LogoFresh Jobs Ahead
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.
LinkedIn
Kompaniyadagi ish o‘rinlari

VBP Data Analyst II

Analyze value-based payment data and support reporting at PacificSource Health Plans. The role covers data extraction, visualization, financial reconciliation, and reporting for employers, ASO groups, and regulators.

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

Tavsif

  • Coordinate data support for critical business analysis and reporting.
  • Extract, clean, transform, and prepare warehouse and nonstandard data using tools such as T-SQL and SAS.
  • Assist in building interactive visualizations with Tableau or Microsoft Power BI.
  • Create reports, analytical solutions, and processes for RFPs, large employers, ASO groups, and state and federal requests.
  • Calculate and analyze value-based payment terms, and assist with 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 processes.
  • Build knowledge of health insurance and assigned analytics support areas.
  • Work with level 3 and 4 analysts, analytics management, and teams across departments.
  • Comply with privacy policies and HIPAA requirements for protecting confidential health information.
  • Meet department and company performance and attendance standards.
  • Carry out other assigned duties.

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 familiarity with at least one statistical or analytical programming tool, such as R, SAS, or SPSS.
  • General familiarity with 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 departmental policies and procedures.
  • Ability to read and understand written and spoken English.
  • Clear and effective communication skills.
  • Knowledge of business principles, theories, and concepts.
  • Preferred familiarity with Medicare Five-Star, Oregon Quality Incentive Measures, NCQA HEDIS, the Health Care Payment Learning & Action Network, the Alternative Payment Model framework, and the Facets claims processing system.
  • A master’s degree or higher is preferred.

Imtiyozlar

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

O‘xshash ish o‘rinlari

Quest Analytics, LLC

Data Analyst, Healthcare Network Analytics

Quest Analytics, LLC
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

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.

Ochish
Barnes Aerospace

Remote Procurement Compliance, Governance & Analytics Manager – Barnes Aerospace

Barnes Aerospace
1 001 – 5 000 Xodimlar
Aerokosmik sanoatIshlab chiqarishLogistika
USAmerika Qo‘shma Shtatlari
110 000 $ – 172 000 $ / yil
MasofaviyTo‘liq stavkaSeniorYetakchiTalab Qilinadigan Til: inglizchaMa’lumotlar tahlilchisi
ERPPMP

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

Ochish