EDUCATION
Bachelor's degree in Health Services Administration, Economics, Business Administration, Public Health, Mathematics, or related field required.
Master's degree desired.
EXPERIENCE
Minimum five (5) years' Medicaid, Medicare, Medicare Stars, Medicare Risk Adjustment, and Government health insurance related data analysis experience required OR applicable Masters in related field with minimum three (3) years' Medicaid, Medicare, Medicare Stars, Medicare Risk Adjustment, and Government health insurance related data analysis experience required. Documentation substantiating analysis experience may be required.
Minimum three (3) years' experience in the application of business analysis or data management and analysis tools including but not limited to, SAS, SQL, AQT, Tableau, and PowerBI required.
Demonstrated proficiency with other PC-based software products including Microsoft Office suite of products - Excel, Word, and PowerPoint required.
Demonstrated experience leading projects.
Demonstrated experience in public speaking. Demonstration of public speaking ability may be required.
SQL, SAS, R, Python, Tableau or other related experience.
Experience with large scale projects preferred.
Strong Background in statistics and statistical modeling preferred.
Government programs and CMS regulations experience preferred.
Knowledge of Project Management Methodologies preferred.
ESSENTIAL SKILLS & ABILITIES
Superior interpersonal and listening skills
Excellent written and oral communications
Analytical skills with strong mathematical background
Ability to transform information into intelligence.
This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.
Segregation of DutiesSegregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.
Employment TypeRegularADA Requirements
1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.