Healthcare Analyst/ Manager
Year Madhapur, Hyderabad, Telangana, India
Job Description
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: Healthcare Analyst/ Manager Job Summary
Performs analysis of complex US healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Knowledge/Skills/Abilities
bachelor\xe2\x80\x99s degree in finance, Economics, Math, Computer Science, Information Systems or related field Required Experience \xc2\xb7 5 year\xe2\x80\x99s experience leading healthcare analytics function12 years work experience preferable in claims processing environment and/or healthcare environment \xc2\xb7 Strong knowledge of SQL 2005/2008 SSRS report development \xc2\xb7 Familiar with relational database concepts, and SDLC concepts Preferred Education Masters\' Degree in Finance, Economics, Math, Computer Science, Information Systems or related field. Job Types: Full-time, Permanent Pay: \xe2\x82\xb980,000.00 - \xe2\x82\xb9100,000.00 per month Schedule:
Performs analysis of complex US healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Knowledge/Skills/Abilities
- Directs Health Plan strategic analysis and planning coordinating across business units to meet data analysis and database development needs. Includes Utilization Management data needs, facilitating care coordination.
- Mentors, coaches, and provides guidance regarding finance and analysis.
- Identifies and sets departmental priorities in alignment with the operating plan, budget, and regulatory requirements.
- Implements strategies to ensure service level benchmarks for report turn-around are met. Reporting includes Healthcare Analysis, Quality Analysis, Risk Adjustment,
- Finance and other departments. Demonstrates best practices and collaboration on projects.
- Reviews high priority analyses, reports, SQL programming and other Finance projects for accuracy, completeness, return on investment, and compliance with regulatory requirements.
- Functions as subject matter expert on finance and healthcare analytics topics. Able to teach financial/technical information.
- Reviews regulatory contract requirements and reporting requirements applicable to the Finance Department. Implements strategies and infrastructure to ensure compliance with regulatory requirements.
bachelor\xe2\x80\x99s degree in finance, Economics, Math, Computer Science, Information Systems or related field Required Experience \xc2\xb7 5 year\xe2\x80\x99s experience leading healthcare analytics function12 years work experience preferable in claims processing environment and/or healthcare environment \xc2\xb7 Strong knowledge of SQL 2005/2008 SSRS report development \xc2\xb7 Familiar with relational database concepts, and SDLC concepts Preferred Education Masters\' Degree in Finance, Economics, Math, Computer Science, Information Systems or related field. Job Types: Full-time, Permanent Pay: \xe2\x82\xb980,000.00 - \xe2\x82\xb9100,000.00 per month Schedule:
- Rotational shift
- healthcare analytics: 5 years (Required)
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Job Detail
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Job IdJD3282886
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationMadhapur, Hyderabad, Telangana, India
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EducationNot mentioned
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ExperienceYear