Data Analytics Administrator, MI - Remote

Qualifications:

Required:

• Associate degree in health administration, health policy, finance or a related field;
• Five (5) years’ experience in the areas of managed care analytics and risk management, Medicare Advantage programs, Medicaid/Medicare payment practices and policies, finance, network contracting, and/or clinical program cost-effectiveness analytics, including at least two (2) years’ experience working in complex SQL, Databases and Microsoft office related tools.

OR

• Eight (8) years’ experience in the areas of managed care analytics and risk management, Medicare Advantage programs, Medicaid/Medicare payment practices and policies, finance, network contracting, and/or clinical program cost-effectiveness analytics, including at least two (2) years’ experience working in complex SQL, Databases and Microsoft office related tools.

Preferred:

•  Bachelor’s degree in business, health administration, health policy, finance or a related field.
• Professional Certification in applicable programs (i.e. Healthcare Quality (CPHQ); Analytics Professional (CAP)).
• Five (5) years’ experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. finance, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements and actuarial precepts).