Address
Form of workHealthcare Analytics Manager/Senor Analyst
About SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visitwww.thescangroup.org,www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.
The Opportunity
This role will support a high performance analytics team by gathering, compiling, modeling, validating, and analyzing data needed by the company. The data is then used to understand the current trends in the health care system and to make well-informed decisions. This role will also quality check the work of junior analysts.
You Will
Requirements
Your Qualifications
What's in it for you?
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employee will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
- Long Beach,CA (Please Note: Positions Can Be Remote)
- Full-time
About SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visitwww.thescangroup.org,www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.
The Opportunity
This role will support a high performance analytics team by gathering, compiling, modeling, validating, and analyzing data needed by the company. The data is then used to understand the current trends in the health care system and to make well-informed decisions. This role will also quality check the work of junior analysts.
You Will
- Work with a variety of tools (e.g. SQL, Excel, Tableau, Alteryx, and Databricks) to access data, write queries, develop programming logic, run reports, manipulate, and analyze large datasets. Responsible for routine research and analysis of Medicare Advantage and healthcare data including but not limited to encounters, membership, provider, claims, authorizations, healthcare program/quality information, pharmacy, and financial information.
- Retrieve, organize, and manipulate data from the Enterprise Data Warehouse and other databases. This will require advanced programming to prepare data for reporting and analysis. Deliver actionable, supportable findings within tight deadlines and changing requirements.
- Conduct data management, quality improvement studies, statistical analysis, and report generation. Present findings to senior analysts as well as management.
- Conduct investigative research to uncover root causes, interpret results, identify trends, and make recommendations for action.
- Work independently and collaboratively with other analysts.
- Supports customer needs for what-if scenario analysis by developing analytical tools/models.
- Ensure understanding of business needs by proactively monitoring and clarifying the technical responses to business requirements on all Medicare related projects.
- Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; and participating in professional societies.
- Contribute to team effort by accomplishing related results as needed.
- Actively supports the achievement of SCAN's Vision and Goals.
Requirements
Your Qualifications
- Bachelor's Degree, or equivalent career experience, required.
- Master's Degree preferred.
- 5+ years of analytical experience, or 3+ years of analytical experience in a Healthcare/Managed Care environment required.
- Advanced skills inMS Office required
- MS SQL Server (Strong command over T-SQL) required
- SQL Server Reporting Services and SQL Server Integration Services experience required.
- Alteryx and Databricks experience preferred.
- Tableau BI tool experience required
- Ability to effectively interact with, and present findings to customers at all levels of the organization including operational managers, medical directors and executives required.
- Clinical code knowledge (ICD, CPT, Rev Codes, etc.) related to medical claims/utilization data strongly preferred.
- Experience with managed care contract terms/analysis a plus.
- Strong technical abilities.
- Strong interpersonal skills, including excellent written and verbal communication skills.
- Strong organizational skills; Ability to multitask.
- Ability to appropriately maintain confidentiality.
- Strong analytical and critical thinking skills, required.
What's in it for you?
- Base salary range: $92,400 to $147,800 annually
- An annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- 11 paid holidays per year, plus 1 additional floating holiday
- Excellent 401(k) Retirement Saving Plan with employer match
- Robust employee recognition program
- Tuition reimbursement
- A work-life balance
- An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employee will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
