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Open nowFirst seen 5 days ago

Sr. Healthcare Informatics Analyst (Medicare Advantage)

Glint Tech Solutions LLC139 open roles

Where
Alabama, United States, Remote
Work mode
Remote
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Your applicationOpen nowSr. Healthcare Informatics Analyst (Medicare Advantage)Glint Tech Solutions LLC · Alabama, United States, Remote

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  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

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The clock on this job

Early applications get read.

12.3% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.3%7 days
  4. 19.3%14 days
  5. 35.6%30 days
  6. 58.1%60 days
This job: first seen 5 days ago

The posting

Job Title: Sr. Healthcare Informatics Analyst (Medicare Advantage)

Location: 100% Remote (candidate must reside in an approved state: AL, AR, DE, FL, GA, ID, IN, IA, KS, KY, MS, MO, NH, NE, NC, OK, SC, SD, TN, TX, UT, VA, WV, WI)

Company Overview

Glint Tech Solutions is a women-owned, global IT staffing and recruiting firm serving enterprise clients across the USA and Canada.

Project Description

A leading healthcare payer client is seeking a Senior Healthcare Informatics Analyst who will independently provide analytics to understand and improve how healthcare is valued, utilized, and provided. This role develops analytic attributes related to patient-level health utilization/outcomes, provider performance measures, risk-adjusted revenue optimization, medical cost management, and patient/provider engagement behavior, collaborating with business areas and IT to lead problem solving, solution development, and strategic planning.

Key Responsibilities

  • Independently provide analytics to understand and improve how healthcare is valued, utilized, and provided
  • Develop analytic attributes pertaining to patient-level health utilization/outcomes, provider performance measures, and risk-adjusted revenue optimization
  • Support medical cost management and analysis of patient/provider engagement behavior attributes
  • Lead problem solving, solution development, and strategic planning in collaboration with other business areas and IT
  • Ensure compliance with all laws and regulations associated with duties and responsibilities

Mandatory Skills

  • Healthcare experience required, with Medicare Advantage trend analysis experience
  • Bachelor's degree in healthcare administration, statistics, economics, analytics, or computer science (4 years of relevant experience may substitute; Master's preferred)
  • 4+ years of healthcare, analytics, IT, or management consulting experience
  • Strong critical thinking, analytical, and problem-solving skills
  • Experience building predictive models
  • Strong knowledge of SQL, SAS, R, Python, Tableau, or similar query/analytic/visualization tools
  • Basic knowledge of the U.S. healthcare delivery system in a payer or provider setting

Nice-to-Have Skills

  • Strong knowledge of outcome research design and controlled study design
  • Advanced knowledge of SAS, including Enterprise Miner
  • Strong understanding of provider payment methodologies, population health management, and risk adjustment
  • Strong understanding of clinical groupers, including episode and risk groupers (DRG, APC, ETG, MEG, DxCG, HCC)
  • Strong understanding of quality metrics (HEDIS, AHRQ)
  • Knowledge of commercial risk optimization and MA risk optimization
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