Job Details

Requisition Number 18-2036
Post Date 11/30/2018
Title Predictive Health Analyst
City Dayton
State OH

Role and Responsibility:

  • Responsible for developing, implementing, managing and presenting in-depth reports and analyses that meet the organizational information needs regarding product benefits, policy, MCR, and/or prior authorization
  • Identify trends, patterns and opportunities in benefit utilization using standard corporate, processes, tools, reports and databases
  • Conduct analyses to determine impact and effectiveness of product benefits
  • Assist in gathering requirements from various internal business partners to understand specific product benefit analytical needs
  • Assist in the development of product benefit monitoring reports across markets to determine consistency and effectiveness
  • Generate graphics that effectively describe, explore and summarize analyses for communication to appropriate parties
  • Assist in the analysis process to determine best course of action
  • Assist in the review of reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques that will reveal intelligence for identification of any associative or causal relationships and provide management level summaries that explain key findings
  • Assists with working with key business owners to establish and meet their analytic needs or the analytic needs of the organization
  • Assists as a predictive analytics consultant for members of the CareSource management team
  • Assists with developing analytic presentations and/or executive summaries to facilitate analytic and data driven business decision making discussions based on trends, patterns, and key analytic findings
  • Assists in the educational and training efforts to help business users with the use of reports, self-service BI tools, and/or analytic deliverables
  • Assists with fostering internal analytic collaborative educational/training initiatives and SharePoint design
  • Perform any other job related instructions, as requested

Education / Experience:

  • Bachelor’s Degree or equivalent years of relevant work experience is required
  • Master’s Degree (e.g., public health, mathematics,  statistics, experimental psychology, epidemiology, health economics, nursing) preferred
  • Minimum of three (3) years of experience either data analysis, qualitative data analysis, research,  and/or analytic programming, or equivalent experience obtained via advanced degree(s) preferred
  • Healthcare delivery and/or payer experience preferred

Required Competencies / Knowledge / Skills:

  • Analytic skills for solving problems
  • Word, Excel, SharePoint, and/or Access skills; SQL, SPSS, and/or SAS experience preferred
  • Graphic development/presentation skills
  • Working knowledge of statistical application and techniques; Exploratory and inferential statistical experience preferred
  • Critical listening, thinking skills, and verbal and written communication skills
  • Training/teaching skills
  • Problem solving skills
  • Ability to work independently and within a team environment
  • Knowledge of managed care and health care data coding preferred
  • Strong service orientation and consulting skills

Licensure / Certification:

  • None

Working Conditions:

  • General office environment; may be required to sit/stand for long periods of time
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