► CareersManaged Care Data Analyst

Managed Care Data Analyst

The Managed Care Data Analyst is a key member of the Network Development team. The Managed Care Data Analyst is responsible for analyzing, reporting and developing recommendations on data related to complex and varied business metrics. The position will be evaluate network adequacy, provider performance, utilization management, employer group cost and utilization trends, provider contract adherence to payment policies, alternative payment modeling as well as enrollment and demographics’ by State County, City, Towns and zip codes .The Managed Care Data Analyst works with cross functional departments to meet both regulatory needs along with Network requirements and Sales and Marketing request for network statistics.


Responsibilities:
  • Creates and maintains databases to track business performance.
  • Analyzes data and summarizes performance using summary statistical procedures.
  • Develops and analyzes business performance reports (e.g. for claims data, provider data reports and utilization data) and provides notations of performance deviations and anomalies.
  • Creates and publishes periodic as well as ad hoc reports.
  • Makes recommendations based on data analysis.

Qualifications:
  • BA/BS Degree in Finance, Health Care Administration or related field
  • 3-5 years preferred experience in data modeling, informatics or finance or combination of education and experience
  • Experience with relational databases and knowledge of query tools and statistical software
  • Ability to manipulate large sets of data
  • Strong analytical, organizational and problem solving skills
  • Ability to meet deadlines, multi task, problem solve and use appropriate technology to analyze business problems
  • Knowledge of SQL preferred
  • Experience in the healthcare, health insurance or managed care industry preferred
  • Working knowledge of MS tools including MS Office products, MS Access, Power Point and proficiency in Microsoft Excel preferred
  • Exposure to Geo Access software a plus

Description of Company:

Minuteman Health is a new non-profit health insurance option for Massachusetts and New Hampshire residents. Founded by contributors that include Tufts Medical Center, Vanguard Health Systems and New England Quality Care Alliance (NEQCA), Minuteman offers consumers and employers lower-cost high-quality care with unprecedented transparency, as well as increased efficiency and satisfaction for physicians, patients, and employers alike.


*Please, NO recruiters or agencies


 


 



Accessibility: If you need an accommodation as part of the employment process please contact Human Resources at Email: careers@minutemanhealth.org

Equal Opportunity Employer, including disabled and veterans. If you want to view the EEO is the Law poster, please choose your language: English | Spanish | Arabic | Chinese

If you want to view the EEO is the Law Supplement poster, please choose your language: English | Spanish | Chinese