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PacificSource Health Plans
PacificSource Health Plans
1,001 – 5,000 कर्मचारी
बीमास्वास्थ्य बीमास्वास्थ्य सेवा
PacificSource Health Plans एक स्वास्थ्य बीमा संगठन है, जो व्यक्तियों, परिवारों, नियोक्ताओं और सार्वजनिक कार्यक्रमों के सदस्यों को सेवाएँ प्रदान करता है। इसके कवरेज पोर्टफोलियो में व्यक्तिगत और पारिवारिक योजनाएँ, नियोक्ता-प्रायोजित बीमा, Medicare, Medicaid, दंत चिकित्सा कवरेज और समूह योजनाओं के लिए प्रशासनिक सेवाएँ शामिल हैं। कंपनी ग्राहक सेवा, स्वास्थ्य-प्रबंधन संसाधनों, मानसिक स्वास्थ्य सहायता और वेलनेस कार्यक्रमों के माध्यम से भी सदस्यों का सहयोग करती है।
LinkedIn
कंपनी की नौकरियाँ

Value-Based Payment Data Analyst II

Support value-based payment, employer, reinsurance, and regulatory analytics for PacificSource Health Plans. Extract and analyze data, build Tableau and Power BI reports, and assist with reconciliation and quality checks.

USसंयुक्त राज्यVAवर्जीनिया
$64,871 – $1,10,281 / वर्ष
रिमोटपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीडेटा विश्लेषक
SQLTableau

विवरण

  • Coordinate data support for business-critical analysis and reporting.
  • Extract, clean, transform, and prepare warehouse and nonstandard data using tools such as T-SQL and SAS.
  • Help build interactive visualizations with Tableau or Microsoft Power BI.
  • Create reports and analytical solutions for RFPs, large employers, ASO clients, and state and federal requests.
  • Analyze value-based payment terms and support monthly reporting and financial reconciliation.
  • Present complex data, analysis, 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 related validation processes.
  • Build health insurance business knowledge and expertise in the assigned analytics domain.
  • Meet department and company performance and attendance expectations.
  • Comply with PacificSource privacy policies and HIPAA confidentiality and security requirements.
  • Carry out other duties as assigned.

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 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 Word, Excel, PowerPoint, and Outlook.
  • Ability to manage multiple projects and competing deadlines.
  • Ability to manage workload within a team or with minimal direct supervision.
  • Ability to develop solutions to complex problems.
  • Ability to handle confidential information responsibly.
  • Ability to develop, document, and follow department policies and procedures.
  • Familiarity with Medicare Five-Star, Oregon Quality Incentive Measures, NCQA HEDIS, LAN, the Alternative Payment Model framework, and the Facets claims processing system is preferred.
  • Working knowledge of medical costs is desired; experience with medical coding and terminology is also desired.
  • A master’s degree or higher is preferred.
  • Ability to read and understand written and spoken English.
  • Ability to communicate clearly and effectively.
  • Ability to stoop and bend, sit or stand for extended periods, perform repetitive motions, and lift or carry files and business materials.

लाभ

  • Work-from-home arrangement.
  • Equal opportunity employment.
  • Ergonomically configured equipment.
  • Travel required less than 5% of the time.

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