Senior Data Analyst – Healthcare Economics

Role Overview

Lead, design, implement, and maintain provider reimbursement strategies, including financial reporting for all Wellmark-contracted providers. Collaborate with other Health Network team members to enhance support for providers. Serve as a subject matter expert and mentor team members.

What You Will Do

Perform advanced data analysis, consult with business stakeholders, and provide reimbursement guidance to providers. Configure, transfer, and monitor data in provider payment systems. Collaborate with vendors and manage service level agreements.

Why It Might Be a Fit

You are a critical and strategic thinker, detail-oriented, and analytical. You enjoy using your advanced data analysis experience to make recommendations and partner with internal business leaders.

Requirements

• Bachelor’s degree in accounting, finance, business, economics or related field or direct and applicable work experience
• 7+ years of relatable experience within the health insurance, healthcare or related financial industry
• Solid knowledge of Microsoft Excel and technical proficiency with tools such as Power BI, Tableau, SAS EG, and/or SQL
• Knowledge of hospital, physician, and other provider payment and contracting strategies
• Demonstrated knowledge of the health insurance industry, including delivery systems and managed care concepts
• Experience interpreting claims data, trends, and provider utilization
• Demonstrated problem-solving, quantitative, and analytical skills
• Comprehensive knowledge of nationally recognized provider compensation strategies
• Strong attention to detail and ability to develop and implement action plans
• Demonstrated ability to apply strong analytical, conceptual, and strategic thinking skills to negotiate with providers
• Ability to serve as a subject matter expert to mentor team members
• Strong presentation skills and ability to clearly articulate recommendations to business leadership

Benefits

• Dental insurance
• Vision insurance
• Other benefits not explicitly mentioned

Tagged as: Data Analysis