Health Data Analyst III - Charlestown, United States - Well Sense Health Plan

Well Sense Health Plan Charlestown, United States

2 weeks ago

Full time

Description

Position: Health Data Analyst III (2 positions available)

Location:

Charlestown (Boston), MA. Report to main office in Charlestown, MA. Eligible to work remotely from anywhere in the U.S. but must work from a state the employer is legally eligible to employ: Alabama, Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin.

Shift: Day

Schedule: Full-time

Job Duties:

The Health Data Analyst III is a key member of the finance management team, responsibility for leading analyses to support finance staff and the Chief Financial Officer in meeting corporate objectives.

· Lead the development and submission of key financial regulatory reports (i.e., 4B and 5C financial reports, membership reporting, etc.).
· Lead competitive analysis of regulatory financial and membership reports, including requesting the publicly available data from various state agencies, consolidating, and analyzing the data, monitoring trends, researching unusual patterns, and presenting the results to senior leadership.
· Support marketing and sales departments in achieving corporate goals and support the finance department in setting annual budget projections.
· Conduct budget to actual analysis.
· Lead analysis of medical expense reporting and monitoring/reporting of medical expense trend.
· Support other areas of finance as needed, including, but not limited to, development of pricing and revenue requirements for all products, financial planning / budgeting, IBNR reserves, and high-cost claimant tracking.
· Lead analysis of provider ratio reports, member disruption impacts, and provider termination impacts, including estimating future member and financial impacts of proposed changes.
· Develop and implement plans to measure and report on corporate-wide health care delivery cost and utilization / membership trends.
· Responsible for ad hoc analytics including modeling of membership and financial scenarios. Utilize statistical applications as necessary.
· Serve as data expert for department.
· Advise finance department on data warehouse design requests and works with IT to establish priorities.
· Responsible for supporting corporate initiatives/projects that require analysis of health plan data. May guide and mentor 1-3 interns or entry level staff.

Qualifications:

Education:

· Bachelor's degree in Statistics, Biostatistics, Data Analytics, or a closely related statistical field

Experience: ****

Two (2) years of Data Modeling, Informatics, and Analysis in a managed healthcare or group health insurance environment. Applicants must have knowledge and ability in the following as demonstrated by prior experience, internships, certification, or coursework: (1) Using Excel to build models through past work experience; and (2) Utilizing SAS, SQL, or other statistical applications to validate, summarize and analyze membership and claims data.

Alternative Qualifications: ****

Alternatively, will accept a Master's degree in Statistics, Biostatistics, Data Analytics or a closely related statistical field as well as stated demonstrated knowledge and ability.

#LI-DNI

Required Skills

Required Experience

Analyst Iii

2 weeks ago

BioAgilytix Boston, United States

At BioAgilytix, we are passionate about premier science and the impact it has on our world. Our team of highly experienced scientists and professionals deliver tailored services for supporting new medicine breakthroughs with best-in-class bioanalytical services. We are tirelessly ...
Health Data Analyst Iii

3 weeks ago

WellSense Health Plan Boston, United States

**Position**:Health Data Analyst III (2 positions available) · **Location**: · Charlestown (Boston), MA. Report to main office in Charlestown, MA. Eligible to work remotely from anywhere in the U.S. but must work from a state the employer is legally eligible to employ: Alabama, A ...
Transportation Planner Analyst Iii

1 week ago

Massachusetts Bay Transportation Authority Boston, United States

**Salary** · - $87,776.00 Annually**Location** · - 45 High Street, Boston**Job Type** · - Full-Time**Job Number** · **Department** · - MBTA - Operations Planning, Scheduling, & Strategy**Area** · - 094-Transportation Strategic Planning**Opening Date** · - 05/23/2024**Closing Date ...
Model Validation Analyst Iii

1 week ago

Extreme Event Solutions Boston, United States

**Company Description** · We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. · This role is focused on ...
Financial Analyst Iii

1 week ago

Thermo Fisher Scientific Waltham, United States

**About us**: · When you are part of the team at Thermo Fisher Scientific, you'll do meaningful work, that makes a positive impact on a global scale Join over 100,000 colleagues who bring our Mission to life every single day to enable our customers to make the world healthier, cl ...
Management Analyst III

1 week ago

ALLERAIT SOLUTIONS LLC Haymarket, United States

Benefits: · 401(k) · Dental insurance · Health insurance · Paid time off · Vision insurance · Management Analyst III · Description: · Provide Management Analyst III support in the following areas: · • Business Process Improvement and Organizational Assessment · • Commun ...
Management Analyst III

1 week ago

ALLERAIT SOLUTIONS LLC Haymarket, United States

Job Description · Job Description · Management Analyst III · Description: · Provide Management Analyst III support in the following areas: · • · Business Process Improvement and Organizational Assessment · • · Communications, outreach, and support for external customers/u ...
Incident Response Analyst Iii

1 week ago

ZoomInfo Technologies LLC Waltham, United States

At ZoomInfo, we encourage creativity, value innovation, demand teamwork, expect accountability and cherish results. We value your take charge, take initiative, get stuff done attitude and will help you unlock your growth potential. One great choice can change everything. Thrive w ...
Management Analyst III

3 days ago

DelDOT Boston, United States

Introduction · Make a Difference with DHSS · Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. We prior ...
Epic Systems Analyst Iii

1 week ago

Atrius Health Newton, United States

**Epic Systems Analyst III - Cadence Scheduling** · **SUMMARY**Position will focus on Cadence, Referrals with MyChart patient portal experience a plus. · **GENERAL DUTIES AND **RESPONSIBILITIES** · - (Describe _all_ the responsibilities of the job here, including the essential fu ...
Systems Analyst/Programmer III

3 weeks ago

Massachusetts Water Resources Authority Chelsea, United States

POSITION: · Systems Analyst/Programmer III - (ERP) Enterprise Resource Planning · DIVISION: · Administration · DEPARTMENT: · Management Information System (MIS) · UNION/GRADE: · Unit 6/Grade 11 · TO VIEW OUR BENEFITS PLEASE CLICK ON THE LINK - · BASIC PURPOSE: · This po ...
Systems Analyst/Programmer III

4 weeks ago

Massachusetts Water Resources Authority Chelsea, United States

POSITION: Systems Analyst/Programmer III - (ERP) Enterprise Resource Planning · DIVISION: Administration · DEPARTMENT: Management Information System (MIS) · UNION/GRADE: Unit 6/Grade 11 · TO VIEW OUR BENEFITS PLEASE CLICK ON THE LINK - · BASIC PURPOSE: · This position is r ...
Systems Analyst/Programmer III

1 week ago

Massachusetts Water Resources Authority Chelsea, United States

Job Description · Job DescriptionPOSITION: Systems Analyst/Programmer III - (ERP) Enterprise Resource Planning · DIVISION: Administration · DEPARTMENT: Management Information System (MIS) · UNION/GRADE: Unit 6/Grade 11 · TO VIEW OUR BENEFITS PLEASE CLICK ON THE LINK - · BASIC ...
Model Validation Analyst III

4 weeks ago

AIR Worldwide Corp. Boston, MA, United States

Company Description · We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. · Job Description · This ro ...
Model Validation Analyst III

3 weeks ago

Verisk Boston, MA, United States

Company Description · We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. · Job Description · This ro ...
Model Validation Analyst III

1 week ago

Extreme Event Solutions Boston, United States

Job Description · Job DescriptionCompany Description · We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainabl ...
Model Validation Analyst III

3 weeks ago

Extreme Event Solutions Boston, MA, United States

Job Description This role is focused on Extreme Event Risk Models, doing Quality Assurance on the models mentioned in the description and developed at Verisk. You will partner with scientists and structural engineers, and identify areas for model validation, with an emphasis on ...
Applications Analyst III- EPIC

3 weeks ago

Cambridge Health Alliance Malden, United States Full time

Location: Commerce Place · Work Days: 8-5 and On-Call rotation · Category: Information Technology · Department: IT EPIC · Job Type: Full time · Work Shift: Day · Hours/Week: 40.00 · Union: No · Union Name: Non Union · The Applications Analyst III implements, mainta ...
Applications Analyst III- EPIC

2 weeks ago

Cambridge Health Alliance Malden, United States

Date Posted: 05/09/2024 · Requisition Number: 7215 · Location: Commerce Place · Work Days: 8-5 and On-Call rotation · Category: Information Technology · Department: IT EPIC · Job Type: Full time · Work Shift: Day · Hours/Week: 40.00 · Union: No · Union Name: Non Union ...
Applications Analyst III- EPIC

6 days ago

Cambridge Health Alliance Malden, United States

Date Posted: · 05/19/2024 · Requisition Number: · 7215 · Location: · Commerce Place · Work Days: · 8-5 and On-Call rotation · Category: · Information Technology · Department: · IT EPIC · Job Type: · Full time · Work Shift: · Day · Hours/Week: · 40.00 · Union: · ...