Expert Analyst

<strong>Working at Advantasure is more than a job &mdash; you&rsquo;re part of a team that is becoming the country&rsquo;s leading healthcare solutions provider.<br /></strong><br /><strong>A career at Advantasure means you&rsquo;ll be part of one of the most dynamic, diversified and innovative healthcare companies in the nation. You&rsquo;ll be helping our clients make their members healthier &mdash; and our communities a better place to call home.</strong>

MI, USA

Advantasure

<p class="p1"><strong>At Advantasure, we partner with healthcare clients to simplify their operations and accelerate their business success. Powered by our broad expertise and a comprehensive suite of product and service solutions, we help health plans effectively navigate the complexity of healthcare.</strong></p> https://advantasure.com/

keywords: job description,work environment,assist,analysis,solutions,education,experience,knowledge,proficiency,skills

Non-Manager

Competitive Compensation and Benefits Package

Overview: <br /> <p>The Risk Data and Analytics Expert Analyst is responsible for&nbsp;comprehensive data mining, management, and manipulation techniques to report on Medicare Advantage (MA).&nbsp;Assisting and offering assistance in organizing and facilitating strategic program creation and execution,&nbsp;with direction from Principal Analyst, Supervisor, or leadership. This role assists in researching and compiling appropriate and relevant data and feedback for risk adjustment activities.</p> <p>&nbsp;</p> <p><strong>WORKING CONDITIONS:</strong></p> <p>Work is performed in an office setting with no unusual hazards.&nbsp;</p> <p>&nbsp;</p>
Responsibilities: <br /> <ul> <li>Researches, analyzes, identifies, and evaluates data from assigned problems to evaluate existing and potential trends and issues.</li> <li>Generating various reports using Claims, Membership, MMR, RAPS, MAO files.</li> <li>Create data insights from cloud using Data science technics by using Python or SQL</li> <li>Possesses and maintains comprehensive knowledge of MA business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies.</li> <li>Assists in monitoring initiatives, outcomes, and objectives to ensure goal attainment within defined parameters with guidance from senior team members or leadership.</li> <li>Designs, develops, tests, and delivers solutions comprising of components, reports, and data stores per requested deliverable directions with guidance from senior team members or leadership.</li> <li>Assists leadership by investigating, reviewing, and recommending innovative solutions which identify problems/root cause of issues.</li> <li>Assists in identifying resolution of challenges and issues to fulfill key corporate objectives and responds to the demands of change management and initiates actions needed to plan, organize, and control team activities.</li> <li>Assists in development of plans, reports, and/or other material creation.</li> </ul>
Requirements: <br /><br /> <p><strong>EDUCATION:</strong></p> <ul> <li>Bachelor&rsquo;s degree in Business Administration, Economics, Health Care, Data Analytics, Data Science,&nbsp;Information Systems, Statistics, or a related field.&nbsp;</li> <li>Relevant combination of education and experience may be considered in lieu of degree.&nbsp;</li> <li>Continuous learning, as defined by the Company&rsquo;s learning philosophy, is required.&nbsp;</li> <li>Certification or progress toward certification is highly preferred and encouraged.</li> </ul> <p>&nbsp;</p> <p><strong>EXPERIENCE:</strong></p> <ul> <li>Four (4) &ndash; Six (6) years of experience in a related field required to provide the necessary knowledge, skills, and abilities for the role.&nbsp;</li> <li>Expert Analyst experience required with proven experience in operational analysis, data analysis, and problem resolution type activities.</li> </ul> <p>&nbsp;</p> <p><strong>SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:</strong></p> <ul> <li>Strong experience using Data science technics to create data stories to provide data insights to leadership.</li> <li>Strong knowledge of data mining is required.</li> <li>Execution in a fast-paced environment with tight deadlines.</li> <li>Administer and adhere to corporate and departmental policies, practices, and procedures.</li> <li>Strong ability to learn new technology, techniques, and processes.</li> <li>Strong knowledge of using software packages (Power BI, Access, PowerPoint, Excel, Word, etc.).</li> <li>Strong knowledge of data languages such as SQL, T-SQL, Python, SAS</li> <li>Strong knowledge of various platforms such as Cloud PaaS, SaaS.</li> <li>Strong analytical, organizational, planning, and problem-solving skills.</li> <li>Strong understanding of and ability to apply statistical inference.</li> <li>Strong ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Strong ability to write reports and correspondence. Strong ability to speak effectively before groups of customers or employees of organization.</li> <li>Strong ability to define problems, collect data, establish facts, and draw valid conclusions. Strong ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.</li> <li>Strong ability to work independently, within a team environment, and communicate effectively with employees and clients at all levels.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul>