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PacificSource Health Plans
PacificSource Health Plans
1 001 – 5 000 Xodimlar
Sog‘liqni saqlashSug‘urtaTibbiy sug‘urta
PacificSource Health Plans jismoniy shaxslar, oilalar, ish beruvchilar va davlat dasturlari ishtirokchilariga xizmat ko‘rsatuvchi tibbiy sug‘urta tashkilotidir. Uning sug‘urta portfeliga jismoniy shaxslar va oilalar uchun rejalar, ish beruvchi tomonidan taqdim etiladigan sug‘urta, Medicare, Medicaid, stomatologik sug‘urta hamda guruh rejalariga oid ma’muriy xizmatlar kiradi. Kompaniya mijozlarga xizmat ko‘rsatish, salomatlikni boshqarish resurslari, ruhiy salomatlikni qo‘llab-quvvatlash va sog‘lom turmush dasturlari orqali ham a’zolarini qo‘llab-quvvatlaydi.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma ShtatlariVAVirjiniya
64 871 $ – 110 281 $ / yil
MasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaMa’lumotlar tahlilchisi
SQLTableau

Tavsif

  • 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.

Talablar

  • 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.

Imtiyozlar

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

O‘xshash ish o‘rinlari

Quest Analytics, LLC

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51 – 200 Xodimlar
KonsaltingLogistikaSog‘liqni saqlash
USAmerika Qo‘shma ShtatlariALAlabamaAZArizonaCOKoloradoCTKonnektikutFLFloridaIDAydahoILIllinoysIAAyovaKSKanzasKYKentukkiLALuizianaMEMenMDMerilendMAMassachusetsMIMichiganMNMinnesotaMSMissisipiMOMissuriMTMontanaNENebraskaNVNevadaNHNyu-HempshirNMNyu-MeksikoNCShimoliy KarolinaNDShimoliy DakotaOHOgayoOKOklaxomaOROregonSCJanubiy KarolinaSDJanubiy DakotaTNTennessiTXTexasUTYutaVTVermontVAVirjiniyaWVG‘arbiy VirjiniyaWIViskonsinWYVayomingMasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaMa’lumotlar tahlilchisi
JavaPythonScalaSparkSQL

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Integrity Management Services, Inc.
51 – 200 Xodimlar
KonsaltingSog‘liqni saqlashSug‘urta
USAmerika Qo‘shma ShtatlariVAVirjiniya
55 000 $ – 75 000 $ / yil
MasofaviyTo‘liq stavkaSeniorTalab Qilinadigan Til: inglizchaMa’lumotlar tahlilchisi
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Build automated tests for Python, SQL, BusinessObjects, and AI applications supporting federal healthcare data analytics. Validate data, run regression tests, analyze defects, and work with developers and analysts to improve test coverage.

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