Job Information
WellSense Health Data Analyst III in United States
Health Data Analyst III
WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their circumstances.
Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294249)
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 thedata, 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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Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294249)
Important info on employment offer scams:
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not reach out to individuals via text, we do not ask or require downloads of any applications, or “apps”, and applicant screenings, interviews and job offers are not conducted over text messages or social media platforms. We do not ask individuals to purchase equipment for, or prior to employment. To avoid becoming a victim of an employment offer scam, please followthese tips from the FTC (https://consumer.ftc.gov/consumer-alerts/2023/01/looking-job-scammers-might-be-looking-you?utm_source=govdelivery) .
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees.