Medical Economics Analyst Senior - WFH

Our Company

Gentiva is an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for caregivers and clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join gifted colleagues who make a lasting difference in people's lives every day.

Overview

We are looking for a Medical Economics Analyst Senior to join our team. This position will directly report to the Vice President of Actuarial Services and is responsible for partnering with payers, providers and risk bearing entities to create a value based palliative care offering targeting patients approaching end of life. The role will be the first Medical Economics staff member to join the team and will be instrumental in designing the function to drive value and differentiation in this exciting new business line. This is a great opportunity to grow and advance within the organization.

• Collaborate with business partners to create and monitor standard reporting packages for key performance indicators (KPI's)

• Utilize various tools to define, extract, validate, shape, and interpret data to meet business needs. Accountable for accuracy of work product

• Research, analyze data, present results, and recommend intelligent solutions to solve problems and address business challenges by applying a knowledge of medical claims analysis, critical-thinking skills, and healthcare experience/expertise

• Write SQL queries, create end-user reports, and apply varying analytical techniques to solve specific business problems

About You

• Bachelors degree in computer science, data science, statistics, mathematics, analytics, economics or related field

• Minimum of 2 years of relevant experienceproven ability working as an analyst in the healthcare industry with medical claims, membership, and provider data

• Strong knowledge of and experience working with healthcare data

• Experience with Structured Query Language (SQL) required

• Proven experience working with Medicare paid claims data sets; other applicable datasets include Census and Member Eligibility datasets

• Experience in data mining, statistical analysis, and data transformation/manipulation

• Experience working with large data repositories and/or relational databases

• Expertise in MS Excel, with proficiency using formulas, PivotTables, linked worksheets, graphing and other reporting and presentation features

We Offer

• Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO

• Opportunity to participate in a Fleet Program

• Competitive Salaries

• Mileage Reimbursement

• Professional growth and development opportunities

Legalese

• This is a safety-sensitive position

• Employee must meet minimum requirements to be eligible for benefits

• Where applicable, employee must meet stage specific requirements

• We are proud to be an EEO employer

• We maintain a drug-free workplace

ReqID: 2024-103797
Category: Administrative/Clerical
Position Type: Full-Time
Company: Gentiva
Type of Service: Palliative Care Only