Healthcare Data Analyst for Operations (SQL and TA...

Location: Virginia Beach, VA

*** Mention DataYoshi when applying ***

Sentara Health Plans is currently hiring an
Healthcare Data Analyst
for Optima Health!

This is a Full Time position with day shift hours and great benefits!
Candidates may work remotely in VA, NC, WA, NV , FL, IN, SD and WY.
Job Requirements:
  • Required: Bachelor's Degree
  • Required: 1 year- Data Analysis
  • With Claims processing knowledge and understand Call Center data
  • Excellent written and verbal communication skills and presentation skills
  • Preferred: Healthcare experience

Sentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier.

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.

The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self-service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requirement definition for new analyses and performs ad-hoc analysis as directed. This position supports data quality and data stewardship functions to maintain data accuracy and identify new metrics. As a subject matter expert, the Healthcare Data Analyst uses analytic skills to offer data-driven conclusions and recommendations to business partners.
Education Level
Bachelor's Level Degree OR
Master's Level Degree - Experience in lieu of education: Yes
Required: Data Analysis - 1 year

Preferred: Financial Analysis - 1 year, Population Management - 1 year, Statistics - 1 year
None, unless noted in the Other section below

Preferred: None, unless noted in the Other section below
As an integrated health system, Sentara delivers analytics across a wide variety of domains, including payer functions, ambulatory, acute & post-acute care and support functions. The subject matter expertise required will vary based on the specific opening, but include the following:Medical expense and trendsQuality including HEDIS reporting, interventions, and STAR ratingsClinical gaps and adherenceNetwork Management contracting and pay-for-performance/value-based measuresState and Federal regulatory reportingEmployer groups reporting and client ad-hoc reporting related to clinical and financial servicesPopulation health reporting & analysisRisk, member/patient stratification, member/patient segmentation, quality, provider scoring, and cost savingsAmbulatory, acute & post-acute quality, clinical performance, and operations reporting & analysisQuality & performance benchmarkingResearch data & analytic supportWorks directly with internal customers and external provider partners.Knowledge of SQL and TableauExcellent Oral and Written Communication SkillsProblem SolvingConsultative Engagement Skills

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