Healthcare Analyst

Remote but PA residency is required.

Hours: 8a – 4pm (30 min lunch) full time consultant approximately 37.5 hours per week.

Location: Remote with travel in the Harrisburg area for meetings

Pay: $32.00

Healthcare Analyst Requirements:

• Bachelor's Degree
• At least 5 years of healthcare industry experience, preferably with a health plan or a pharmacy
• A working knowledge of healthcare operations to include budgeting, invoicing, procuring, and analyzing
• A working knowledge of healthcare operations to include enrollment, claims, customer service and appeals
• Demonstrated project management experience
• Applied analytical skills
• Strong written and verbal communication skills
• Proficiency in Microsoft Office Suite, including Access, Excel, Power Point, SAP and Word
• Proven ability to support a team and successfully complete both short and long-term assignments
• Ability to lead executive level meetings and/or presentations
• Demonstrated strategic planning skills
• A working knowledge of Medicaid/Medical Assistance

Healthcare Analyst  Job Duties:

• Manage both direct and indirect reports to accomplish tactical and longer term departmental projects (program management office)
• Maintain project documentation and work plans
• Analyze internal processes to identify efficiencies and to reduce operating costs
• Develop comprehensive training for both new hires and existing staff
• Create executive level reports and oral presentations
• Provide cost benefit analyses for new initiatives
• Assist with budget analysis, tracking and updates
• Monitor departmental performance measures
• Resolve cross-departmental issues as assigned
• Resolve complex customer issues
• Participate in project meetings
• Assist with data collection for industry surveys and reports
• Attend industry meetings as requested
• Provide recommendations for the strategic development of the program
• Identify and assist with the implementation of cost containment initiatives
• Assist with procurement documents, including Requests for Proposals, contracts and contract amendments
• Identify potential areas of fraud, waste or abuse in the Medical Assistance program and remedies to address them.
• Provide updates on, and impact analysis of, federal and state statutes, regulations, policies and procedures governing the MA program

Please Contact:

Katherine Skelton

586-710-0022

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