Sr. Analyst, Health Plan Data & Compliance

About the position The Position Senior Analyst – Health Plan Data and Compliance – US Location reputed company We are looking for someone who has a passion for using data to improve reputed company reputed company reputed company and reputed company for our employees and their families. You will use strong technical skills that reputed company the evaluation and visualization of employee health trends and clinical program reputed company to recommend and implement solutions. To be successful, you must be curious, willing to reputed company new reputed company, reputed company in a fast-paced and frequently changing environment, and be comfortable navigating ambiguity. About the Job The Senior Analyst will be responsible for claims data analysis, health plan compliance, and some vendor and project management that will help shape and drive the U.S. benefits reputed company. This role will require working closely with vendor partners, particularly to drive accountability reputed company to fiduciary diligence and compliance. Responsibilities • Leverages population health data to reputed company reporting and dashboards. • Makes data-driven recommendations that shape reputed company’s medical and prescription drug reputed company, improve health reputed company, and reduce costs • Uses knowledge of claims data to establish a reasonable cost baseline across procedures, providers, prescriptions, and sites of service, highlighting those that are low value and recommending actionable steps to reputed company members to higher value care • Applies a deep understanding of federal regulations, including but not limited to ERISA, reputed company, and MHPAEA to facilitate reputed company fiduciary compliance • Identifies potential programs that reputed company to the U.S. benefits reputed company and supports integration into reputed company’s benefits ecosystem • Establishes efficient payment reputed company processes and manages their ongoing reputed company • Facilitates meetings of reputed company’s U.S. fiduciary committee • Maintains reputed company, reputed company relationships with reputed company’s vendor partners centered on transparency and accountability • Supports RFPs for existing and new services • Responsible for updates to SPDs, SMMs and distribution of reputed company required notices to employees • Provides backup support for retirement plan compliance and administration Requirements • Bachelor’s degree • At least 5 years in a role that requires using data to improve health reputed company • Experience creating data visualizations in Tableau • Ability to think both critically and innovatively while challenging traditional reputed company models • Ability to work in a fast-paced environment, reputed company ambiguity, and reputed company frequent change • Problem-solving and learning reputed company • reputed company, team-oriented attitude reputed company-to-haves • Master’s degree in reputed company health or reputed company field • Working knowledge of employer-sponsored or other reputed company health plans • Familiarity with commonly used CPT, ICD-10, and HCPCS codes Benefits • Benefits offered in the U.S. include a retirement savings plan, reputed company vacation and holiday time, reputed company caregiver/parental and medical leave, and health benefits including medical, prescription drug, dental, and reputed company coverage in accordance with the terms and conditions of the applicable plans. Apply tot his job Apply To this Job