Health Care Service Corporation
Health Care Service Corporation
„Health Care Service Corporation“ (HCSC) yra nepriklausoma „Blue Cross Blue Shield Association“ licencijos turėtoja ir viena pagrindinių JAV sveikatos draudimo bei sveikatos priežiūros paslaugų organizacijų. Ji teikia paslaugas beveik 23 milijonams žmonių, siūlydama draudimo ir išmokų programas darbdaviams, fiziniams asmenims, šeimoms bei „Medicare“ ir „Medicaid“ nariams. Be sveikatos draudimo, HCSC teikia vaistinių paslaugas, gyvybės ir dantų draudimą bei sveikatos duomenų technologijas. Beveik šimtmetį sukaupta patirtis leidžia įmonei veikti draudimo, sveikatos priežiūros ir konsultavimo srityse, siekiant didinti prieinamumą prie priežiūros, gerinti sveikatos rezultatus ir padėti nariams bei bendruomenėms valdyti išlaidas. Plati įmonės veikla suteikia karjeros galimybių sveikatos išmokų, sveikatos priežiūros paslaugų, technologijų, duomenų ir susijusių verslo funkcijų srityse.

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.

Aprašymas

  • 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.

Reikalavimai

  • 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.

Privalumai

  • 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.

Susiję darbai

Centorrino Technologies

Remote Risk Management Specialist — Australia

Centorrino Technologies

Implement a risk management system for regulated Australian organisations, translating governance needs into configuration, testing, reporting and adoption. Work across the implementation lifecycle with stakeholders on risk data, controls and executive reporting.

Atidaryti