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Healthcare Analyst

Miramar, FL
Our client has developed a new model and market as a risk-bearing, value-based home-based services provider and post-acute care management company.  

They are disrupting the industry
by providing  all the services and technology required to enable patients to remain in their home through a fully-integrated model across three core lines of service – homecare, home medical equipment (“DME/HME”) and home infusion / pharmacy – while also matching patients to the right site of care.

We are seeking
an experienced healthcare analyst, to support all analytics needs with respect to a growing portfolio of health plan customers and physician MSO partners. The analyst will lead complex analyses that is critical to business decisions at the onset of a new client relationship, as well as address ongoing medical management operational needs. 
  • Research, analyze, present results, and recommend intelligent solutions to solve problems and address business challenges by applying a knowledge of medical claims  analysis, critical-thinking skills, and healthcare experience/expertise. This may range from developing proposals for new and existing clients, to clinical quality and utilization management projects, to new initiatives that you may come up with yourself.
  • Structure analytical results in an organized, visual manner to tell a meaningful, actionable story.
  • Write SQL queries, create end-user reports, and apply varying analytical techniques to solve specific business problems.
  • Determining credibility and usability of claims data prior to delivery of analytic results.
  • Interpret contractual language and have a clear understanding of business rules and reporting requirements
  • Establish trusting professional relationships with internal senior business customers.
  • Maintain alignment of expectations and priorities in autonomous fashion.
  • Undergraduate degree is required, master’s preferred in math, statistics, computer science, or other related quantitative field
  • 2-4 years of experience or proven ability working as an analyst in the health care industry with medical claims, membership and provider data.
  • Proven experience working with some combination of Medicare, Medicaid, and Commercial paid claims data sets. Other applicable data sets include Census and Member Eligibility data sets.
  • Reasonable experience with Structured Query Language (SQL) required.
  • Advanced analytic skills with the ability to build statistical and predictive models to help support business decisions
  • Ability to analyze and interpret medical claims data through complex analysis that leads to strategic business decisions
  • Experience in data mining, statistical analysis, and data transformation/manipulation.
  • Experience working with large data repositories and/or relational databases.
  • Expertise in MS Excel, with proficiency using formulas, PivotTables, linked worksheets, graphing and other reporting and presentation features.
  • Ability to tell a succinct, meaningful, and actionable story with data using visualization and other techniques.
  • Ability to work on multiple projects simultaneously with minimal supervision.
  • Ability to quickly adapt to changes in both technology and business environments.
  • Highly self-motivated and directed with keen attention to detail.
Contact information:
Max Populi, LLC
4628 Bayard Street, #207
Pittsburgh, PA 15213-2750
Tel: (412) 567-5279
Fax: (412) 567-5198
e-mail: jobs@maxpopuli.com
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