Sr. Health Care Analyst

Our client, a Health Insurance company, is looking for a Sr. Health Care Analyst for their Detroit, MI/Hybrid location.

Responsibilities:

• The Senior Health Care Analyst is responsible for planning, organizing, directing, implementing, and leading department assignments.
• This position operates within broad objectives to ensure optimum utilization of manpower and budget.
• This role is responsible for research, compilation, and analyzing appropriate and relevant data and makes recommendations for operational improvements.
• Provides audit and analytics support to Medicare pharmacy services business team.
• Builds and supports business reports to be included in executive dashboard.
• Gathers requirements for part D dashboard and implements the dashboard on SharePoint platform.
• Leads in the research, analysis, identification, and evaluation of data from assigned problems to evaluate existing and potential trends and issues.
• Possesses and maintains an extensive comprehensive knowledge of client business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles and methodologies.
• Manages and monitors multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
• Develops lines of communication to discuss and review results of analysis to management via reports and presentations and assists management in implementing programs that provide solutions.
• Investigates, reviews, recommends, communicates, and implements solutions which identify problems/root cause of issues.
• Identifies and resolves challenges to fulfill key corporate objectives and responds to the demands of change management and initiates actions needed to plan, organize, and control team activities.
• Provides expertise and guidance to unit and corporate staff as required.
• Acts as a liaison between corporate business areas and participates in group or committee discussions.

Requirements:

• Strong working knowledge of data languages such as SAS and SQL to create business reports and dashboards
• Working with large data sources and analyzing pharmacy data
• Analytical business experience in using Medicare pharmacy data
• Ability to design and develop SharePoint site and operational reporting using SAS data sources.
• Knowledge of PBM systems and tools.
• Excellent analytical, planning, problem solving, verbal, and written skills to communicate complex ideas.
• Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).
• Ability to use AI tools for data analytics and reporting.
• Seven years' experience in a related field, typically in two subject areas (e.g., financial analysis, data analytics, health care economics, statistical modeling, business decisions or business management).
• Bachelor's degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or a related field.
• Master's degree in a related field is preferred.
• Relevant combination of education and experience may be considered in lieu of degree.
• Continuous learning, as defined by the Company's learning philosophy, is required.
• Certification or progress toward certification is highly preferred and encouraged

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities