Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.

Job Summary

This position is responsible for proactively identifying opportunities and developing algorithms, models, data structures and data products to facilitate production of insights from healthcare claims, enrollment, and other related data. The core function of this position is to lead efforts to translate complex data into meaningful information for decision makers. Focus areas include cost and utilization of health services, financial trending, member, and provider experience. In addition, the position is responsible for ensuring the completeness and integrity of data used for analysis and collaborating across departments within a multi-function, mission critical environment. This position is also responsible for training and mentoring other analysts and staff in the organization and act as subject matter expert for their domain.

Essential Responsibilities

• Lead in the development of research methods and data analysis plans related to healthcare utilization, cost trends, financial forecasting, member, and provider experience.
• Lead and direct efforts for complex analysis projects, such as building models, algorithms, data products, etc.; expertly manage stakeholders, cross-functional team relationships and set appropriate expectations; summarize and communicate outcomes of analysis projects.
• Expertly use appropriate software tools to retrieve, edit and tabulate data from various databases and files.
• Conduct descriptive, prescriptive, predictive analyses.
• Lead in the summarization of complex data for leadership in the appropriate form (e.g., statistical summaries, narratives, charts, tables, graphs, etc.) to convey meaning, significance, and actionable information.
• Lead in the research and development of models, algorithms, and analysis tools to mature the use and creation of self-service data products at CareOregon.
• Develop visual reporting (e.g., dashboards, scorecards, etc.) using data visualization tools such as Tableau when appropriate.
• Develop appropriate subject matter, domain expertise and serve as an expert resource.
• Collaborate with other subject matter experts to identify opportunities for building repeatable data products.
• Collaborate with business teams to understand business needs and to illicit and document requirements for analytics, algorithms, models, etc.
• Lead in the development of reporting tools to comply with regulatory reporting requirements.
• Lead in the review and assessment of data completeness, validity, and reliability used for analysis and reporting.
• Create and maintain technical documentation such as data dictionaries, business glossaries, metric definitions, and other data resources.
• Thoroughly document models, algorithms, data products, processes and any analysis, reports developed.
• Contribute to, and actively participate in, community of practice to improve the skills and capabilities of other analysts at CareOregon.
• Train and mentor junior analysts in the organization.
• Assist with, prepare, and/or deliver presentations to community groups, regulatory agencies, leadership, and other teams as needed.

Organizational Responsibilities

• Perform work in alignment with the organization's mission, vision and values.
• Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support of the organization's strategic goals.
• Adhere to the organization's policies, procedures and other relevant compliance needs.
• Perform other duties as needed.

Experience and/or Education

Required

• Minimum 5 years' experience in an analyst role; experience should include the following:

• Advanced skills with statistical software packages, such as Python, R, or SAS
• Proficient in analytical techniques including segmentation and data mining
• Experience planning, implementing, and summarizing complex analysis and reporting projects
• Experience with building reusable models, algorithms, and data structures
• Experience in the healthcare or health insurance industry
• Engaging both technical and non-technical stakeholders

Preferred

• Master or bachelor's degree in STEM, Finance, Economics, Business Administration or Public Health
• Experience with machine learning, including clustering algorithms, decision tree learning, artificial neural networks, etc.
• Experience with Snowflake or Azure Databricks
• Experience with GeoAnalytics
• Experience with analysis customer/marketing data
• Experience with Claims in a Healthcare Domain

Knowledge, Skills and Abilities Required

Knowledge

• Understanding of data warehousing and data structures
• Knowledge of Agile development processes

Skills and Abilities

• Skilled in at least one healthcare data domain (e.g., medical claims, pharmacy claims, dental claims, clinical data, etc.)
• Skills with Business Intelligence applications, such as Tableau Desktop/Creator
• Excellent critical thinking and problem-solving skills
• Strong spoken, written, and listening communication skills
• Ability to develop advanced queries to independently gather, compile and analyze data using statistical methods and ability to guide and coach junior team members in this area, as needed
• Ability to effectively synthesize and present actionable interpretations of complex information to internal and external stakeholders
• Ability to manage expectations and relationships with diverse stakeholder groups and cross functional teams
• Ability to provide leadership and oversight of research and analytical projects
• Ability and willingness to continually learn new skills
• Ability to manage multiple tasks concurrently
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
• Ability to hear and speak clearly for at least 3-6 hours/day

Working Conditions

Work Environment(s): Indoor/Office Community Facilities/Security Outdoor Exposure

Member/Patient Facing: No Telephonic In Person

Hazards: May include, but not limited to, physical and ergonomic hazards.

Equipment: General office equipment

Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used.#LI-Remote

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.

Veterans are strongly encouraged to apply.

We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

Visa sponsorship is not available at this time.