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Care Analytics - Health Business Analyst

Company: Florida Blue
Location: Gainesville
Posted on: November 13, 2020

Job Description:

Health Business Analyst - Care Analytics

The Health Business Analyst within the Commercial Care Analytics team will assist in a diverse range of analytical projects with a focus on targeting , investigating and quantifying cost and utilization drivers using claims , authorization and case management data.

The ideal candidate will have strong technical skills, with a combination of clinically-driven data analytical experience (e.g., knowledge of prevalent conditions in the population, experience with CPT/ICD codes, understands drivers of medical expense, etc.), great communication skills and a natural curiosity to understand health insurance informatics.

The Skills You Bring:

  • Analyze claims, authorization and care management program data to identify areas of opportunity and provide analyses and conclusions in support of Care business stakeholders.
  • Assist in the evaluation of Case, Disease and Utilization Management program ROI and cost savings using analytical methods and techniques.
  • Monitor and evaluate patterns, costs and trends as they relate to clinical conditions, member utilization of medical services and care management program outcomes.
  • Produce basic spreadsheets, documents and presentations that are well-documented and easy to follow (e.g., Excel, PowerPoint, Tableau).
  • Translate business intelligence requirements into performant data models, data visualizations, and/or automated dashboard reporting
  • Modify existing programs and write basic SAS, SQL or R programs for data extraction.
  • Proactively seeks training and builds knowledge/experience of technical tools, coding languages and data sources.
  • Work cross-functionally with technical teams across the business to understand how our data is being collected and used throughout the business
  • Develop, build, and maintain data processes in support of ongoing opportunity analysis and condition analytics for integrated medical management
    Required Skills:
    • 2+ years related analytical work experience with a focus in the health or medical industry or equivalent combination of transferable experience and education
    • Bachelor's degree required
    • Experience with analytics and inferential statistics
    • Strong knowledge and experience with SQL and query optimization
    • Familiarity with statistical programming languages such as R, Python, or SAS

      Preferred Skills:
      • Bachelor's degree Business Analytics, Statistics, Data Science, Health Economics or similar program
      • Master's degree in a related field
      • Working knowledge of clinical conditions, procedure codes (CPT-4, HCPCs) and diagnosis codes (ICD-10)
      • Experience evaluating ROI and financial impact of care and disease management programs
      • Experience creating automated data solutions

        We are an Equal Opportunity Employer/Protected Veteran/Disabled. Associated topics: analyze, bi, business, financial analyst, inspect, investment analyst, law, market, regulation, valuation analyst

Keywords: Florida Blue, Gainesville , Care Analytics - Health Business Analyst, Professions , Gainesville, Florida

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