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Job ID: 39837
Job Openings by Title Data Analyst
Location United States
Description:
 
Position:	  Data Analyst
 
Job ID:		39837

Responsibilities:
-Leading advanced strategic analysis of revenue, medical expense, and population risk assessments and adjustments for multiple geographic regions and lines of business

-Development of contract proposals and reporting to provide opportunities for meaningful collaboration between Providers and PHP Contract Managers/Executives
-Designing, implementing, and coordinating complex quality improvement and process management initiatives based on the operational objectives of PHP
-Providing high-level analysis work along with interpretation (design evaluation plans, coordinate data collection across groups, partner with other analysts for reporting support, etc.).


-Develop analyses that appropriately address the questions posed.

-Develop exhibits and presentation to communicate findings.

-In consultation with outside actuaries, prepares annual Medicare bid or rate proposal and prepares the documents and analysis required for the annual Statement of Actuarial Opinion.

-Provides advanced analytic and statistical support for quality, clinical, and operational improvement activities.

-Provides expertise to responding to RFPs from existing and prospective employer groups using innovative analytical skills.

-Analyzes and develops unit costs for various payment methodologies, including capitation, RBRVS, per diems, DRGs, risk adjusted episodes of care and other payment innovation methods.

-Accumulates source data and makes calculations to estimate Incurred But Not Reported (IBNR) claims expense and recommends alternative estimates.
Qualifications:
-5 years Healthcare analytics experience;

-Advanced computer skills (e.g., Microsoft Office, Microsoft SQL-Server, Tableau). Knowledge of SQL and relational database skills.
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