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Associate In Insurance Data Analytics information
What are the key skills and qualifications needed to thrive as an Associate in Insurance Data Analytics, and why are they important?
What are some common challenges faced by an Associate in Insurance Data Analytics, and how can they be addressed?
What are Associate In Insurance Data Analytics?
What is the difference between Associate In Insurance Data Analytics vs Insurance Data Analyst?
| Aspect | Associate In Insurance Data Analytics | Insurance Data Analyst |
|---|---|---|
| Required Credentials | Bachelor's degree in data science, statistics, or related field; certifications like CAP or CPCU beneficial | Bachelor's degree in data analysis, statistics, or related field; certifications like CAP or CPCU beneficial |
| Work Environment | Entry-level role in insurance companies or consulting firms, focusing on data collection and basic analysis | Mid-level role in insurance companies, analyzing data to support underwriting, claims, and risk assessment |
| Employer & Industry Usage | Commonly used in insurance firms, agencies, and consulting firms for data support roles | Used within insurance companies for data-driven decision making and reporting |
The Associate In Insurance Data Analytics and Insurance Data Analyst roles share similar educational backgrounds and industry usage. However, the Associate role is typically entry-level, focusing on data collection and basic analysis, while the Insurance Data Analyst often has more experience and handles more complex data analysis tasks to support business decisions.
Full-time
Medical, Dental, Vision, Retirement
Posted 14 days ago
St. Luke's Health System (Idaho) rating
7.5
Based on 200 frontline employees who took The Breakroom Quiz
217th of 864 rated healthcare providers
Job description
The Risk Adjustment Analyst serves as a strategic partner to the business segments within the St. Luke's Health Plan. In alignment with identified strategies and tactics, leads the development of business processes and delivery of insights and health insurance data analysis, while working with cross-functional stakeholders.
This role is specifically for a Risk Adjustment Analyst to bring their knowledge, technical skills, and experience in risk adjustment for QHP/ACA and Medicare Advantage to the St. Luke's Health Plan.
What You Can Expect:
- Analyzes and interprets health insurance data, including eligibility, premium, medical, and pharmacy claims data. Subject matter expert on available health insurance data. A creative problem solver in applying that data to identify, escalate, and resolve operational issues.
- Understands and interprets operational processes and business context to translate technical, clinical, financial, and operational problems into analysis, which yield insights and information to support decision making.
- Expertise with health insurance regulatory programs and requirements, as well as associated data, including HEDIS/quality programs, risk adjustment, and utilization management.
- Performs high value health insurance data analysis, interpretation of key business metrics, and presents insights to business leaders and key stakeholders to aid decision making and operational planning.
- Challenges and supports business decisions with analytical rigor, insights, and judgments to drive better decisions.
- Partners with internal Data & Analytics team to define scope, requirements, data validation, and provide prioritization input on requests and needs. Collaborates with vendors and other external parties to develop data requirements and ensures appropriate data validation and integrity.
- Works with and contributes to data management and data governance to understand and help define data policies and standards to ensure high quality data and analytics.
- Develops and maintains a high degree of functional, analytical, and technical acumen. Builds successful partnerships with key internal customers and cross functional teams.
- Responsible for and performs all but the most complex assignments and work requiring independent judgment and decision making. Serves as a subject matter expert for colleagues in other functions.
- Leads special projects and participates on workgroups and teams, as assigned.
- Completes other duties and responsibilities as assigned.
Qualifications:
- Education: Bachelor's degree or experience in lieu of degree
- Experience: Six (6) years' relevant experience
Preferred Qualifications:
- Experience in QHP/ACA and Medicare Advantage Risk Adjustment Analytics
- Experience in MA Encounter Data Submission
- Experience in EDGE Server Data Submission
- Strong skills in SQL
- Knowledge of HEDIS and Stars a plus
What's In It For You
At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
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About St. Luke's Health System
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Twin Falls, ID, US
Year founded
1902