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Data Analyst

Company: Provider Resources Inc
Location: Erie
Posted on: January 9, 2021

Job Description:

Position Description: Data AnalystReporting to the Project Manager the Data Analyst will provide professional assessment, planning, coordination, implementation and reporting of clinical data. The Centers for Medicare & Medicaid Services (CMS) requires the Data Analyst to provide expert services to support its person and family engagement (PFE) strategy through the Beneficiary Care Management Program (BCMP).Responsibilities:

  • Understand and represent PRI's mission, vision, and values to all internal and external customers
  • Engage clients in appropriate communication and interpersonal skills that manages client expectations and builds a collaborative relationship with the client
  • Interact with government and private sector clients, partners, and PRI staff in a professional and accountable manner, and as a representative of PRI management
  • Demonstrate experience conducting literature searches for background information on the latest trends in health policy affecting pharma, insurers and the health care delivery system
  • Proven skill in analyzing state and federal reports on the health care industry and translating and synthesizing this information for industry reports, policy papers, presentations, as well as legislative and regulatory testimony using data, statistics and analysis to support the industry's position
  • Utilize statistical and other data modeling, financial and actuarial analysis and discipline; integrate clinical data including social determinants of disease to inform opportunities
  • Demonstrate experience interfacing with leaders and experts and stakeholder groups (e.g., clinical operations, consultants, employer groups, government agencies, payers)
  • Identify opportunities and actionable solutions from data; effective partnering with quality, finance, operations, and other population health stakeholders to identify/implement improvement programs; and monitor associated process outcomes
  • Utilize analytic skills including risk adjustment, new and ongoing product evaluation, Return on Investment (ROI) calculations, business development and financial modeling, process and technology/tool development, forecasting, and cost management and revenue maximization strategies
  • Demonstrate experience in establishing and maintaining a formal discipline for population health IT initiatives, including Electronic Health Record (EHR) solutions such as population health registries, reporting, analytics, clinical decision support, and other levers to improve care processes, as well as care coordinator technology solutions around populations
  • Identify, analyze, and interpret trends or patterns in complex data sets
  • Design and develop meaningful reports
  • Interact with company staff to have good knowledge of the business as this helps in the data analysis
  • Work closely with management to prioritize business and information needs
  • Identify and define new process improvement opportunities
  • Perform other duties as requested
    • Bachelor's degree in Business Administration or Statistics or any related field
    • BSN or RN preferred
    • Three or more years' experience in claim data analysis
    • Knowledgeable of industry claims and healthcare terminology as demonstrated through an understanding of CPT, ICD-9-CM/ICD-10-CM, and HCPCS coding
    • Required to be proficient with Microsoft office suite including Outlook, Access, Excel and Word
    • Excellent problem solving and analytical skills with attention to detail, ability to think strategically and logically
    • Excellent written and verbal communications skills required
    • Ability to prioritize, meet deadlines, and manage changing priorities
    • Ability to be flexible and work effectively, both independently and in a team environment
    • Ability to deal with sensitive information with confidentiality and tact
    • Reliable and trustworthy; Integrity is required as is availability
    • Must have no conflict of interest (COI) as defined in 1154(b)(1) of the Social Security Act (SSA)
    • Ability to obtain and maintain U.S. Government Security ClearancePreference will be given to those individuals who reside in, or are willing to relocate to, a recognized HUBZone. (Go to for more information).FLSA Status: ExemptThe Team Member Compensation Plan is applicable to this position.PRI is an equal employment opportunity employer. All qualified applicants including Disability/Vets or other qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

Keywords: Provider Resources Inc, Erie , Data Analyst, Professions , Erie, Pennsylvania

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