Data Analyst Medicare Lead

Job SummaryThe Medicare Data Analyst Lead supports the Medicare Risk Adjustments, Stars, Performance Analytics or Medicaid team by performing insightful analytics, leading data integration efforts, and communicating findings to internal and external business partners. The incumbent must demonstrate a history of producing high-value analytics, working independently, project management, and technical proficiency.RequirementsEDUCATIONBachelor’s degree in Health Services Administration, Economics, Business Administration, Public Health, Mathematics, or related field required. Master's degree desired.ExperienceMinimum seven (7) years' Medicaid, Medicare, Medicare Stars, Medicare Risk Adjustment, and Government health insurance related data analysis experience required. Documentation substantiating analysis experience may be required. (When possessing a Master's degree, a minimum five (5) years' related experience is required).Minimum four (4) years’ experience in the application of business analysis or data management and analysis tools including but not limited to, SAS, SQL, AQT, Tableau, and PowerBI required.Demonstrated proficiency with other PC-based software products including Microsoft Office suite of products - Excel, Word, and PowerPoint required.Demonstrated Experience Leading Projects Required.Demonstrated experience in public speaking required.SQL, SAS, R, Python, Tableau Or Other Related Experience.Experience with large scale projects.Project Management Methodologies Experience Preferred.Government programs and CMS regulations experience preferred.Strong Background in statistics and statistical modeling preferred.Essential Skills & AbilitiesSuperior interpersonal and listening skills.Excellent written and oral communications.Analytical skills with strong mathematical background.Demonstration of public speaking ability may be required.Ability to transform information into intelligence.SkillsAd Hoc Reporting, Algorithms, Analytical Thinking, Base SAS, Business Problems, Data Analysis, Datasets, Data Trends, Descriptive Statistics, Organizing, Quality Assurance (QA), SAS Macros, SQL Database Queries, Statistical Analysis, Statistical Reporting, Statistics, Stratification.ResponsibilitiesAdvanced Excel user, proficient with SAS/SQL – capable of creating queries, and able to assist with developing junior analytical colleagues. Collects data to identify business trends, performs root cause analysis of issues or problems, and proposes solutions based on best practices, and current and future needs of the business. Consults with users or decision makers to identify data sources, required data elements, and/or data validation standards. Develop analytics to support and lead performance review sessions with key internal stakeholders that identify trends and quality improvement opportunities. Develops reports, analytics, and dashboards that will define, support and/or forecast stars rating position of Medicare products and provider performance. Integrates data from multiple data sources or functional areas, ensures data accuracy and integrity, and updates data as needed to develop statistics and design methodologies to be used for decision making and support Medicare program. Manages projects of various sizes, maintains deliverable timelines, identifies potential enhancements to workflows and processes. Other duties as assigned.CertificationsSecurity RequirementsThis position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.Segregation of DutiesSegregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.Employment TypeRegularADA Requirements1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.

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