Minimum Education:
Bachelor's degree required. Master's degree preferred with either a quantitative (i.e. actuarial, statistics, economics, engineering, computer, science, applied math, etc) or a healthcare major (i.e. health administration, public health, medicine, etc.).
Minimum Experience:
1-2 years of experience working with healthcare data, preferably for a health plan, consulting firm, or a software vendor that offers data solutions to health plans.
Minimum 1 year of experience developing database driven projects using T-SQL.
Minimum 1 year of experience or education training in statistical stratification, sampling, and cohort driven data modeling and analysis.
Required Skills:
• Knowledge of health plan-specific datasets (i.e. claims, eligibility, etc.) reporting /analytic uses (i.e. cost and utilization reporting, disease management, etc) and terminology (i.e. PMPM, and per 1000 measures, diagnosis/procedure codes, episode groupers, risk adjustment, etc.) strongly preferred.
• Demonstrated ability to identify the necessary data, prepare extracts, and analyze data to provide solutions required
• Foundational understanding of relational database concepts and/or multi-dimensional models.
• Highly experienced in Microsoft Excel, Word and proficient in other MS Office tools such as Powerpoint..
• Demonstrated proficiency in the use of personal computers, spreadsheet applications, SQL database tools.
• SQL, SAS, Microsoft Excel/Access (advanced) or other programming language required
• Experience with the FACETS system highly preferred
• Ability to handle and manipulate large complex healthcare related datasets
• Superior problem solving, analytic skills and an ability to analyze large volumes of data and identify trends and anomalies.
• Ability to work independently, as well as work effectively as a member of a team.
• Professionally skilled in personal presentation, verbal, and written communication.
• Ability to prioritize multiple assignments with attention to details and deadlines in a high volume environment.
• Proven ability to build relationships with business and technical partners to improve customer service and continuously improve project delivery
• Must be self-motivated, proactive and able to work well under pressure