• The salary range for this position is $108,450 - $118,450 / yr
• This is a Full-time position
• Health Insurance Plans
• Flexible Spending Account Programs
• Management or Union Benefits
• Leave Benefits
• Special Leave of Absence Coverage (SLOAC)
• Retirement Savings Plans
• Additional Savings Plan
• Transit Benefit
• Direct Deposits
• Municipal Credit Union (MCU)

• Must have a Bachelor’s degree in Health Sciences, Statistics, Biostatistics, Epidemiology, Health Informatics, Health Economics, or a similar field. A Master’s degree is preferred.
• Must have Health insurance experience.
• Must have 5-8 years of experience in progressively complex healthcare data analytics / statistical analysis.
• Must have 3-5 years of experience interacting with internal clients for report development and execution, especially with reporting actionable activity by/for clinicians.
• Must be Fluent in TSQL (required). Tableau or Power BI is desired, and SAS/R is desired.
• Must have proficiency in understanding and analyzing both professional and facility claims
• Experience in utilization management, case management, and VBP arrangement is highly desired.
• Must have the ability to translate business requirements into analytical deliverables.
• Experience in performing clinical program evaluation is desired.
• Self-motivated is a must.

• Drive various designated and cross-functional reporting, using Plan data to provide analysis and research related to the utilization, performance, and efficacy reporting of different healthcare services and lines of businesses under Medical Management.
• Responsible for research, collection, analysis, and presentation of the Plan’s integrated utilization, quality, and financial data. The individual must work with departments within the Plan to coordinate analytics to enhance operational efficiencies.
• Create dashboards, report cards, and other meaningful data visualization offerings and presentations to communicate actionable & timely findings to a variety of key decision-makers.
• Communicate and translate raw data and information between different groups. Use data to show end results and the impact of actions.
• Drive the delivery & management of standard weekly, monthly, and quarterly reports, as well as numerous other ad-hoc reporting.
• Prepare & conduct financial-related analyses on various aspects of the Medical Management and Contracting operations of the Plan including utilization, payment, rate structure, and membership.
• Prepare & conduct projection analyses on claims and utilization, including underlying trends and risk analysis.
• Prepare analyses of medical services from large, shared databases utilizing queries and multiple-level extracts.
• Contribute to the planning, delivery, and maintenance of the Monthly Indicator Report. Identify key performance indicators that can be tied to the plan strategy and highlight specific indicators for deeper analysis and discussion. Make recommendations to retire or revise other indicators that do not warrant close review.
• Manage all analytical reporting requests in an assigned queue; keep current with all reporting needs and manage multiple projects at one time.
• Works with clinical and non-clinical users to understand reporting needs, and to ensure that reporting is done clearly and concisely.
• Facilitate process improvement within the department via program & performance evaluation.
• Provide subject matter expertise and operational support to Medical Management Department.
• Collaborate with other Health Analytics team members and other departments & SMEs to understand company needs and devise possible solutions including data integrity data governance solutions to remove joint obstacles to timely and high-quality data analytics.
• Liaison between business decision makers, contracting, business SMEs, IT, and project resources & workgroups to facilitate results through the project lifecycle phases and ensure business expectations are being met for delivery.

We are committed to our core values: integrity, honesty, and transparency Finding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. At Greenlife our mission is to make this process easier for you and help you through all the steps necessary to find that perfect new position or the healthcare professional to round out your team. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.