Cambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to create a person-focused and economically sustainable health care system.

Remote opportunity for residents of OR, WA, ID and UT

Primary Job Purpose

The Data Analyst- Healthcare Consulting drives superior data quality through a robust process of collecting, validating, analyzing, and reporting of key information. Propels effective and efficient business operations by instituting, enhancing, and overseeing process improvement efforts. This role is critical to ensuring providers receive accurate and timely insights to effectively manage our members. You will be working with a highly collaborative team made up of super talented analysts.

General Functions And Outcomes

• Provides data analytics, primarily for Provider Partnership Innovations (PPI) department.
• Pulls, validates, and analyzes data from all types of sources to identify and assess risks and prevent, detect, investigate, and correct data inconsistencies and anomalies.
• Develops working partnerships with data and system owners across Cambia and relevant vendors to secure necessary access, training, and context for obtaining and analyzing data
• Supports departmental and cross-departmental reporting, including performance reporting
• Develops and maintains reporting commitments
• Creates and manages supporting materials
• Analyzes and identifies healthcare industry trends and shifts in consumers’ preferences, attitudes and perceptions.
• Researches best business practices within and outside the organization to establish benchmark data
• Designs, populates, maintains, and creates departmental and cross-departmental reporting, including performance reporting. Assists in analyzing monitoring results and compiling statistics on a weekly, monthly or quarterly basis.
• Applies data and analysis to drive process optimization, controls analysis and improvement, and risk reduction, directly and through leading cross-functional teams.
• Participates in remediating risk areas or identified issues and documents processes and controls; monitors and regularly reports findings.
• Ensures that activities are executing as planned, including vendor activities, and provides a feedback loop and remediation plan if problems are identified.
• Documents and reviews business requirements, internal controls and/or management controls used to generate work output. Analyzes controls for strengths and weaknesses.

Requirements

• Demonstrated ability in creating innovative and persuasive presentations.
• Ability to communicate effectively, both orally and in writing, regarding complex or sensitive information or issues.
• Demonstrated experience in report preparation, project documentation, or policy and procedure writing, including the ability to organize, review and interpret statistical data.
• Demonstrated analytical ability to identify problems, develop solutions, and implement chosen course of action.
• Strong computer skills including use of Microsoft Office products or equivalent software for creating and maintaining databases, spreadsheets and creating reports and documents.
• Action oriented with the ability to prioritize workload and focus on highest priorities.
• Demonstrated ability to organize, plan, prioritize and coordinate multiple projects within specified timelines with minimal supervision.
• A proven team player with the ability to partner, maintain and develop relationships.
• Ability to pull, manage, organize and analyze data
• Ability to understand the data and when it may be incorrect, contradictory and/or incomplete
• Knowledge of health insurance claims processing with the ability to pull, validate, and analyze health insurance claims data. Knowledge of health insurance data systems.
• May have experience in one of the following: data mining tools (TOAD, SQL, BOE, etc.) or analytic tools, statistical analysis or methods
• Demonstrated ability to learn quickly when faced with new situation.
• Demonstrated competency in pulling, managing, organizing, and analyzing data.
• Demonstrated competency in reconciling data that may be incorrect, contradictory, and/or incomplete into understandable framework and actionable recommendations.
• Fluent with health insurance claims processing and proven ability to pull, validate, and analyze health insurance claims data. Proficient in health insurance data systems.
• Experienced in data mining tools (TOAD, SQL, BOE, etc.), analytic tools, statistical analysis and methods (e.g., SQL, SAS, OLAP, SPSS or the advanced statistical capabilities of Excel).
• Demonstrated competency in process optimization, including end-to-end process mapping, control point identification and improvement, stakeholder interviewing, and end-to-end control assessment.
• Proven decision making and problem solving skills.
• Proven influence, interpersonal, communication, and relationship-building skills. Proven ability to work as part of a team, across teams, and with key business partners at all levels of the organization.
• Tableau or other data visualization tools a plus.
• Alteryx experience a plus.