PacificSource Health Plans Associate Data Analytics Specialist in Tigard, Oregon
Provide data analysis for PacificSource to achieve the goals and initiatives identified in our Strategic Plan. Provide analytics support related to analysis of cost and utilization of health services, in support of large employer reporting, financial modeling for provider contracting analysis, and identification of opportunities and evaluation of health services activities, including, but not limited to, case management, disease management, wellness programs, quality programs and early identification of high risk populations. Analytical role may vary and involve knowledge of contract language, healthcare utilization, performance analysis for clinical programs, state and federal guidelines.
Perform accurate and complete data extraction from data warehouse as well as nonstandard data sources to meet project requirements, including cleaning, transformation and pre-processing data.
Perform statistical analysis and modeling techniques on very large data sets, including the use of standard statistical packages such as R or SAS.
Develop solutions that visualize data and allow customer to interact with the data using data visualization software solutions such as Tableau or Microsoft Power BI.
Analyze health care data, utilization, quality initiatives, outcome, and performance analysis for clinical programs.
Gather and generate information used to understand health costs and assist with making recommendations to health plan on cost analysis.
Assist in the development, implementation and evaluation of health services programs including but not limited to condition support, case management and complex case management. Perform program evaluation for internal and external health programs where appropriate to role.
Present complex data, analysis and findings to teams in a way that is clear and understandable.
Develop general health insurance business content knowledge as well as specific knowledge related to assigned business areas of analytics support.
Keep current on current trends, best practices and technologies in Analytics and make appropriate recommendations to technology planning team.
Assist in the development of capabilities and performance measurements.
Respond to ad-hoc analytic requests.
Meet department and company performance and attendance expectations.
Perform other duties as assigned.
Work Experience:Prior data analytic work experience in healthcare environment preferred, but not required.
Education, Certificates, Licenses:Bachelor's degree in Mathematics, Computer Science, Statistics, Engineering, Biostatistics, Epidemiology, Health Economics, Public Health or similar research related field required. Related Master Degree preferred.
Knowledge:Understanding of advanced analytics methods (such as machine learning, multivariate statistics, cluster analysis, simulation and neural networks.)Ability to manage multiple projects and competing deadlines and manageworkload within a team environment or without direct supervision.Working knowledge of medical costs is desired, while experience with medical coding and terminology is also preferred.Ability to solve complex problems. Ability to deal responsibly with confidential information.Proficiency in at least one statistical/analytical programming tools such as R, Python, SAS, SPSS.Proficiency in other technical applications such as Tableau, SQL, and web-based database tools. Skilled in Microsoft Office: Word, Excel, PowerPoint, Outlook. Experience inPython, Ruby, Octave/Matlab, PHP, Spark, Hadoop is a plus.
Building Customer Loyalty
Building Strategic Work Relationships
Contributing to Team Success
Planning and Organizing
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for our customers’ experience.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our communities-internal and external.
We encourage creativity, innovation, continuous improvement and the pursuit of excellence.
Environment:Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.
Physical Requirements:Stoop and bend.Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.
Hiring Pay Range$58,000 - $68,000