Position: Health Data Analyst III (2 positions available)

Location:

Charlestown (Boston), MA. Report to main office in Charlestown, MA. Eligible to work remotely from anywhere in the U.S. but must work from a state the employer is legally eligible to employ: Alabama, Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin.

Shift: Day

Schedule: Full-time

Job Duties:

The Health Data Analyst III is a key member of the finance management team, responsibility for leading analyses to support finance staff and the Chief Financial Officer in meeting corporate objectives.

• * Lead the development and submission of key financial regulatory reports (i.e., 4B and 5C financial reports, membership reporting, etc.).
• * Lead competitive analysis of regulatory financial and membership reports, including requesting the publicly available data from various state agencies, consolidating, and analyzing the data, monitoring trends, researching unusual patterns, and presenting the results to senior leadership.
• * Support marketing and sales departments in achieving corporate goals and support the finance department in setting annual budget projections.
• * Conduct budget to actual analysis.
• * Lead analysis of medical expense reporting and monitoring/reporting of medical expense trend.
• * Support other areas of finance as needed, including, but not limited to, development of pricing and revenue requirements for all products, financial planning / budgeting, IBNR reserves, and high-cost claimant tracking.
• * Lead analysis of provider ratio reports, member disruption impacts, and provider termination impacts, including estimating future member and financial impacts of proposed changes.
• * Develop and implement plans to measure and report on corporate-wide health care delivery cost and utilization / membership trends.
• * Responsible for ad hoc analytics including modeling of membership and financial scenarios. Utilize statistical applications as necessary.
• * Serve as data expert for department.
• * Advise finance department on data warehouse design requests and works with IT to establish priorities.
• * Responsible for supporting corporate initiatives/projects that require analysis of health plan data. May guide and mentor 1-3 interns or entry level staff.

Qualifications:

Education:

• * Bachelor's degree in Statistics, Biostatistics, Data Analytics, or a closely related statistical field

Experience:

• Two (2) years of Data Modeling, Informatics, and Analysis in a managed healthcare or group health insurance environment. Applicants must have knowledge and ability in the following as demonstrated by prior experience, internships, certification, or coursework: (1) Using Excel to build models through past work experience; and (2) Utilizing SAS, SQL, or other statistical applications to validate, summarize and analyze membership and claims data.

Alternative Qualifications:

• Alternatively, will accept a Master's degree in Statistics, Biostatistics, Data Analytics or a closely related statistical field as well as stated demonstrated knowledge and ability.

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