Senior Healthcare Analyst

at  WellSense Health Plan

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
The Senior Health Data Analyst applies specialized technical and analytic skill to produce analyses, reports, and applications to enhance the development and analysis of healthcare cost data and trends, while performing analytical and technical tasks necessary to execute each phase of an analysis based on an advanced understanding of managed care concepts, basic methodological design, and excellent writing.

Our Investment in You:

• Full-time remote work
• Competitive salaries
• Excellent benefits

EDUCATION:

• Bachelor’s Degree in Finance, Health Care Administration, or related field required
• Master’s Degree preferred

EXPERIENCE:

• 7 years related experience in data modeling, informatics and analysis with demonstrated capacity to independently draw inferences and to communicate findings
• Commensurate educational experience in a related field will be considered
• A background in managed healthcare, insurance operations preferred
• The Senior Analyst is an experienced user of claims data
• Working knowledge of MS tools, including MS Office products, MS Access, MS Project, SQL and SAS or other statistical software
• Should be proficient in Microsoft Excel
• Analyst integrates external grouping methodologies such as DRG, ETG and DxCG in analytics
• Ability to meet deadlines, multi-task, problem solve and use appropriate technology to analyze business problems
• Project management skills a plus
• Strong communications skills, both verbal and written, are required

• Uses SAS and/or SQL coding to pull claims and membership data to support involved healthcare analytics
• Supports the development of effective medical management programs/initiatives through analyzing, monitoring, and reporting the effectiveness of these programs
• Develops and implements plans to measure and report on corporate-wide health care delivery cost and utilization trends
• Responsible for adhoc analytics including modeling of benefit scenarios and data to support provider recontracting
• Utilizes statistical applications as necessary
• Serves as data expert for department
• Advises Finance department on data warehouse design requests and works with IT to establish priorities
• Creates and presents analyses of complex data projects explaining trends and areas of opportunity to senior management
• Assists in providing technical support, training and guidance to application end users on implementation and underlying business issues and healthcare cost drivers
• Leads analytical projects by coordinating all stages of the development life cycle
• Facilitates workgroup sessions, applies business experience and analytical skills to define recommendations and improve processes
• Responsible for project deliverables by developing project and communication plans, risk analysis, schedules along with other project management deliverables while consistently reporting status to management