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Come join Peak Health – a fast-growing provider led health plan, as a Business Intelligence Engineer (Operational Analytics). Your data management and analysis skills combined with your critical thinking will help us advance operational performance across Peak Health by transforming raw data into actionable intelligence that improves efficiency, throughput, quality, and member/provider experience.
The Business Intelligence Engineer will collaborate closely with the Operational Analytics team, as well as peers and colleagues, across product, operations, medical management, and provider contracting to support and implement high-quality, data-driven decisions. The ideal candidate has a knack for seeing solutions in data sets and the business mindset to convert insights into strategic opportunities. They will ensure data accuracy and consistent reporting by designing and creating optimal processes and procedures for analytics employees to follow. They will use advanced data modeling, predictive modeling, and analytical techniques to interpret key findings from company data and leverage these insights that will help us design, build, and manage our health plan.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor’s Degree in Business Administration, Mathematics, Computer Science, Statistics, Information Systems, or a related field.
EXPERIENCE:
1. Two (2) years of experience monitoring, managing, manipulating, and drawing insights from data in a managed care company.
2. Two (2) years of experience working with claims data to evaluate reimbursement changes, payment discrepancies, medical expense opportunities, quality outcomes and risk.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Two (2) years of experience working with Medicare and/or Medicaid Data.
2. Epic Accreditation for Cogito, Caboodle Data Model, and Clarity Data Model or able to obtain within 60 days of hire
EXPERIENCE:
1. Familiarity with health plan operations, data architecture, and Medicare/Medicare regulatory environments.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.