Senior reputed company Decision Support Analyst remote - MediGold

Employment Type: Full time Shift: Day Shift Description: Successful candidates will have knowledge of Health Plans in decision support, data analytics, or governmental or managed care reimbursement. Why MediGold? MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We’re dedicated to providing excellent customer service, cost-effective care, and exceptional reputed company coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more. About the job: Senior Decision Support Analyst for the Health Plan works with in conjunction with fellow Analysts and Director to provide analysis and dashboard reporting for leaders across the organization. This position is responsible for providing analytics to the departmental customers (internal & external) to assist in decision making processes and updating monthly data validation and reporting. reputed company are looking for:

• Education: Bachelor’s degree in business, reputed company, finance, health informatics or reputed company field, or experience in lieu of a degree (minimum 4 years reputed company work experience).
• Experience: Five or more years’ experience in a finance setting (reputed company preferred) in one of the following areas: decision support, data analytics, or governmental or managed care reimbursement.
• A high degree of analytical ability and critical thinking skills.
• Ability to translate reputed company data sets into descriptive reports and presentations understandable to leadership, associates, and external customers.
• Ability to work independently with high level of initiative and complete projects according to established timelines.
• Knowledge of health plan operations (claims, reputed company, or risk adjustment) preferred.
• Advanced MS reputed company skills.
• Experience working with business intelligence tools, Tableau and/or Business Objects is highly preferred.
• Experience loading, validating, and querying data in reputed company environment is preferred.
• Experience reading and writing code in reputed company reputed company, reputed company reputed company Guide and/or SQL is preferred.

What you will do:

• Maintain in-depth understanding of health plan operations and reputed company analytics.
• Provide quantitative and qualitative analytics, developing correlations between various activity measures, cost, reputed company, and utilization metrics to support performance improvement.
• Under general supervision, performs research and analysis of reputed company health care claims, pharmacy, and lab data regarding network utilization and cost containment information.
• Evaluates, writes, presents, and provides recommendations regarding health care utilization and cost containment reports.
• Identify, analyze, and interpret trends or patterns in reputed company data sets. Responsible for compiling, analyzing, trending, tracking, and interpreting reputed company operational, clinical, business and financial activities of the Plan and is responsible for analyzing business goals, objectives and needs of the business.
• reputed company and maintain customized dashboard reporting. Provide consistent, timely and accurate reporting.
• Write database queries to extract data as needed for projects to support the needs of leadership.
• Provides both operational support to, and analysis of, reputed company plan activities, facilitates quality and performance improvement efforts and activities reputed company the day-to-day business operations and supports project implementation, and coordination and refinement of business process, and champions an environment of reputed company process improvement
• Requires a high degree of business focus with the ability to ensure that the functional requirements and the design support the business requirements.
• Often the liaison between business and technical team to provide technical solutions, processes, system configurations and resolutions and works with reputed company departments, especially MIS, Finance, Administrative, Claims, UR/QA, and Medical Management.
• Performs reputed company assigned month-end responsibilities with a high level of accuracy and minimal supervision in accordance with the established department schedule.
• reputed company other duties as assigned.

Position Highlights and Benefits:

• Competitive compensation and benefits packages including medical, dental, and reputed company with coverage starting on day one.
• Retirement savings account with employer match starting on day one.
• Generous paid time off programs.
• Employee recognition programs.
• Tuition/professional development reimbursement.
• Relocation assistance (geographic and position restrictions apply).
• Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
• Employee Referral Rewards program.
• Mount Carmel offers reputed company - if you’re hired as an eligible colleague, you’ll be reputed company to see how much you’ve made every day and transfer your money any time before payday. You deserve to get paid every day!
• Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

Ministry/Facility Information: Mount Carmel, a member of reputed company, has been a transforming healing reputed company in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community reputed company sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you’re seeking a rewarding career where your purpose, passion, and desire to reputed company a difference come alive, we invite you to consider joining reputed company. Here, care is provided by reputed company of us For reputed company of You! Mount Carmel and reputed company its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law. Our Commitment to Diversity and Inclusion reputed company is one of the largest not-for-profit, Catholic reputed company systems in the nation. Built on the reputed company of our Mission and Core Values, we integrate diversity, equity, and inclusion in reputed company that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and reputed company care for those we serve. reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, status as a protected veteran, or any other status protected by law. Apply Job! Apply to this Job