Clinical Analytics Analyst - III

September 24

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NJM Insurance Group

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Auto Insurance • Workers'​ Compensation Insurance • Homeowners Insurance • Commercial Auto Insurance • Renters Insurance

1001 - 5000

Description

• The role is a technical lead that requires deep knowledge, skills, and experience in designing and carrying out clinical analytics • Collaborating in a multi-disciplinary business environment to lead clinical performance analytics, development, and reporting • Key team member delivering actionable clinical insights to providers and healthcare value to members and employer customers • Collects business requirements, translates business requirements into analytics design, and define data & analytics specifications • Manipulates and analyze large healthcare data from various data sources and interpret findings to inform opportunities and solutions • Acts as the analytic lead for complex clinical analytics projects involving multiple data resources and teams • Creates integrated analytic datasets and performs analytics to summarize findings

Requirements

• High School Diploma/GED required • Bachelor degree in Math, Statistics, Data Science, Economics, Epidemiology, Public Health, or related field preferred or relevant experience in lieu of degree • Prefers a master’s degree in Math, Statistics, Data Science, Economics, Epidemiology, Public Health, or related field • Requires a minimum of 7 years of experience in Data Analytics, Informatics, Medical Economics or other relevant work experience • Requires a minimum of 7 years of experience performing analysis on large healthcare administrative claims data, EHR/EMR data, or complex relational health care databases with significant experience analyzing medical, pharmacy, and behavioral health claims data • Requires a minimum of 7 years of hands-on programming experience using SAS • Requires extensive knowledge of US healthcare industry, health plan business, claims data, clinical data, and coding practices • Requires proficiency with MS Excel for data analysis and reporting • Solid organizational skills and attention to details • Strong ability to work in a fast-paced team-oriented environment • Strong ability to manage competing priorities • Highly motivated and able to work independently • Prefers knowledge and working experience of visualization and BI tools (e.g., Tableau, Power BI.) with preference given to Tableau experience • Prefers hands-on experience of clinical episode groupers and analytics, preferably with Optum’s Symmetry Suite of Services (Impact Intelligence, ImpactPro, ETG, ERG, PEG, EBM, PRG, etc.) or PROMETHEUS • Prefers knowledge and direct experience of Milliman’s analytics tools such as MedInsight Health Cost Guidelines (HCG) Grouper, Milliman Advanced Risk Adjusters (MARA), MedInsight Benchmarks • Prefers knowledge and experience of statistical tests and modeling

Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement