[Remote] (Senior / Lead) Healthcare Informatics Analyst
Note: The job is a remote job and is open to candidates in USA. Quartz Health Solutions is seeking a (Senior / Lead) Healthcare Informatics Analyst to join their Actuarial Department. The role involves performing complex data analysis, developing technical training, and consulting with business and clinical areas to implement high-value analytics.
Responsibilities
• Leverages knowledge and skill with a variety of query tools (Power BI, BusinessObjects, SAS, SQL, Python), analytic techniques, and platforms to analyze large quantities of data from multiple sources
• Designs, creates, and maintains dashboards, business plans, forecasts, projection models, etc
• Consults with business units, management, and vendors to analyze, develop and document detailed business requirements and business processes for proposed solutions to complex business initiatives
• Applies knowledge of healthcare industry and market landscape to inform solution design; executing high-quality or differentiated solutions in an established problem space
• Mines data insights and interprets results based on material and relevance to the defined business problem. Prioritizes solution development based on measurable business value
• Collaborates with project managers and demonstrates subject matter expertise on project teams by developing work estimates, prioritizing work, and ensuring successful delivery of project deliverables
• Leads the mentoring and cross-training process within the department. Including but not limited to data retrieval, data processing, report creation, testing and validation techniques
• Leads initiatives and projects of significant complexity and risk, facilitating group work as needed
Skills
• Bachelor's degree in finance, accounting, informatics, healthcare administration, statistics, mathematics, or business-related field with 4+ years of relevant experience with business intelligence/analytics tools
• OR associate degree in finance, accounting, informatics, healthcare administration, statistics, mathematics, or business-related field with 7+ years of relevant experience with business intelligence/analytics tools
• OR high school equivalency with 10+ years of relevant experience with business intelligence/analytics tools
• Demonstrated medical insurance industry knowledge
• Keeps current with market trends, industry quality analytic approaches and proficiency with business intelligence tools
• Advanced computer skills in relevant programs and analytical software
• Proficiency with SQL coding language
• Proficiency and demonstrated skill with query tools (Power BI, BusinessObjects, SAS, SQL Developer, Python, Aginity, Impact Intelligence, MedInsight)
• Intermediate to advanced knowledge of healthcare claims payment systems, medical coding, and acronyms
• Intermediate to Advanced knowledge of industry standard reimbursement methodologies (Medicare & Medicaid)
• Intermediate to advanced knowledge of Health Insurance Marketplace and PPACA rules and regulations
• Ability to be inquisitive, creative in developing analytical tools and presentation formats, highly motivated to resolve issues on a timely basis and with attention to detail
• Create strong relationships and provide positive experiences for internal partners
• Excellent oral and written communication skills
• Bachelor's degree in finance, accounting, informatics, healthcare administration, statistics, mathematics, or business-related field with 6+ years of relevant experience with business intelligence/analytics tools
• OR associate degree in finance, accounting, informatics, healthcare administration, statistics, mathematics, or business-related field with 9+ years of relevant experience with business intelligence/analytics tools
• OR high school equivalency with 12+ years of relevant experience with business intelligence/analytics tools
• Certifications in one of the following: AHIP, AHM, LOMA, AHIMA
• Professional certification in the field core areas (Accounting, Actuarial Services, Data Analytics, Coding, etc.)
Benefits
• Opportunity to be creative/innovative by developing new tools and analysis to support emerging work
• Demonstrate storytelling skills - Ability to share findings and the “why” behind the numbers on reports
• Work includes being responsive to emerging business needs, as well as completion of regular reporting
• Plus robust benefits package
• We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships.
Company Overview
• We believe that the health insurance industry should do far more than just provide access to doctors and cover or administer claims. It was founded in 2016, and is headquartered in Madison, Wisconsin, USA, with a workforce of 501-1000 employees. Its website is https://quartzbenefits.com/.
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