Healthcare Network Analytics Manager
Company | Quest Analytics |
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Location | Overland Park, KS, USA |
Salary | $Not Provided – $Not Provided |
Type | Full-Time |
Degrees | |
Experience Level | Expert or higher |
Requirements
- Minimum of 10 years of experience in data analysis, with a focus on healthcare data.
- Experience managing analytics teams.
- Experience using software required to manage and visualize data (e.g. Databricks, Power BI, etc.)
- Strong analytical skills with SQL, R, or Python programming.
- Experience working with large public datasets (e.g., PUFs, PECOS, CMS LDS, RIF files).
- Knowledge and understanding of managed care concepts and the financial relationship between payers and providers.
- Knowledge of health care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment.
- Strong understanding of healthcare analytics space – AI, machine learning, and data management, with the ability to translate technical concepts into actionable product strategies.
- Experience with pre-processing of data, such as cleansing, aggregating, sorting, and combining data. Ability to combine multiple sources of data.
Responsibilities
- Act as a mentor to other Data Analysts, Data Stewards, and Data QA Analysts by providing guidance and training on data analysis techniques, data, and product applications.
- Participate in sales and consulting calls to understand client needs/requirements and translate that into opportunities for analytic (ARS) engagements or new product enhancements.
- Work with the leadership team to assess potential data and analytic vendors and make a go/no go decision on licensing and partnership opportunities.
- Pilot new metrics and measures that can be used to enhance Quest products; work with Business Intelligence Analysts to deliver the metrics in strong visuals.
Preferred Qualifications
- Bonus: experience with Medicare Special Needs Plan (SNP), Dual-Eligible plans, ACO programs, Alternate Payment Models (APM), etc.