Financial Informatics Analyst - Financial Analytics

at  Health First

POSITION SUMMARY

Leverage data and technology to help business process owners understand premium and medical expense trends and performance in order to maximize Health Plan medical margin.

PRIMARY ACCOUNTABILITIES

• Design and summary of conclusions gained from analyzing data using statistical tools like Microsoft Excel, SQL, SAS, R, Python and others.
• Understand clinical and financial concepts necessary to manage department information sources.
• Apply concepts and tools of Financial Analytics, such as cost- effectiveness and premium capture forecasting/trend studies.
• Provide actionable analysis to business process owners to enable leaders of key areas to build, implement and identify solutions to address medical margin business performance gaps.
• Utilize data analysis/financial modeling techniques to measure the potential financial opportunities/impacts of medical margin action plans.
• Develop the measurement and reporting of financial impacts realized as a result of the implementation of medical margin action plan.
• Ensure the integrity, accuracy, and timeliness of information sources. Maintain proper documentation of procedures.
• Improve and innovate department operations and information quality.
• Development and maintenance of reports necessary for management of medical margin performance.
• Exhibit clear, sound and accurate judgment in making decisions. Display willingness to make decisions in a timely manner, include appropriate people in decision-making process, and be able to explain reasoning for supported decisions.
• Support in maintaining a medical margin performance and accountability model, in which Financial Analytics provides accurate, transparent medical margin performance monitoring.
• Develop analyses that assist the business process owner in evaluating the potential medical margin impacts in a consultative and supportive manner, enabling the business process owner to make informed decisions.

MINIMUM QUALIFICATIONS

Education: Bachelor’s degree in Finance, Economics, Statistics, Mathematics or related with 2+ years of relevant experience performing data analyses; OR Master’s degree in Economics, Statistics, Mathematics or related with 1+ years of relevant experience.
Licensure: None Required
Certification: None Required
Work Experience: Two years programming with data science programming tools, such as SQL, SAS, R & Python

KNOWLEDGE/SKILLS/ABILITIES:

• Knowledge of economics and accounting principles and practices and reporting of financial data.
• Experience using statistics and using statistical tools for analyzing large datasets.
• Ability to optimize SAS programs with techniques such as Marcos and indexing.
• Experience with trend analysis, correlation analysis, regression and predictive modeling preferred.
• Advanced level of proficiency with MS Excel.
• Demonstrates understanding and implementation of data governance.
• Ability to work with mathematical concepts, such as probability and statistics.
• Ability to effectively present information and respond to questions from groups of managers, clients and customers.
• Demonstrates ability to contribute positively in a team environment.
• Desire to continually learn how to use new technology, applications, and methodologies.
• Strong organizational and time management skills.

PREFERRED QUALIFICATIONS

Education: No additional education required
Licensure: None
Certification: None
Work Experience: None
Knowledge/Skills/Abilities: None

Please refer the Job description for details