P
PACIFICSOURCE
1,001 – 5,000 कर्मचारी
PACIFICSOURCE एक स्वास्थ्य योजनाओं की कंपनी है, जिसकी स्थापना 1933 में हुई थी। इसकी टीम में लगभग 1,001 से 5,000 कर्मचारी हैं, जिससे यह स्वास्थ्य सेवा कवरेज क्षेत्र में प्रतिनिधित्व रखने वाला एक स्थापित संगठन बनता है।

Data Analyst II, Value-Based Payments (Remote, North Carolina)

Support PacificSource’s value-based payment analytics, reporting, and financial reconciliation. Extract and analyze data, build visualizations, and help assess health insurance programs.

विवरण

  • Provide analytics support for reinsurance, large employer proposals and accounts, ASO work, and state or federally mandated reporting.
  • Work with senior analysts and analytics managers across departments.
  • Extract data from warehouses and other nonstandard sources.
  • Clean, transform, and prepare data with tools such as T-SQL and SAS.
  • Help build interactive visualizations in Tableau or Microsoft Power BI.
  • Create reports and analytical solutions for proposal, employer, ASO, state, and federal requests.
  • Calculate and analyze value-based payment terms, and support monthly reporting and financial reconciliation.
  • Explain complex data, analyses, and findings clearly to teams.
  • Create and maintain documentation, training materials, and job aids.
  • Assess how business changes affect risk report specifications.
  • Conduct ad hoc analyses of cost and utilization opportunities.
  • Assist with quality assurance, data validation, unit testing, error checks, and validation procedures.
  • Build health insurance business knowledge and expertise in assigned analytics support areas.
  • Meet department and company performance and attendance expectations.
  • Carry out other assigned duties.

आवश्यकताएँ

  • At least three years of experience in health insurance or a related field.
  • Bachelor’s degree in mathematics, computer science, statistics, engineering, health and medical economics, public health, or a similar research-related field.
  • General understanding of business principles, theories, and concepts.
  • Ability to manage multiple projects and competing deadlines.
  • Ability to handle a workload in a team setting or with minimal direct supervision.
  • Ability to develop solutions to complex problems, anticipate issues, and identify ways to address them.
  • Ability to handle confidential information responsibly.
  • Ability to develop, document, and follow department policies and procedures.
  • General knowledge of at least one statistical or analytical programming tool, such as R, SAS, or SPSS.
  • General knowledge of Tableau, Power BI, and web-based database tools.
  • Proficiency with Microsoft Office, including Word, Excel, PowerPoint, and Outlook.
  • Ability to follow PacificSource privacy policy and HIPAA requirements for protecting the confidentiality and security of protected health information.
  • Ability to understand spoken and written English.
  • Clear and effective communication skills.
  • Familiarity with Medicare Five-Star, Oregon Quality Incentive Measures and/or NCQA HEDIS, the Health Care Payment Learning & Action Network (LAN), the Alternative Payment Model framework, and the Facets claims processing system is preferred.
  • Working knowledge of medical costs is desired, as is experience with medical coding and terminology.
  • A master’s degree or higher is preferred.

लाभ

  • Equal opportunity employment.
  • Work-from-home arrangement for North Carolina, as indicated in the location field.
  • Travel is expected to be less than approximately 5% of the time.

संबंधित नौकरियाँ

Quest Analytics, LLC

Data Analyst, Healthcare Network Analytics

Quest Analytics, LLC

Analyze healthcare data for Quest Analytics to improve provider network management. Develop metrics, data solutions, and AI-assisted insights to help optimize health plan networks.

खोलें
PMI

Marketing Data Analytics Manager

PMI

Leads PMI’s marketing data analytics, overseeing data architecture, metric governance, predictive modeling, and executive reporting. Manages analysts and partners with engineering to build trusted marketing data products.

खोलें
Guidehouse

Remote Data Analyst at Guidehouse

Guidehouse

Build Tableau dashboards and data engineering solutions for Guidehouse’s federal government clients. Apply SQL, Python, Databricks, and AI analytics to support data-informed decisions.

खोलें
PatientPoint

Senior Data Analyst, Remote (US) at PatientPoint

PatientPoint

Turn healthcare network data into practical business insights as a Senior Data Analyst. Build models and visualizations for PatientPoint’s digital health platform.

खोलें
Brightside Health

Senior Data Analyst, Network Optimization

Brightside Health

Optimize clinician capacity, patient demand, and care quality across Brightside Health’s virtual mental health programs. Build forecasts, run experiments, and improve AI-enabled analytics.

खोलें
Barnes Aerospace

Remote Procurement Compliance, Governance & Analytics Manager – Barnes Aerospace

Barnes Aerospace

Lead procurement governance at Barnes Aerospace, including Coupa compliance, supplier data, analytics, and global transformation. Establish controls, dashboards, training, and procurement standards.

खोलें