist senior leadership in decision-making
• Analyze reporting tools to investigate sources of variations
• Produce and review reports

Skills on Resume: 

• Statistical Methods (Hard Skills)
• Analytic Techniques (Hard Skills)
• Machine Learning Models (Hard Skills)
• Dataset Creation (Hard Skills)
• Stakeholder Collaboration (Soft Skills)
• Time Management (Soft Skills)
• Customer Needs Anticipation (Soft Skills)
• Cost-Benefit Analysis (Hard Skills)

Job Summary: 

• Work with Ideation SMEs and business analysts to develop business requirements
• Pull and analyze data based on data criteria
• Interpret and analyze claims, including sampling and testing, to determine the opportunity and removal of false positives
• Lead and drive projects/concepts to completion by contributing to sizing data requirements, working with business analysts and Ideation leads, and translating data into usable information
• Develop data stories from analyzed data, resulting in viable solutions
• Participate and provide status updates to clients and business partners
• Perform shared savings calculations on value-based care initiatives and work collaboratively with business partners in finance
• Understand and interpret key drivers of health care trends (i.e., medical cost trends, utilization, etc.)
• Analyze forecasts and trends in a meaningful and easy-to-understand manner to influence and provide guidance on data-driven strategic decisions
• Build solid relationships within the organization, including finance, network pricing, product, actuarial/underwriting, clinical, and operations

Skills on Resume: 

• Business Requirements Development (Soft Skills)
• Data Analysis (Hard Skills)
• Claims Analysis (Hard Skills)
• Project Management (Soft Skills)
• Data Storytelling (Soft Skills)
• Client Communication (Soft Skills)
• Cost Savings Calculations (Hard Skills)
• Relationship Building (Soft Skills)