Healthcare Analyst II

Job Summary: The Healthcare Analyst II is responsible for analyzing healthcare utilization to identify patterns, variation, and outliers as well as identify and quantify opportunities to reduce medical costs. Essential Functions: Analyze healthcare utilization to identify patterns, variation, and outliers Identify and quantify opportunities to reduce medical costs within the markets Evaluate the effectiveness of medical cost reduction initiatives Develop tools to efficiently compare market performance across and within products Provide analysis and recommendations to inform network provider performance improvement Monitor the efficiency and efficacy of clinical programs, interventions and processes Support the intake, prioritization and coordinated execution of ad-hoc analytics requests from departments across the organization Identify the variables and methodologies (e.g., qualitative, quantitative, spatial) that define population cohorts that can be positively impacted through targeted programs and interventions Segment population data to gain holistic intelligence via longitudinal trend analyses and advanced cluster analyses Conduct root cause analyses of adverse population health outcomes based on demographic, socioeconomic and clinical factors Perform any other job duties as requested Education and Experience: Bachelor’s Degree or equivalent years of relevant work experience is required Minimum of two (2) years of experience in healthcare analytics is required Managed ca