Job Description
This position is responsible in providing key insights related to Medicare 5 Star C31 & C32 measures. Identifies risk & opportunities both at the national & regional level around these 5 Star measures to senior leaders in order. Monitors & communicates potential risk related to these 5 Star measures to senior leaders to ensure that the organization meets target. In addition, this position also supports national regulatory reporting such as NQTL and Performance Guarantee’s associated with group contracts.
This individual contributor is primarily responsible for driving strategic data informed decisions, gathering data and information on targeted variables in an established systematic fashion, preparing data for analytic efforts, and interpreting complex data analyses. This position drives the execution of creative data analytic approaches leading to actionable outcomes across functional areas, business and/or clinical lines, designs, implements, and automates business and reporting solutions, and leads the development of advanced analytical and/or statistical models enabling informed business decisions.
Essential Responsibilities
- Provide key insights related to Medicare 5 Star C31 & C32 measures.
- Identify risk & opportunities both at the national & regional level around these 5 Star measures to senior leaders in order.
- Monitor & communicate potential risk related to these 5 Star measures to senior leaders to ensure that the organization meets target.
- Support national regulatory reporting such as NQTL and Performance Guarantee’s associated with group contracts.
Minimum Qualifications
- Bachelor’s degree in Mathematics, Statistics, Engineering, Social/Physical/Life Science, Business, or related field and Minimum eight (8) years experience in data analytics or a directly related field.
- Additional equivalent work experience of three (3) years for a total of eleven (11) years in a directly related field may be substituted for the degree requirement.
- Minimum five (5) years experience in the following areas:
- Excel
- Alteryx
- Tableau
- MS SQL; PL SQL
- Minimum three (3) years experience in a lead role with or without direct reports.
Additional Requirements
- Must be proficient in SQL and Microsoft Excel, Microsoft Word, and Microsoft PowerPoint
Preferred Qualifications
- Contact/ Call center data operations experience
- SAS
- Power BI
- Three (3) years project management experience.
- Three (3) years relational database experience.
- Three (3) years experience working with data visualization tools.
- Three (3) years experience working with data extraction and manipulation language.
- Three (3) years experience working with statistical analysis software.
- Three (3) years programming experience.
- Two (2) years experience in process improvement.
- Three (3) years experience working in a matrixed organization.
- Three (3) years experience working with SAS.
- Two (2) years experience delivering presentations to senior management.
- Two (2) years regulatory experience.
- Two (2) years health care experience.
- Two (2) years experience in transition or change management implementation.
- Three (3) years experience working with Cognos.
- Three (3) years study design experience.
- Three (3) years robotic process automation experience.
- Three (3) years text analytics experience.
- Three (3) years statistical modeling experience.
- Three (3) years data simulation experience.
- Three (3) years complex event modeling experience.
- Three (3) years network analysis experience.
- Three (3) years server maintenance experience.
- Three (3) years machine learning experience.
- Three (3) years experience working with quality management and data profiling tools.
- Three (3) years experience working with Business Objects.
- Three (3) years experience working with artificial intelligence tools.
- Three (3) years experience working with business intelligence tools.
- Three (3) years experience working with Open Source Tools (e g , R, Python).
- Three (3) years experience working with Tableau.
- Three (3) years experience working with Access.
- Three (3) years experience working with Excel.
- Three (3) years experience working with SQL.
- Three (3) years deep learning experience.
- Three (3) years experience working with SPSS.
- Doctorate degree in Mathematics, Statistics, Engineering, Social/Physical/Life Science, Business, or related field.
- Master’s degree in Mathematics, Statistics, Engineering, Social/Physical/Life Science, Business, or related field.
- Accredited Project Management Certification.
- Accredited Process Improvement Certification.
Benefits
- Transportation.
- Life insurance.
- Medical insurance.
- Solidarity association.
- Growth plans.
- Additional days off.
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