Job Description
- Performs exploratory data analysis and data mining of healthcare claims and authorizations data.
- Designs, documents, develops and rolls out financial, clinical and utilization analyses using a variety of computing tools (e.g. SQL, Excel).
- Performs ad hoc analyses that will vary in duration and complexity.
- Participated in defining issues to be studied as well as the methodology to be used in addressing these issues.
- Provides status reports that give a detailed description of the current project’s progress and indicates time devoted to each task of the project.
- Coordinates/mentors analytic efforts performed by in- house staff or outside consultants to ensure that all work is completed according to the project plan.
- Interprets results and preparation of data findings in easily understandable format for varying levels of the organization.
Responsibilities
- Experience working with normalized and denormalized data structures.
- Experience with SAS, SPSS and/or other data mining tools.
- Demonstrated competency in developing efficient and effective solutions to complex business problems.
- Experience with healthcare medical and pharmacy claims data manipulation and analysis.
