Healthcare Analytics Analyst

Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining financial strength and stability with deep insurance expertise and a can-do culture. Group1001’s culture emphasizes the importance of collaboration, communication, core business focus, risk management, and striving for outcomes. This goal extends to how we hire and onboard our most valuable assets – our employees.

Company Overview:

Clear Spring Health is part of Group One Thousand One (“Group1001”), a customer-centric insurance group whose mission is to make insurance more useful, intuitive and accessible so that everyone feels empowered to achieve financial security. Clear Spring Health is dedicated to helping seniors protect their health and well-being by providing Medicare Advantage plans in select counties of Colorado, Illinois, North Carolina, and Virginia, plus Georgia and South Carolina and offers Medicare Prescription Drug Plans in 42 states plus DC.

Why This Role Matters:

Creative problem solver with a knack for visualization aesthetics responsible for performing research and analysis of complex healthcare claims, pharmacy, sales and risk adjustment data. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.

How You'll Contribute:

• Develops reports and oversees distribution schedule to ensure timely delivery to customers, ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring.
• Provides peer review of critical reports and guidance on programming / logic improvements; provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques to determine significance and relevance.
• Participate in and guide the design of large scale predictive and statistical models to predict future trends in cost, utilization, and performance. Guide team members on appropriate writing skills for executive summaries tailored to the audience.
• Applies process improvements for the team's methods of collecting and documenting report / programming requirements from requestors to ensure appropriate creation of reports and analyses while reducing rework.
• Manage the creation of comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
• Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
• Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
• Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare.

What We’re Looking For:

• Bachelor's Degree in Finance, Economics, Computer Science, Statistics, Mathematics
• 1-3 years of development experience in Excel, VBA, PowerQuery, SQL, SAS
• 1-3 years of experience in Power BI, DAX language, and data modeling.
• Previous experience with healthcare industry.

Preferred Experience:

• Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
• Proactively identify and investigate complex suspect areas regarding medical cost issues
• Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
• Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
• Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions
• Multiple data systems and models

Compensation:

Our compensation reflects the cost of labor across several U.S. geographic markets. The base pay for this position ranges from $65,000/year in our lowest geographic market up to $80,000/year in our highest geographic market. Pay is based on factors such as market location, job-related skills, and experience.

Benefits Highlights:  

Employees who meet benefit eligibility guidelines and work 30 hours or more weekly, have the ability to enroll in Group 1001’s benefits package. Employees (and their families) are eligible to participate in the Company’s comprehensive health, dental, and vision insurance plan options.  Employees are also eligible for Basic and Supplemental Life Insurance, Short and Long-Term Disability. All employees (regardless of hours worked) have immediate access to the Company’s Employee Assistance Program and wellness programs—no enrollment is required.  Employees may also participate in the Company’s 401K plan, with matching contributions by the Company.  

Group 1001, and its affiliated companies, is strongly committed to providing a supportive work environment where employee differences are valued. Diversity is an essential ingredient in making Group 1001 a welcoming place to work and is fundamental in building a high-performance team. Diversity embodies all the differences that make us unique individuals.  All employees share the responsibility for maintaining a workplace culture of dignity, respect, understanding and appreciation of individual and group differences.