Healthcare Analyst II

Medica • Minnetonka, MN, United States • $200k - $250k / year • 1w ago

As an Intermediate Healthcare Analyst, you will provide analytic support for Medica’s risk adjustment programs.

You will develop your understanding of Medicare, ACA and Medicaid risk adjustment programs while utilizing business intelligence, analytics and financial analysis to improve results for these populations.

You will work on projects including risk score and revenue forecasting, coding accuracy, program operations, program evaluation (ROI and effectiveness) and more.

The position is within our Enterprise Analytics department that provides analytic support to the entire company and includes teams focused on business intelligence & reporting, data governance, advanced analytics, risk adjustment analytics, quality measurement, trend & affordability analytics, employer reporting, pharmacy analytics and provider reporting.

Required Qualifications:

Bachelor's degree in Statistics, Mathematics, Data Science, Economics, Actuarial Science, or a similar field.
3 years of relevant experience

Preferred Qualifications:

Experience with at least one programming language (SAS, SQL, Python, R, etc.)
Experience working with Medicare, ACA, or Medicaid risk adjustment.
Analytical expertise: data manipulation, financial and statistical analysis, visualization, reporting.
Curiosity and a learning mindset
Ability to independently solve problems
Experience working with healthcare administrative data (medical claims, enrollment, pharmacy claims, provider data)

This position is a Hub role, which requires an employee to occasionally come onsite to the designated office, Minnetonka, for applicable heads-up work. Frequency is determined by business need as decided by leadership.

Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

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