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Director, Data Analysis

Company: Oklahoma Complete Health
Location: Blanchard
Posted on: April 4, 2021

Job Description:

Position Purpose: Lead analytical data needs for all HP's and business units.

  • Initiate and lead company wide data processes improvements
  • Lead cross functional activities related to large-scale analytic projects to deliver on schedule, within budget and with superior quality
  • Develop and lead activities to accomplish overall strategic department goals and lead the communication of these goals to stakeholders at all levels of the organization
  • Collaborate with health plan leadership to understand their data analysis needs, explain trends in data and actively drive further research and/or operational changes to assist in controlling medical costs and delivery of quality healthcare to members
  • Participate in cross health plan initiatives and capabilities, including data analysis support
  • Lead development efforts with technical team liaisons, including business requirements gathering and documentation, testing, delivery and user adoption, and effectively communicate deliverable expectations to the health plans and business units
  • Lead system/tool implementation and design as needed
    Education/Experience: Bachelor's degree in data related field. 9+ years of data analysis experience, preferably in healthcare. Advanced SQL and Microsoft Access skills, relational database knowledge, and various data reporting tool experience preferred. Knowledge of statistics and application of high level mathematical models in medical and pharmacy claims data preferred. Understanding of health insurance business, claims payment procedures, strategies and trends in health care government programs preferred. Master's degree and supervisory experience preferred.

    Business Analytics:
    Bachelor's degree in data related field. 9+ years of data analysis experience, preferably in healthcare or 7+ years of related IT experience, including data warehouse, coding or ETL experience. Advanced SQL and Microsoft Access skills, relational database knowledge, and various data reporting tool experience preferred. Knowledge of statistics and application of high level mathematical models in medical and pharmacy claims data preferred. Understanding of health insurance business, claims payment procedures, strategies and trends in health care government programs preferred. Master's degree and supervisory experience preferred. Encounters experience preferred.

    Risk Adjustment Analytics:
    Bachelor's degree in data related field. 9+ years of data analysis experience, preferably in risk adjustment analytics with a healthcare payor or 7+ years of related IT experience, including data warehouse, coding or ETL experience. Advanced SQL and Microsoft Access skills, relational database knowledge, and various data reporting tool experience preferred. Knowledge of statistics and application of high level mathematical models in medical and pharmacy claims data preferred. Understanding of health insurance business, claims payment procedures, strategies and trends in health care government programs preferred. Master's degree and supervisory experience preferred. Encounters experience preferred.

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Keywords: Oklahoma Complete Health, Norman , Director, Data Analysis, Executive , Blanchard, Oklahoma

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