Healthcare Analyst Job at CareOregon in Times Square

Career Opportunities: Healthcare Analyst (24657) Requisition ID 24657 - Posted 11/05/2024 - CareOregon - Full Time - Permanent - Portland - Multi Location (18) Job Description Print Preview Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Healthcare Analyst Exemption Status Exempt Department Informatics & Evaluation Manager Title Director of Data Science/Informatics Direct Reports n/a Requisition 24657 Pay and Benefits Estimated hiring range $109,500 - $133,840, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a fully remote role, but you must reside in one of the listed 9 states. Job Summary This position is responsible for performing complex research and analysis of healthcare claims, enrollment, and other related data to provide advanced analytics and statistical support, define specifications for quality measures, develop reporting tools, and translate complex data into meaningful information for decision makers. Analysis focus areas include cost and utilization of health services, financial trending, population health outcomes, and quality of care. In addition, the position is responsible for ensuring the completeness and integrity of data used for analysis and collaborating across departments within a multi-function, mission critical environment. Essential Responsibilities Develop research methods and data analysis plans related to population health outcomes, quality of care, healthcare utilization, cost trends and financial forecasting. Conduct descriptive, prescriptive, predictive analyses and evaluative studies. Summarize complex data for leadership in the appropriate form (e.g., statistical summaries, narratives, charts, tables, graphs, etc.) to convey meaning, significance and actionable information. Develop visual reporting (e.g., dashboards, scorecards, etc.) using data visualization tools such as Tableau when appropriate. Assist leadership to evaluate proposals and opportunities within the provider delivery network. Advise management regarding cost and utilization outcomes derived from different payment scenarios. Compile and analyze healthcare claims data to define specifications for healthcare quality measures. Develop reporting tools to comply with regulatory reporting. Use appropriate software tools to retrieve, edit and tabulate data from various databases and files. Continually review and assess the completeness, validity, and reliability of internal administrative data used for analysis and reporting. Collaborate with other internal teams to develop strong data pipelines and reusable data products. Contribute to development of models, algorithms, and analysis tools to mature the use and creation of self-service data products at Care Oregon. Create and maintain technical documentation such as data dictionaries, business glossaries, metric definitions, and other data resources. Contribute to, and actively participate in, community of practice to improve the skills and capabilities of other analysts at CareOregon. Assist with, prepare, and/or deliver presentations to community groups, regulatory agencies, leadership, and other teams as needed. Organizational Responsibilities Perform work in alignment with the organization's mission, vision and values. Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.