Data Modeler with Payer

Job Details

Job Responsibilities:

• Gather and analyze data for potential business expansion.
• Identify specific business opportunities and ways to capitalize on them.
• Influence stakeholders to support business projects.
• Assist with project management for selected projects.
• Coordinate with different departmental teams to improve productivity.
• Test business processes and recommend improvements.
• Write clear and well-structured business requirements and documentation.
• Identify automation opportunities.
• Create reports, dashboards, and visualizations to help others understand business performance.
• Analyze process issues and bottlenecks to make improvements.
• Communicate and validate requirements with relevant stakeholders.
• Develop and maintain reporting tools and record-keeping procedures.
• Perform data discovery, analysis, and modeling.
• Bridge the gap between financial insights and operational needs, facilitating more informed and strategic decision-making.
• Prepare reports and visualizations to communicate findings to stakeholders.
• Identify trends and patterns in data to help inform business decisions.
• Collaborate with cross-functional teams to develop and implement data-driven solutions.
• Gathers business data and organizational policies to prepare operational analyses and reports; audits current procedures to monitor and improve efficiency of operations.
• Research and evaluate data from different sources to identify discrepancies and patterns.
• Present and explain status reports to management. Recommend ways to improve healthcare quality and minimize costs.
• Review and analyze P&Ls in collaboration with the management team. Identify changes in charges, revenues and costs.
• Help design and develop standard and ad hoc department reports (i.e. Anticipate number of deliveries in a given month or period)
• Maintains department data crosswalks.
• Compiles and analyzes clinical operating forecasting models.
• Design and conduct analyses pertaining to data acquired thorough various data sources; Combine disparate data sources into an integrated database or dataset.
• Compile and review analyses, reporting, key performance indicators, and operational metrics.
• Participate in corrective actions in response to variances and trends.
• Create descriptive data summaries including visualizations and written descriptions of data findings for a wide range of audiences.
• Performs other job-related duties as assigned.

Minimum Qualifications:

• Bachelor s degree in business administration, Health Information Systems, Mathematics, or relevant field.
• A minimum of 10 years of healthcare-related work experience.
• Excellent analytical and mathematical skills.
• Good time management abilities.
• Strong knowledge of data management systems and analysis tools.
• Outstanding communication and presentation skills.
• Superior communication skills, both written and verbal.
• Possess strong customer service and problem-solving skill sets.
• Proficiency in using Microsoft Office applications such as Word, Excel (including advanced functions, such as complex formulas, pivot tables, graphing), PowerPoint and Outlook.

 NAM INFO

 05/11/2024

 Philadelphia,PA