Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

Sentara Health Plan is hiring for a Healthcare Data Analyst for Optima Health.

This is a Full-Time position, fully remote, with day shift hours and great benefits!

Work Location:

Candidates may work remotely in VA, NC, WA, NV, FL, IN, SD, GA, SC, TN, TX, WV and WI.

Job Responsibilities

This role is part of the Cost of Care Analytics team. This position will analyze and report medical expense trends, support medical expense cost saving initiatives, assess the viability of vendor partnerships, complete ROI analyses, and support SIU and strategic expansion goals.

Requires the ability to data mine, interpret, understand, and summarize payer data including (but not limited to) medical, behavioral health, and pharmacy claims, as well as clinical, financial, member, and provider information. This position will also create summaries, reports, and dashboards using various methodologies in an effort to provide clear and concise information for stakeholder decision support. Requires excellent oral and written communication skills.

• Data mine and analyze insurance payer claims, as well as member and provider data from disparate sources using multiple criterion within the context of specified projects.
• Identify and analyze medical expense trends within inpatient, outpatient, professional, and pharmacy claims data/utilization.
• Assist cost of care stakeholders with health plan cost saving initiative ideation through data stewardship and adoption.

Job Requirements

• Required to have Bachelor's Level Degree
• Required to have 3 years of Data Analysis experience
• Required to have 1 year of Healthcare experience
• Required to have SQL
• Required to have Tableau
• Required to have Excel

Preferred Qualifications

• Preferred to have experience in Payer claims data

Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more.

For information about our employee benefits, please visit: Benefits – Sentara (sentaracareers.com)

Sentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier.

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.

For applicants within Washington State, the following hiring range will be applied:$73,819.20 to $ 87,447.36 annually.

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-41666​

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Keywords: Business Analyst, Operations, Excel, SQL, Data Analysis, Tableau, Payer claims data, Payer, cost of care