• Senior Healthcare Data Analyst

    Job Locations US-IL-Aurora
    Posted Date 1 month ago(12/13/2018 11:14 AM)
    # of Openings
  • Overview




    Looking for a way to influence the health and healthcare of many?


    If so, we’d love to hear from you! Our mission-driven organization is focused on theTriple Aim - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans.


    UNITE HERE HEALTH serves 100,000+ workers, 220,000 covered lives in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!



    Key Attributes:


    • Integrity – Must be trustworthy and principled when faced with complex situations
    • Ability to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships required
    • Communication – Ability to generate concise, compelling, objective and data-driven reports
    • Teamwork – Working well with others is required in the Fund’s collaborative environment
    • Diversity – Must be capable of working in a culturally diverse environment
    • Continuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertise
    • Lives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect)



    The Senior Healthcare Data Analyst manages, standardizes, develops, implements, performs and supports data exchanges within the organization and external organizations and the data management process within the department.  This position will be the senior consultant to other analysts by providing guidance as to best practices and methodologies.  Special projects that require exceptional analytical skills and a keen understanding of issues and practices used in the health insurance industry will be assigned to this position.

    • Manages data exchanges within Unite Here Health and other external organizations.
    • Standardizes and automates data management processes within Informatics.
    • Develops and implements standardized process to provide ongoing patient information to operations to support their special care management programs.
    • Implements routine ongoing reports and improve reporting processes.
    • Mentors other analysts in defining methodologies and coding to improve efficiencies and accuracy.
    • Supports operational/strategic analysis by developing and maintaining models that will have an impact on executive management decision making.
    • Performs routine data analysis include cost and utilization trends, cost driver analysis, etc.
    • Supports other data management and reporting related projects as needed.
    • Performs other duties as assigned within the scope of responsibilities and requirements of the job.
    • Performs Essential Job Functions and Duties with or without reasonable accommodations



    Education and Certifications

    • Bachelors degree in Statistics, Economics, Mathematics, Informatics, Computer Science, or related field or equivalent work experience required
    • Preferred: Master’s degree in Statistics, Economics, Mathematics, Informatics, Computer Science, or related field
    • Advanced training in SAS and SQL

    Knowledge and Experience

    • 10+ years of direct experience minimum in Healthcare analytics and claims data analysis
    • 10+ years of experience in SAS programming (SAS-Base, SAS-Stats, SAS-SQL)
    • Deep knowledge and experience in managing claims data including medical claims, Rx claims and membership data files
    • Strong knowledge of claims coding and claims processing.
    • Knowledge of health care industry trends and practices.
    • Strong knowledge of statistical tools and methodologies including risk adjustments.
    • Clear understanding of healthcare data analytics, especially for cost and utilization trend analysis

    Essential Skills and Abilities  

    • Advanced level Microsoft Office skills (PowerPoint, Word, Outlook)
    • Advanced level Microsoft Excel skills
    • Work independently on data management projects
    • Identify claims data issues and get them resolved effectively
    • Formulate, design, and create analyses for a wide array of Fund initiatives under consideration by executive management.
    • Communicate data issues with internal and external customers
    • Meet tight project timelines
    • Develop and enhance ongoing processes to provide patient level information to operations


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