Healthcare Economics Analyst

Job Summary

The Healthcare Analyst supports all analytical needs with respect to a portfolio of client relationships. The Analyst works both collaboratively and independently to complete complex analysis leading to meaningful business decisions.

Responsibilities

• Research, analyze data, present results, and recommend intelligent solutions to solve problems and address business challenges by applying a knowledge of medical claims analysis, critical-thinking skills, and healthcare experience/expertise.
• Structure analytical results in an organized, visual manner to tell a meaningful, actionable story.
• Write SQL queries, create end-user reports, and apply varying analytical techniques to solve specific business problems.
• Determine credibility and usability of claims data prior to delivery of analytic results.
• Interpret contractual language with a clear understanding of business rules and reporting requirements.
• Establish trusting professional relationships with internal senior business customers.
• Maintain alignment of expectations and priorities in autonomous fashion.
• Perform other duties and responsibilities as required, assigned, or requested.

Qualifications

• Bachelor’s degree in Math, Statistics, Computer Science, or a related field required; Master’s degree preferred
• 1 – 3 years of experience or proven ability working as an analyst in the healthcare industry with medical claims, membership, and provider data
• Experience with Structured Query Language (SQL) required
• Proven experience working with Medicare and Commercial paid claims data sets; other applicable datasets include Census and Member Eligibility datasets
• Advanced analytic skills with the ability to build statistical and predictive models to help support business decisions
• Ability to analyze and interpret medical claims data through complex analysis that leads to strategic business decisions
• Experience in data mining, statistical analysis, and data transformation/manipulation
• Experience working with large data repositories and/or relational databases
• Expertise in MS Excel, with proficiency using formulas, PivotTables, linked worksheets, graphing and other reporting and presentation features
• Ability to tell a succinct, meaningful, and actionable story with data using visualization and other techniques
• Ability to work on multiple projects simultaneously with minimal supervision
• Excellent computer skills, strong leadership qualities, organization and project management skills
• Ability to multi-task in a fast-paced environment and quickly adapt to changes in both technology and business environments
• Ability to analyze data and apply investigative skills in resolving issues
• Ability to produce clear, written operational instructions and supporting documentation
• Ability to troubleshoot technical and functional problems
• Exceptional written and oral communication skills
• Highly self-motivated and directed with keen attention to detail
• Knowledge of HIPAA compliance and security requirements as it relates to healthcare data

About naviHealth

naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.

Our Purpose

Improving the healthcare experience for seniors to live a more fulfilling life

Our Values

Rooted in respect
Guided by purpose
Devoted to service
Energized by impact

The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.

naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.