Health Care Service Corporation
Health Care Service Corporation
Health Care Service Corporation (HCSC), Blue Cross Blue Shield Association की एक स्वतंत्र लाइसेंसधारी और अमेरिका की प्रमुख स्वास्थ्य बीमा एवं स्वास्थ्य सेवा संस्थाओं में से एक है। यह नियोक्ताओं, व्यक्तियों, परिवारों तथा Medicare और Medicaid के सदस्यों के लिए कवरेज और लाभ कार्यक्रमों के माध्यम से लगभग 2.3 करोड़ लोगों की सेवा करती है। स्वास्थ्य बीमा के अलावा, HCSC फार्मेसी सेवाएं, जीवन और दंत कवरेज तथा स्वास्थ्य डेटा प्रौद्योगिकी भी उपलब्ध कराती है। लगभग एक सदी के अनुभव के साथ, कंपनी बीमा, स्वास्थ्य सेवा और परामर्श के क्षेत्रों में काम करती है ताकि देखभाल तक पहुंच बढ़ाई जा सके, बेहतर स्वास्थ्य परिणामों का समर्थन किया जा सके और सदस्यों तथा समुदायों के लिए लागतों के प्रबंधन में सहायता मिल सके। इसके व्यापक संचालन से स्वास्थ्य लाभ, स्वास्थ्य सेवाओं, प्रौद्योगिकी, डेटा और संबंधित व्यावसायिक कार्यों में करियर के अवसर उपलब्ध होते हैं।

ACA Programs Analytics and Reporting Consultant

Turn healthcare data into reporting and insights that support HCSC’s ACA risk adjustment programs, program strategy, and member outcomes.

विवरण

  • Support prospective risk adjustment initiatives, including ACA point-of-care and in-office assessments.
  • Assess program performance and find ways to improve member outcomes and operational effectiveness.
  • Develop business-driven reports, analyses, datasets, and reporting specifications.
  • Use reporting systems to produce datasets and reports for analysis.
  • Connect business teams with divisional data teams to deliver practical tools and analysis.
  • Partner with program leaders and cross-functional stakeholders to shape and execute strategic programs.
  • Investigate complex business challenges using internal and external data.
  • Spot and interpret trends and patterns in datasets.
  • Research strategic initiatives.
  • Share insights that inform decisions.
  • Build customer relationships and strengthen understanding of divisional data.
  • Respond to changing business needs and advance prospective risk adjustment strategies.
  • Lead functional teams and projects.
  • Prepare and present material that informs stakeholders and influences decisions.

आवश्यकताएँ

  • Bachelor’s degree plus four years of analytical experience in relationship management or turning analytics insights into action, or nine years of relevant analytical experience.
  • Experience gathering and documenting business requirements for information strategies.
  • Ability to solve complex problems and approach them from new perspectives using existing solutions.
  • Knowledge of software development processes, including SDLC and Agile methods.
  • Experience preparing and delivering influential presentations.
  • Experience leading functional teams and projects.
  • Experience with at least one of SAS, SPSS, R, MATLAB, SQL, or Python.
  • Clear, concise written and verbal communication skills.
  • Proficiency with Microsoft Access, Excel, Word, and PowerPoint.
  • Sponsorship is unavailable.
  • Preferred: bachelor’s degree in business, engineering, or mathematics.
  • Preferred: master’s degree.
  • Preferred: healthcare experience in business development, business analytics, or innovation management.
  • Healthcare analytics experience, preferably with ACA, risk adjustment, population health, care delivery, or quality improvement programs.
  • Knowledge of prospective risk adjustment initiatives, including in-home and point-of-care assessments.
  • Experience evaluating healthcare program performance and translating findings into operational or strategic recommendations.
  • Experience partnering with business leaders on program strategy, implementation, and performance measurement.
  • Proficiency querying large datasets with SQL.
  • Experience building dashboards and visualizations with Tableau or similar business intelligence tools.
  • Experience working with healthcare claims, eligibility, clinical, or encounter data.

लाभ

  • Curated development plans and professional learning opportunities.
  • Health and wellness benefits.
  • 401(k) savings plan.
  • Pension plan.
  • Paid time off.
  • Paid parental leave.
  • Disability insurance.
  • Supplemental life insurance.
  • Employee assistance program.
  • Paid holidays.
  • Tuition reimbursement.
  • Annual incentive bonus plan.
  • Additional incentives.
  • Hybrid schedule with two remote workdays per week.

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