高级医疗信息分析员（医保优势）
Sr. Healthcare Informatics Analyst (Medicare Advantage)
职位名称：高级医疗信息分析师（医保优势计划）
工作地点：100%远程（候选人必须居住在以下批准的州：AL, AR, DE, FL, GA, ID, IN, IA, KS, KY, MS, MO, NH, NE, NC, OK, SC, SD, TN, TX, UT, VA, WV, WI）
公司简介
Glint Tech Solutions 是一家由女性拥有的全球IT招聘和人才派遣公司，为美国和加拿大的企业客户提供服务。
项目描述
一家领先的医疗保险公司客户正在寻找一名高级医疗信息分析师，该职位将独立提供分析，以理解和改进医疗的价值、使用和提供方式。此职位开发与患者层面的健康使用/结果、供应商绩效指标、风险调整收入优化、医疗成本管理和患者/供应商参与行为相关的分析属性，并与其他业务部门和IT团队合作，推动问题解决、解决方案开发和战略规划。
主要职责
- 独立提供分析，以理解和改进医疗的价值、使用和提供方式
- 开发与患者层面的健康使用/结果、供应商绩效指标和风险调整收入优化相关的分析属性
- 支持医疗成本管理及患者/供应商参与行为属性的分析
- 与其他业务部门和IT团队合作，领导问题解决、解决方案开发和战略规划
- 确保符合与职责相关的所有法律法规
必备技能
- 需要有医疗行业经验，有医保优势计划趋势分析经验
- 医疗管理、统计学、经济学、分析学或计算机科学学士学位（4年相关经验可替代；硕士优先）
- 4年以上医疗、分析、IT或管理咨询经验
- 强烈的批判性思维、分析和解决问题能力
- 有构建预测模型的经验
- 熟悉SQL、SAS、R、Python、Tableau或类似查询/分析/可视化工具
- 了解美国医疗交付系统在保险方或提供方的运作
加分技能
- 熟悉结果研究设计和对照研究设计
- 精通SAS，包括Enterprise Miner
- 熟悉供应商支付方法、人群健康管理及风险调整
- 熟悉临床分组器
查看英文原文
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
Originally posted on Himalayas