Health Plan Data Analyst
Posted 2025-03-14About us
Centrus Health is a clinically integrated, physician-led network, including North Kansas City Hospital, Advent Health and The University of Kansas Health System, and independent primary care and specialist physicians. Centrus Health is a high-quality value-based network for government and commercial payers and employers since 2018. Centrus Health began with a simple question: What if we could make health care better for the people of Kansas City? Today, we?re turning what-ifs into why-nots by placing more value on patient satisfaction, improved outcomes, and healthy living?all while lowering the cost of care. Our network represents a group of Kansas City?s leading providers joining together to transform our community?s health care.
Centrus Health at a Glance
1. 4,000+ providers (and counting)
2. 400+ physician/provider practices
3. Locations throughout the Kansas City Metropolitan area
4. 200,000+ patients in value-based arrangements
For more information, visit CentrusHealth.com or https://www.linkedin.com/company/centrus-health-kansas-city
GENERAL SUMMARY:
The Health Plan Data Analyst is responsible for data analytic strategies focused on lowering the cost of healthcare for our managed populations by providing actionable data to the team. The Health Plan Data Analyst engages clients (finance team, senior leaders, leaders, health plans, providers) in reviewing financial performance while also providing next-level analyses to ensure resources are being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data (claims, labs, EHR data) analytics to gain insights into provider ordering, member adherence, operational effectiveness, and client-specific metric gaps. The Analyst will be a key part of the Population Health team and will partner with business and operational owners to identify and execute cost saving opportunities and return on investment analyses. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:
? Knowledge of common analytical methods such as profiling customer segments, data modeling, and concepts of regression analysis
? Intermediate level of proficiency in performing data analytics; ability to effectively apply analytical and quantitative skills to solving problems
? Ability to use knowledge and understanding of data, data systems, and statistical software applications, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial program performance
? Working knowledge of healthcare or insurance accounting methods and reporting, standards development, utilization measurements, risk segmentation, and financial modeling
? Ability to conduct oneself professionally, maintain confidence, confidentiality and objectivity
? Ability to relate operational and financial performance in the healthcare environment
? Ability to learn quickly and work with minimal supervision
? Ability to efficiently manage multiple work streams, clients and analyses
? Proficiency with Microsoft Access, Excel, Power Point and Word
? Proficiency with Microsoft or Vertica SQL
? Effective oral and written communication skills, with the ability to articulate complex information in understandable terms to all levels of staff
KNOWLEDGE AND SKILLS REQUIRED:
? Health Plan claims data knowledge
KNOWLEDGE AND SKILLS PREFERRED:
? Health Plan financial analysis
EDUCATION AND EXPERIENCE REQUIRED:
? Bachelor?s degree in Finance, Economics, Mathematics, Accounting, Statistics or related field and four years of analytic experience
? Experience working with analyses within a Health Plan / Payor organization for at least two (2) years
? Technical experience in utilizing analytical software tools and applications
EDUCATION AND EXPERIENCE PREFERRED:
? Master?s degree in analytical field
? Experience in analytics with emphasis in healthcare and/or clinical application and health insurance finances
? Experience with statistical applications like SAS, SPSS or R
? Experience with analytics interfaces such as Tableau, Business Objects
? Experience working with healthcare, insurance or claims data
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
? None
LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:
? Six Sigma certified
SUPERVISORY RESPONSIBILITIES
None
Job Type: Full-time
Pay: $64,792.00 - $106,537.60 per year
Benefits:
? Dental insurance
? Health insurance
? Life insurance
? Paid time off
? Retirement plan
? Vision insurance
Schedule:
? Monday to Friday
Work Location: Remote
For more such jobs please click here!