Healthcare Data Analyst II

Location: Portland, OR 97204

*** Mention DataYoshi when applying ***

Let’s do great things, together.

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.

This position is currently full time work from home.

As a Healthcare Data Analyst II, you will be a critical resource to the Moda team in our efforts to manage health care costs and improve quality. The role will have three main components:

Decision support for Moda senior management. Develop customized ad hoc reports to answer a variety of business questions, such as determining the financial impact of certain company initiatives, identifying key medical and dental cost drivers, and reporting on cost and quality performance metrics. Meet with internal customers to brainstorm what kind of information/report is needed for each situation. The ability to think creatively about how to solve a problem or meet a specific business need, given the data available, will be critical.

Provider & population health support. Generate reports and analysis to find opportunities to help our hospitals and physicians deliver high quality care at a reasonable cost. Make presentations to internal & external stakeholders about health care cost and utilization. Success will depend on having the ability to present the data in a compelling way that highlights the opportunities at hand – whether in making comparisons to benchmarks, pointing out anomalies, displaying trends over time, or using other creative analytical tools.

Supporting Moda functional excellence. Collaborate with the other members of the Analytics team to expand our analytical capabilities, methods, and toolkits. Participate in user groups to share analysis tips and techniques.

Primary Functions:
  • Under general supervision, performs complex research and analysis of healthcare claims, enrollment, and other related data, to report on network utilization, cost structure, and/or quality.
  • Combines and transforms data from multiple tables, databases, and/or systems.
  • Has a high level of understanding of data sources, flow, and limitations. Is able to develop reports and processes that appropriately integrate data from multiple sources.
  • Evaluates, writes, presents, and provides recommendations regarding healthcare utilization, quality measure, and cost containment reports.
  • May provide guidance or expertise to less experienced analysts.
  • Typically requires at least three to five years of experience in health data analysis.

Are you ready to be a betterist?

If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.

1. Bachelor’s degree or equivalent experience. 2. Minimum 3 years’ experience in financial analysis or other data analysis role. Experience with health care data preferred. 3. Strong analytical and problem solving skills 4. Strong verbal, written and interpersonal communication skills. 5. Experience with using data analysis tools such as SAS, SQL, Microsoft Access, Business Objects, Crystal Reports, or other similar applications. 6. Strong Microsoft Excel skills. 7. Ability to work well under pressure and with constantly shifting priorities. 8. Ability to project a professional image and maintain complete confidentiality.

*** Mention DataYoshi when applying ***

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