Point32Health
Sr Data Analyst
Point32Health, Canton, Massachusetts, us, 02021
Who We Are
Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.
We enjoy the important work we do every day in service to our members, partners, colleagues and communities. To learn more about who we are at Point32Health, click here.Job Summary
Point32Health is currently seeking highly motivated individuals to join their Provider Reimbursement analytics team in the role of Senior Data Analyst. A key role in the Corporate Data and Analytics organization, the Senior Data Analyst is a strategic consultant who can deliver meaningful insight on business performance. This role uses claims data and other supporting information to evaluate provider-specific reimbursements for rational and efficient methodology. Your expertise directly impacts financial stability, compliance, and operational capability.Key Responsibilities/Duties – What You Will Be Doing
Design and generate detailed analytics that focus on medical cost, reimbursement trends, and market position across business lines and products (Commercial, Medicare, Medicaid, Exchange)Utilize extensive knowledge of managed care financing and in-depth understanding of reimbursement methodologies (DRG, PAF, fee schedule, pmpm, value-based payments) in order to develop meaningful assessment of financial performanceIndependently develop SAS/SQL queries, Excel pivot tables, and other analytic tools to explore and summarize resultsProduce regulatory submissions for the evaluation of provider cost trendsConduct other analyses as needed to support the identification of gaps, variation, and other key performance indicators of reimbursement trendsEstablish strong business relationships, and be regarded as a subject matter expertInterface with stakeholders collaboratively, serving as a strategic business partnerQualifications – What You Need To Perform The Job
Education, Certification and Licensure
Bachelor’s degree in Healthcare Finance, Business, Economics, or similar analytical fieldMasters degree preferred
Experience5-7 years’ related experience in a payer/provider role, with health insurance claims data experienceDemonstrated experience with complex data exploration, such as aggregation, normalization, validationExperience with Agile and Waterfall development methodologies
Skill RequirementsPassion for data and problem-solvingAptitude for both “the forest” and “the trees”; able to simplify complex scenarios into key takeaways with compelling data storytelling, as well as drill down into the details behind the summaryAdvanced proficiency with SAS and/or SQL programming, such as: creating new queries, extracting large data sets, and performing data manipulation and analysis. A broad understanding of relational databases and large data structures is keyAdvanced Excel skills such as manipulation of large data sets; creating standardized reports; utilizing functions such as VLOOKUP, formulas, filters, and formatting; creating and interpreting pivot tablesAbility to manage multiple tasks independently, take ownership of responsibilities, and meet deadlinesComfort with navigating complexity and ambiguity, while maintaining a positive and collaborative spiritStrong written and oral communication skillsCompensation & Total Rewards Overview
As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.
Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:
Medical, dental and vision coverageRetirement plansPaid time offEmployer-paid life and disability insurance with additional buy-up coverage optionsTuition programWell-being benefitsFull suite of benefits to support career development, individual & family health, and financial healthFor more details on our total rewards programs, visit
https://www.point32health.org/careers/benefits/Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity
Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
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Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.
We enjoy the important work we do every day in service to our members, partners, colleagues and communities. To learn more about who we are at Point32Health, click here.Job Summary
Point32Health is currently seeking highly motivated individuals to join their Provider Reimbursement analytics team in the role of Senior Data Analyst. A key role in the Corporate Data and Analytics organization, the Senior Data Analyst is a strategic consultant who can deliver meaningful insight on business performance. This role uses claims data and other supporting information to evaluate provider-specific reimbursements for rational and efficient methodology. Your expertise directly impacts financial stability, compliance, and operational capability.Key Responsibilities/Duties – What You Will Be Doing
Design and generate detailed analytics that focus on medical cost, reimbursement trends, and market position across business lines and products (Commercial, Medicare, Medicaid, Exchange)Utilize extensive knowledge of managed care financing and in-depth understanding of reimbursement methodologies (DRG, PAF, fee schedule, pmpm, value-based payments) in order to develop meaningful assessment of financial performanceIndependently develop SAS/SQL queries, Excel pivot tables, and other analytic tools to explore and summarize resultsProduce regulatory submissions for the evaluation of provider cost trendsConduct other analyses as needed to support the identification of gaps, variation, and other key performance indicators of reimbursement trendsEstablish strong business relationships, and be regarded as a subject matter expertInterface with stakeholders collaboratively, serving as a strategic business partnerQualifications – What You Need To Perform The Job
Education, Certification and Licensure
Bachelor’s degree in Healthcare Finance, Business, Economics, or similar analytical fieldMasters degree preferred
Experience5-7 years’ related experience in a payer/provider role, with health insurance claims data experienceDemonstrated experience with complex data exploration, such as aggregation, normalization, validationExperience with Agile and Waterfall development methodologies
Skill RequirementsPassion for data and problem-solvingAptitude for both “the forest” and “the trees”; able to simplify complex scenarios into key takeaways with compelling data storytelling, as well as drill down into the details behind the summaryAdvanced proficiency with SAS and/or SQL programming, such as: creating new queries, extracting large data sets, and performing data manipulation and analysis. A broad understanding of relational databases and large data structures is keyAdvanced Excel skills such as manipulation of large data sets; creating standardized reports; utilizing functions such as VLOOKUP, formulas, filters, and formatting; creating and interpreting pivot tablesAbility to manage multiple tasks independently, take ownership of responsibilities, and meet deadlinesComfort with navigating complexity and ambiguity, while maintaining a positive and collaborative spiritStrong written and oral communication skillsCompensation & Total Rewards Overview
As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.
Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:
Medical, dental and vision coverageRetirement plansPaid time offEmployer-paid life and disability insurance with additional buy-up coverage optionsTuition programWell-being benefitsFull suite of benefits to support career development, individual & family health, and financial healthFor more details on our total rewards programs, visit
https://www.point32health.org/careers/benefits/Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity
Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
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