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Health Care Service Corporation (HCSC) — Blue Cross Blue Shield Association ұйымының тәуелсіз лицензия иегері әрі АҚШ-тағы жетекші медициналық сақтандыру және денсаулық сақтау қызметтері ұйымдарының бірі. Компания жұмыс берушілерге, жеке тұлғаларға, отбасыларға, сондай-ақ Medicare және Medicaid бағдарламаларының қатысушыларына арналған сақтандыру және жеңілдіктер бағдарламалары арқылы шамамен 23 миллион адамға қызмет көрсетеді. HCSC медициналық сақтандырудан бөлек, дәріхана қызметтерін, өмірді және стоматологиялық сақтандыруды, сондай-ақ денсаулық сақтау деректеріне арналған технологияларды ұсынады. Бір ғасырға жуық тәжірибесі бар компания сақтандыру, денсаулық сақтау және консалтинг салаларында жұмыс істеп, медициналық көмекке қолжетімділікті кеңейтуге, денсаулық нәтижелерін жақсартуға және мүшелер мен қауымдастықтар үшін шығындарды басқаруға ықпал етеді. Оның ауқымды қызметі денсаулық сақтау жеңілдіктері, медициналық қызметтер, технология, деректер және соған байланысты бизнес-функциялар бойынша мансап мүмкіндіктерін қалыптастырады.
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.
Сипаттама
- 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.
Талаптар
- 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.
Артықшылықтар
- 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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