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Medical Economics & Informatics Analyst

Company: HealthHelp
Location: Houston
Posted on: August 7, 2022

Job Description:

Job Description SUMMARY This position is responsible for leading and supporting business analysis, utilization analysis, quality metrics reporting and performance results monitoring. The incumbent will also support reports design, development and standardization, data quality issues research/resolution and analytical support within the Medical Economics and Informatics (MEI) Department. MAJOR RESPONSIBILITIES Perform research and analysis of complex healthcare claims data, pharmacy data and lab data regarding clients--- utilization and cost containment information Evaluate healthcare utilization and cost, and make recommendations based on relevant findings Develop queries to obtain data that is appropriate to the purpose with minimal assistance and oversight Perform trend analysis Draw actionable conclusions based on analyses performed on client data and communicate those conclusions effectively to audiences at various levels of the enterprise and client Translates analyses into client-ready deliverables using visualization tools available, such as Tableau Ability to lead projects and mentor junior analysts Lead development of statistical/logic intensive analyses Lead and facilitate interaction with customers in a manner that fosters cooperation and teamwork while conveying engagement and competence Enhance department influence by providing responsive service and understanding customer needs Establish trusting professional relationships with internal collaborators and senior business customers Participate in department initiatives and projects Train and support any new MEI staff Perform other duties as assigned GENERAL QUALIFICATIONS Bachelor---s degree or higher in Healthcare Informatics, Health Care Statistics, Public Health Economics, Epidemiology, Mathematics, Computer Science/IT, related field or equivalent experience Master---s degree, preferred 5 years of experience in the healthcare industry in payer, provider, and/or vendor organizations, required Minimum 3 years--- experience in medical economics/analytics/informatics with focus on production of value-add and insight Experience using medical claims data (medical cost, utilization, cost benefit analysis, etc.) to perform claims/prior authorization based cost/quality of care analytics Experience with prior authorization data Experience in leading analytical projects end to end Advanced or higher level of proficiency with MS Excel and SQL Proven experience working with Medicare, Medicaid, commercial claims, and member eligibility data Experience in developing models for evaluating and projecting healthcare costs Advanced analytical skills with the ability to analyze and interpret data through complex data analysis Experience in data mining, statistical analysis, and data transformation/manipulation Ability to produce clear, written supporting documentation Knowledge of healthcare financial business cycle, healthcare quality reporting and analysis, benchmarking Able to effectively work closely in groups and work independently Attention to detail, effective time management and multitasking skills including managing responsibilities (with minimal supervision) and exercise initiative Company Description HealthHelp - A WNS Company (www.HealthHelp.com), is the leader in the field of healthcare utilization & care management. We have gained this position by actively working to change out-of-date practices with a collaborative, non-denial based approach. Our methodology helps payors achieve a higher return on investment, gives providers education programs that better inform physicians, and ensures quality and safety for the patients needing treatment. HealthHelp---s innovative approach and strong IT capability in specialty benefits management means that staff will move healthcare forward when provided with evidence-based solutions and second opinions. HealthHelp's staff is comprised of healthcare professionals who make a difference every day. HealthHelp has a desire to fill their company with talented and innovative people who want a career path filled with success and personal growth. Our specialty benefits management services are broad and include, Cardiology, Oncology, Radiology, Radiation Therapy, Sleep Care, and Musculoskeletal Care. HealthHelp has two locations in Houston, one a corporate office and the second a state-of-the art contact center. HealthHelp is also proud to have another such contact center in Albany, New York. WNS Global Services Inc. (NYSE: WNS) is a global Business Process Management (BPM) leader. WNS offers business value to 400global clients by combining operational excellence with deep domain expertise in key industry verticals, including Banking and Financial Services, Consulting and Professional Services, Healthcare, Insurance, Manufacturing, Retail and Consumer Packaged Goods, Shipping and Logistics, Telecommunications, Travel and Utilities. Globally, the group---s over 44,000 Professionals serve across 60 delivery centers in 16 countries worldwide.

Keywords: HealthHelp, Houston , Medical Economics & Informatics Analyst, Professions , Houston, Texas

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