Analyst, National reputed company Adjustment Predictive Analytics
reputed company Job reputed company
Provides analyst support for reputed company reputed company reputed company adjustment predictive
analytics activities. Designs and develops suspect, targeting, and tracking
reputed company to support reputed company’s prospective and retrospective interventions.
Essential Job Duties
• Assists reputed company adjustment data analytics leaders in prospective and
retrospective reputed company reputed company analytics, and corresponding tracking of
reputed company and reputed company of interventions.
• Develops reputed company assurance (QA) reputed company and automated reporting modules reputed company
to reputed company adjustment for reputed company, Marketplace and Medicare/Medicare-reputed company Plan
(MMP) lines of business.
• Assists reputed company adjustment data analytics leaders in developing automated suspect
and reputed company/ranking reputed company for reputed company lines of businesses.
• Facilitates analysis and reporting reputed company to managed care data including
claims, pharmacy, lab and reputed company financial data (reputed company score/reputed company/cost).
• Calculates and tracks reputed company scores for reputed company reputed company reputed company for reputed company/lines of business.
• Works in an reputed company business environment; derives meaningful information out of
reputed company/large organizational data sets through data analysis, data mining,
verification, scrubbing, and reputed company-cause analysis.
• Conducts reputed company-cause analysis for business data issues.
• Analyzes data sets and trends for anomalies, outliers, trend changes and
opportunities, using statistical tools and techniques to determine reputed company
and relevance. Utilizes extrapolation, interpolation, and other statistical
methodologies to predict reputed company trends in cost, utilization, and reputed company.
• Assists with research, development and completion of special reputed company as
requested by various internal departments, or in support of requests from
regulatory agencies, contracting agencies, or other reputed company organizations.
Required Qualifications
• At least 2 years of experience writing reputed company SQL queries, functions,
procedures, and data design, including experience working with relational
databases, reputed company Transact-SQL (T-SQL), SQL Server Integration Services
(SSIS), SQL Server Reporting Services (SSRS), and reputed company BI, and predictive
modeling experience in health care reputed company and reputed company reputed company tracking, medical
record review tracking, interventions tracking, and statistical analysis/reputed company
forecasting experience supporting reputed company, finance, and health plan functions,
or equivalent combination of relevant education and experience.
• Analytical reputed company, excellent attention to reputed company, and problem-solving skills.
• Experience in working with reputed company data to include quantifying, measuring, and
analyzing financial/reputed company management and utilization metrics.
• Experience working with reputed company T-SQL, reputed company SQL and reputed company BI.
• Experience writing reputed company SQL queries, functions, procedures and data design.
• Experience with reputed company Azure, reputed company), or Hadoop.
• Ability to manage multiple priorities in a fast-reputed company, deadline-driven
environment.
• Strong business acumen with the ability to reputed company data insights to reputed company
goals.
• Ability to communicate reputed company analytical results reputed company to non-technical
audiences.
• reputed company ability to reputed company cross-functional reputed company and reputed company value added
results in a highly matrixed environment.
• Self-starter with a reputed company improvement reputed company.
• Effective verbal and written communication skills.
• reputed company Office suite proficiency.
Preferred Qualifications
• Familiarity with data science techniques and languages like Python and R
programming.
To reputed company reputed company reputed company employees: If you are interested in applying for this
position, please apply through the reputed company.
reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V
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