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Healthcare Network Analytics Manager

Healthcare Network Analytics Manager

CompanyQuest Analytics
LocationOverland Park, KS, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
Degrees
Experience LevelExpert 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.