Job Description

Lets do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, were 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. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Lets be better together.

Job Summary:
The Healthcare Data Analyst is a critical resource in our efforts to manage health care costs, improve quality, and enhance the experience of both the member and the care team, through sophisticated analysis and communication of health care data. This position is FT WFH.

Pay Range
$67,822.12 - $ 101,856.32 annually (depending on experience). *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position.

Benefits :

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Primary Functions:

1. Performs research and analysis of healthcare claims, enrollment, and other related data, to report on network utilization, cost structure, and/or quality.

2. May combine and manipulate data from multiple sources.

3. Depending on experience, reviews, writes, and/or presents healthcare utilization and cost containment reports.

4. Manages a workload of recurring reports, focusing on quality and delivery timeliness.

5. Identifies anomalies and troubleshoots potential problems. Updates and revises report criteria as appropriate to meet changing business conditions.

6. Meets with internal customers to brainstorm what kind of information/report is needed for each situation.

7. Thinks creatively about how to solve a problem or meet a specific business need, given the data available.

8. Collaborates with the other members of the Pharmacy Analytics team to expand analytical capabilities, methods, and toolkits.

9. Participates in user groups to share analysis tips and techniques

10. Create and maintain project and process documentation

11. Other duties as assigned

 

Required Skills & Experience:

1. Bachelors degree or equivalent experience.

2. Minimum 2 years experience analyzing data. 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 and visualization tools such as SAS, SQL, PowerBI, Microsoft Access, Microsoft Excel, Tableau, or other similar applications.

6. Ability to read, write, and modify complex SAS programs and projects preferred.

7. Ability to read, write, and modify complex SQL statements preferred.

8. Ability to work well under pressure and with constantly shifting priorities.

9. Ability to project a professional image and maintain complete confidentiality.

10. Ability to transform and integrate data from multiple tables, databases, and/or systems preferred

11. Deep understanding of health care data sources, flow, and limitations preferred

12. Experience with continuous quality improvement methodologies preferred

13. Experience with software development lifecycle methodologies preferred

 

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. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. 

For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our [email protected] email.

 

Job Tags

Holiday work, Shift work,

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