Healthcare Senior Analyst Job Description
Healthcare Senior Analyst Duties & Responsibilities
To write an effective healthcare senior analyst job description, begin by listing detailed duties, responsibilities and expectations. We have included healthcare senior analyst job description templates that you can modify and use.
Sample responsibilities for this position include:
Healthcare Senior Analyst Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Healthcare Senior Analyst
List any licenses or certifications required by the position: CCSP, AHIMA, CFA, CISM, CISA, CHFP, CPA, CBAP, EPIC, CMT
Education for Healthcare Senior Analyst
Typically a job would require a certain level of education.
Employers hiring for the healthcare senior analyst job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Economics, Statistics, Mathematics, Finance, Epidemiology, Healthcare, Computer Science, Public Health, Accounting, Actuarial Science
Skills for Healthcare Senior Analyst
Desired skills for healthcare senior analyst include:
Desired experience for healthcare senior analyst includes:
Healthcare Senior Analyst Examples
Healthcare Senior Analyst Job Description
- Using SQL based tools, creates and runs queries used for data mining and analytics to support other job responsibilities and ad hoc projects
- Facilitate all pieces of external and internal analytic engagements, such as data mapping, code analysis using proprietary programming tools, Excel and SQL
- Solution focus
- Gather data and conduct ad-hoc analyses as directed
- Preparation of annual budget and financial services
- Act as an advisor for all financial issues to senior management
- Maintain financial/accounting systems
- Maintain and analyze Benchmarking data
- Create financial models and perform variance analysis
- Ad-hoc projects within finance and strategy departments
- Sell-side experience a plus
- Financial modeling, NPV, IRR, and ROI analysis experience
- Hard working, team-oriented, and committed to producing great end results
- 5+ years of progressive finance experienced
- Strong and thorough understanding of healthcare revenue cycle and terminology
- 3+ years of dedicated healthcare FP&A experience or other demonstrated healthcare finance/accounting experience
Healthcare Senior Analyst Job Description
- Train and coach healthcare data analysts on data retrieval techniques, programming practices, statistical analysis, and visualization methods in the context of specific tasks
- Specify payer connectivity requirements
- Specify payer validation edits
- Support specification of payer edits
- Specify payer enrollment requirements
- Assist with payer enrollment
- Specify provider enrollment requirements
- Internal escalation path for payer related issues
- Manage Payment Integrity affordability reporting process for Employer & Individual business segment
- Partner with Medicare & Retirement and Community & State to consolidate United Healthcare Payment Integrity reporting
- 3 years minimum of financial analysis experience within Healthcare
- Excellent Excel knowledge (pivot table, v-lookups, exposure to macros)
- 3+ years experience demonstrating analytical and strategic thinking skills
- Knowledge of trends in Healthcare and capabilities of technology in Healthcare (such as, but not limited to Truven, Merge, Phytel, Explorys)
- 7+ years experience in marketing and communications in a corporate environment, specifically in Healthcare
- 2+ years of experience with claims processing or adjudication systems (Such as UNET, COSMOS, Facets, Diamond, or provider billing / coding knowledge on Professional and Facility claims)
Healthcare Senior Analyst Job Description
- Directly assists in the tie-out process of data sent to Beacon Health, LLC by external vendors
- Researches and reviews benchmarking data for comparison, validation and scope
- Creates written narrative summaries that outline project purpose, methodology, summary of findings, trends of interest, opportunities for intervention or consideration, changes or shifts in data elements from one time period to another, to compliment many of the above reports, models and analytics
- Using financial models, strategizes and analyzes individual drug retails (for both cash and Prescription Savings Club (PSC) pricing) in order to deliver desired reimbursement and optimize usual and customary percent while driving market share of price sensitive customers
- Recommends new store pharmacy pricing levels by reviewing trade area competition and surrounding Company pharmacy pricing levels
- If requested, attends and facilitates annual pre figure meetings with district managers (DM), and market vice presidents (MVP)
- Provides support to the field by answering questions and addressing issues
- Manages assigned non-recurring projects
- Responsible for working with large files of data and has the ability to translate data results into actionable results
- Manage and prioritize multiple projects simultaneously and adapt to rapidly changing schedules, priorities and workflows
- A 3+ years of healthcare experience, plus 2 years of SAS
- Payer/Provider Enrollment process
- Payer EDI process
- Experience writing and reviewing business, technical, and user non-functional/system level requirements
- 8+ years Health EDI
- Strong organizational skills, with ability to prioritize and execute tasks
Healthcare Senior Analyst Job Description
- A high level of modelling skills solid grounding in finance and accounting
- Self-motivated, Be able to work under tight time constraints
- Partner with all levels of the organization to provide ad hoc financial analysis and recommendations to support business decisions
- Collaborate with cross functional teams to determine and analyze industry trends and the multi-year financial and operation impacts of future service delivery models related to healthcare reform
- Partner with Regional Decision Support teams to lead the collection of data and analysis for system-wide clinical initiatives
- Faciliatate and lead the linkage of any new healthcare modeling concepts to support and integrate back into the traditional financial planning and budgeting processes
- Develop and review of pro formas for business plans and system-wide initiatives
- Facilitate and independently driving all processes and discussions associated with the financial aspect of the project/business group
- Champion the continuous improvement of solution development methodologies, systems requirement analysis, in order to improve the delivery of the finance department’s services to various other business areas
- Understanding the goals and business needs of an organization and recommending potential solutions
- Flexible, able to respond quickly to changes in project scope or timescales
- Self-driven and highly motivated to be a high performing trusted resource within the organization
- Proficient with tracking and managing multiple projects working with a variety of cross-functional resources (multi-tasking and prioritizing skills)
- Bachelor’s degree in Health Information Administration, Accounting, Finance, Healthcare, Criminal Justice or related field required
- Must have strong ability to analyze data to identify issues relating to health care fraud, waste and abuse
- Experience in detecting and investigating health insurance fraud, waste, and abuse preferred
Healthcare Senior Analyst Job Description
- Individually own and deliver on project requests
- Collaborate with Analytic partners to deliver accurate and timely data results
- Ensure quality assurance of project code, reports, and scenario tools
- Support the requirements process related to moving prototype reports to production
- Support the analytics and reporting infrastructure
- Provides business analysis support on all electronic data interchange (EDI) initiatives
- Analyzes and reduces complex problems into simple, manageable components
- Participates, gathers and documents business requirements
- Follows standard system development life cycle
- Develops System specifications documentations
- 1+ years of experience using campaign management tools such as IBM Campaign (Unica), Epiphany or Alterian
- Beginner SAS (BASE) experience for working with large datasets, however not looking for a strict SAS programmer
- Demonstrates proficiency with Microsoft software and operating systems (Word, Excel, PowerPoint, Access, etc)
- Experience working with multiple projects and collaborating with diverse resources to meet tight delivery timeframes
- Three to five years' experience in analysis of healthcare data and management of healthcare information systems
- Bachelor's Degree in Computer Science, Mathematics, Statistics, or other quantitative discipline required