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Form of workPosition Purpose: The Healthcare Consultant will gather and analyze healthcare data from multiple sources to extract trends and business insights. Translate findings into clear, compelling and actionable narratives to facilitate understanding and progress.
Key Responsibilities:
Understand healthcare landscape, trends, operations, systems, reporting, and advanced analytic tools
Work collaboratively with leadership and key stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members, improve clinical outcomes, and/or streamline processes
Extract, clean, and synthesize large structured and unstructured data sets from multiple data sources
Leverage data to identify patterns, glean insights and identify opportunities for targeting and optimization
Present and explain information in a clear, accessible way to internal and external audiences
Build models to evaluate potential future scenarios
Perform other duties as delegated
Employ information protection and information security techniques compliant with HIPPA and CCHN partners
Comply with Centene in NC firewall policy
Protect confidential and sensitive Business Information as an employee of CCHN
May require 5-15% travel
Specific to this role, the focus of the Healthcare Data Analyst will be to:
o Bring together cost, utilization, quality, and/or risk adjustment data to support holistic evaluation of provider performance
o Help design, model, and track provider performance and incentive programs that drive quality outcomes for our members and financial outcomes for the company
o Prepare and support presentation of materials detailing performance KPIs and root cause for joint operating committee (JOC) meetings with clinicians and practice managers
o Interact directly with leadership and healthcare providers impacting our member population to devise strategies to improve quality, reduce cost, and increase efficiency
Preferred Qualifications:
BS/BA in quantitative field (Health Informatics, Statistics, Mathematics or a related field)
Proven experience as a Healthcare Data Analyst (3+ years / 7+ years)
Proficient in SQL, analytics tools and visual presentation through BI (e.g. SAS, Tableau, MicroStrategy, PowerBI)
Knowledge of health care, managed care, Medicare or Medicaid. Claims billing/coding & EHR knowledge preferred
Understanding of healthcare processes and procedures
Experience in data analysis and visualization methods
Excellent analytical and communication skills
Outstanding organizational and problem-solving aptitude
Demonstrated success in leading analytics projects in a consulting environment
Carolina Complete Health Network is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
