About This Role
Job Description
Role Purpose:
Execute and complete specific deliverables and activities that analyze, validate, standardize the data-gathering process as well as report statistical data & performance metrics from multiple sources (e.g. insurance processing, performance metrics, clinical operations, demographics, costing reports .. etc) in order to fulfil our business and customers’ needs.
Healthcare Data Analysis:
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Design data models that integrate patient data from multiple sources to create complete views of health data.
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Analyse members health risk segmentation and chronic cases profiling (e.g., chronic disease, cancer, hepatic disease, renal failure).
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Investigate data to find patterns and trends.
Performance Analysis and Reporting:
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Pull and integrate data from multiple sources.
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Analyze data to assist in delivering optimal healthcare management and decision making.
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Publish monthly reports for mega accounts including different dimensions.
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Develop reports and presentations.
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Ensure accurate and timely completion of daily and monthly reports of all performance metrics.
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Communicate analytical insights with management.
Data Cleansing:
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Apply advanced categorization of services with standardized and concise mapping.
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Ensure proper validation of doctor names in the data, specialties, modifying and validating of the unified service coding process.
Analysis and reporting transformation initiatives:
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Collaborate with the different business units and functions to execute the assigned objectives related to big data projects and digital enhancements, transformations and implementations.
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Interpret and validate data to be incorporated into advanced analytics and ML models.
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Automate the manual reports through power
Skills
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Intermediate to advanced skill level with MS Excel and PowerPoint and Power BI.
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Data analysis including healthcare claims data manipulation
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Ability to interpret both high level and detailed view of the data
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