Description
We are looking for a Business Analytics Advisor to join our Healthcare Economics team. The successful candidate will oversee and assist in the design, development, analysis, and reporting of claims data using business intelligence tools, statistical and analytical techniques.
The Business Analytics Advisor will report to the Business Analytics Senior Manager and work closely with various teams, including Account Management, Finance, Informatics, Medical, Sales, and Marketing. The ideal candidate will have a background in medical, financial, or actuarial analysis and be a results-oriented individual who enjoys working in a fast-paced and challenging environment.
Key Responsibilities:
- Influence internal stakeholders to accomplish objectives
- Present highly technical concepts to technical and non-technical audiences
- Work with IT and data warehousing counterparts to develop and design deliverables
- Conduct baseline and trend analyses for targeted medical cost categories, geographies, and segments
- Calculate baseline and trend metrics (e.g., PMPM and Utilization per 1000)
- Apply actuarial concepts and tools to enhance understanding of utilization and cost trends
- Validate findings against established benchmarks
- Use baseline metrics and trends to establish Savings Forecast and Pricing
- Create and deliver results in an accurate and timely manner to internal and external customers
- Effectively communicate results to key stakeholders and policymakers
- Provide additional analyses to support New Sales and Product Development
Requirements:
- BA/BS degree in finance, economics, statistics, or other quantitative background
- 8+ years of progressive, analytical experience in a healthcare setting
- Experience working in an ACO, IPA, or MCO setting and/or with bundled payments is preferred
- Knowledge of using big data and data warehouses, data extractions, manipulations, dimension, fact, and reference tables
- Extensive experience using data directly from a SQL or similar database
- Strong understanding of managed care metrics (PMPM, Utilization/K, and Average Cost)