Remote opportunity for residents of Colorado, Illinois, Kentucky, Ohio, Pennsylvania, South Carolina, Texas, Utah, Virginia, Washington, and Wisconsin.
Job Summary
Under general supervision, uses complex healthcare data to conduct quantitative analyses of utilization and cost trends. Determines the root cause of variation in trends over time and produces reports for management that allow actionable steps to be taken on those variations. Individuals are expected to work independently to interpret and analyze data from various clinical and financial departments across the insurance organization. Regularly meet with departments to drive actionable reporting to reduce cost and utilization trends across the healthcare system. Evaluates the clinical and cost impacts of benefit plan designs and suggests changes to improve patient health and plan financial performance.
Responsibilities
1. Conduct data analysis to understand trends in healthcare utilization and cost, including areas of overutilization, inefficiency, and waste.
2. Develop and maintain dashboards, reports, and other visualizations to communicate findings to internal stakeholders, including senior management and clinical departments.
3. Work with actuarial, product, and risk management teams to analyze the financial impact of various benefit plan designs and propose changes to optimize plan performance.
4. Collaborate with cross-functional teams to identify opportunities for cost containment and performance improvement and develop recommendations for action based on data-driven insights.
Education and Experience
1. Bachelor’s degree in Economics, Statistics, Computer Science, Business, Public Health, Epidemiology, Mathematics, Risk Management, Actuarial Science, Data Analytics or related quantitative discipline.
2. Health Insurance Experience preferred.
3. Experience using large healthcare data sets for analysis preferred.
Knowledge, Skills and Abilities
1. Knowledge of health care administration, including managed care, Medicaid, Medicare, Exchange and CHP+.
2. Knowledge of STARs and Risk Adjustment preferred.
3. Skilled in analytical thinking, problem solving, and process improvement.
4. Ability to communicate effectively.
5. Ability to simultaneously coordinate and manage several functions, programs, and projects in various stages of completion.
Computers and Technology
1. Intermediate to Advanced Excel skills.
2. Experience with SQL and/or Tableau.
Certificates, Licenses and Registration
1. N/A
Supervisory Responsibilities
1. This position has no supervisory responsibilities
Location
Denver Health Medical Plan
Shift
Days
Work Type
Full time
Salary:
$63,500.00 - $95,400.00/yr
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 18 school-based health centers, Rocky Mountain Poison and Safety, a Public Health department, an HMO and The Denver Health Foundation.
As Colorado’s primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).
Denver Health is committed to provide equal treatment and equal employment opportunities to all applicants and employees. As an EOE, Denver Health does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
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