Sentara Healthcare is currently seeking a Healthcare Data Analystfor Optima Health-Virginia BeachJob Summary:The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self-service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requirement definition for new analyses and performs ad-hoc analysis as directed. This position supports data quality and data stewardship functions to maintain data accuracy and identify new metrics. As a subject matter expert, the Healthcare Data Analyst uses analytic skills to offer data-driven conclusions and recommendations to business partners.*The Network Support and Provider Operations (NSPO) team specializes in provider contract modeling, reimbursement, market intelligence, claim utilization, and unit cost budget analyses as well as supporting SHP provider network and operations, system administration, and strategic expansion initiatives.Shift:Fulltime/Days/RemoteRequired Education:Bachelor’s Level Degree ORMaster’s Level Degree – Experience in lieu of education: YesJob Requirements:Required: Data Analysis – 1 yearPreferred: Financial Analysis – 1 year, Population Management – 1 year, Statistics – 1 yearOther:As an integrated health system, Sentara delivers analytics across a wide variety of domains, including payer functions, ambulatory, acute & post-acute care and support functions. The subject matter expertise required will vary based on the specific opening, but include the following:Medical expense and trendsQuality including HEDIS reporting, interventions, and STAR ratingsClinical gaps and adherenceNetwork Management contracting and pay-for-performance/value-based measuresState and Federal regulatory reportingEmployer groups reporting and client ad-hoc reporting related to clinical and financial servicesPopulation health reporting & analysisRisk, member/patient stratification, member/patient segmentation, quality, provider scoring, and cost savingsAmbulatory, acute & post-acute quality, clinical performance, and operations reporting & analysisQuality & performance benchmarkingResearch data & analytic supportWorks directly with internal customers and external provider partners.Knowledge of SQL and TableauExcellent Oral and Written Communication SkillsProblem SolvingConsultative Engagement SkillsSentara Benefits:Sentara employees strive to make our communities healthier places to live. We’re setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, https://www.sentaracareers.com/explore-sentara/benefits/Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!
Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family’s well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.
For applicants within Washington State, the following hiring range will be applied: $73,819 to $110,728 annually.
This position is 100% Remote. Candidates must have a current residence in one of the following states or be willing to relocate: FL, GA, IN, MD, NV, SC, NC, SD, TN, TX, WA, VA, WV, WI
The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self-service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requirement definition for new analyses and performs ad-hoc analysis as directed. This position supports data quality and data stewardship functions to maintain data accuracy and identify new metrics. As a subject matter expert, the Healthcare Data Analyst uses analytic skills to offer data-driven conclusions and recommendations to business partners.
This role is part of the Network Support and Provider Operations team. This position will potentially support contract modeling scenarios needed during contract negotiations by using both complex data models and a contract modeling system. This position will analyze yields of scenarios and monitor the alignment of performance with contract terms, and assist in developing rates and terms within the contract management system to meet company goals. This position will also support analysis pertaining to provider reimbursement, market intelligence, claim utilization, and unit cost budget evaluation, as well as supporting SHP provider network and operations, system administration, and strategic expansion initiatives. Requires the ability to interpret, understand, and model complex provider contract reimbursement terms.
Requires the ability to data mine, interpret, understand, and summarize payer data including (but not limited to) medical, behavioral health, and pharmacy claims, as well as clinical, financial, member, and provider information. Requires excellent oral and written communication skills.
- Bachelor’s Level Degree
- Master’s Level Degree
- Statistics 1 year
- Population Management 1 year
- Financial Analysis 1 year
- Data Analysis 1 year
- Service Orientation
- Reading Comprehension
- Critical Thinking
- Coordination
- Complex Problem Solving
- Communication
- Active Listening
- Active Learning
- Writing
- Troubleshooting
- Time Management