Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.
Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.
Provide essential data support and coordination activities for various business critical analysis and reporting needs to help achieve the goals and initiatives identified in PacificSource Strategic Plan, as well as in alignment to departmental mission and vision. This role will provide analytics support related to healthcare cost and utilization, identification of opportunities and evaluation of health services activities, including, but not limited to, care management, disease management, wellness programs, quality programs and early identification of high risk populations with directions from level 3 and 4 analysts and analytics leadership. Analytical role may vary and involve diverse array of projects and opportunities to gain knowledge of contract language, healthcare utilization, performance analysis for clinical programs, state and federal guidelines. .Essential Responsibilities:
Supporting Responsibilities:
SUCCESS PROFILE
Work Experience: 3 years’ experience in health insurance or related field. Healthcare analytics experience is preferred.
Education, Certificates, Licenses: Bachelor's degree in Mathematics, Computer Science, Statistics, Engineering, Biostatistics, Epidemiology, Health and Medical Economics, Public Health or similar research related field required.
Knowledge: General knowledge of business principles, theories and concepts. Proven ability to manage multiple projects and competing deadlines. Ability to manage workload within a team environment and with minimal direct supervision. Ability to conceptualize solutions to complex problems; readily anticipates problems and identifies solutions. Ability to deal responsibly with confidential information. Ability to document and adhere to department policies and procedures. General knowledge of in at least one statistical/analytical programming tools such as R, SAS, SPSS. General knowledge of other technical applications such as Tableau, Power BI and web-based database tools. Skilled in Microsoft Office: Word, Excel, PowerPoint and Outlook. Preferred knowledge: Familiarity with Medicare Five-Star, Oregon Quality Incentive Measures and/or NCQA HEDIS. Working knowledge of medical costs is desired, while experience with medical coding and terminology. Entry level understanding of advanced analytics methods (such as machine learning, multivariate statistics, cluster analysis, simulation and neural networks). Master’s degree or above in Mathematics, Computer Science, Statistics, Engineering, Health Economics, Public Health or similar research related field preferred.
Competencies:
Building Customer Loyalty
Building Strategic Work Relationships
Contributing to Team Success
Planning and Organizing
Continuous Improvement
Adaptability
Building Trust
Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.
Skills:
Accountability, Communication, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, TeamworkOur Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
This job is closed.