Senior Healthcare Data Analyst

Risk Strategies Consulting, Inc. (“RSC”) is seeking a highly skilled professional to support our clients' healthcare initiatives through data-driven analytics and emerging data science methodologies. The ideal candidate will possess a strong mathematical foundation, an analytical mindset, and the ability to communicate strategies, methodologies, and data-driven insights effectively to both internal and external stakeholders. This role requires a proactive, problem-solving approach and a willingness to learn and adapt to evolving industry practices. The successful candidate will thrive in a dynamic, fast-paced environment and contribute directly to our clients' financial strategies and decision-making processes.

Primary Duties and Responsibilities:

• Analyze complex healthcare datasets to uncover trends, patterns, and insights.
• Develop and present reports, dashboards, and visualizations to communicate findings.
• Identify healthcare trend drivers and financial impacts related to medical and pharmacy claims.
• Conduct analyses such as medical carrier network valuations, discount assessments, and pricing benchmarks.
• Design scalable data models, reporting solutions, and data mining tools.
• Address data anomalies and discrepancies using professional judgment and expertise.
• Act as a strategic advisor on data mining techniques for uncovering new insights.
• Provide expertise on product development, including methodologies, coding requirements, and feasibility assessments.
• Build predictive models to evaluate financial outcomes of healthcare initiatives.
• Translate complex statistical and modeling results into accessible insights for diverse audiences.

Qualifications and Requirements:

• Bachelor's degree in Mathematics, Actuarial Science, Statistics, or Computer Science.
• Minimum of 7 years of experience as an Actuarial Analyst, Data Analyst, or Data Scientist in the healthcare sector.
• 5+ years of hands-on experience with SQL, R, Python, SAS, or similar statistical computing languages.
• Proven expertise in data mining and data visualization tools such as Qlik, Tableau, or Power BI.
• Strong background in medical and pharmacy utilization reporting, trend analysis, and actionable insights generation.
• Experience with underwriting insurance premiums is a plus.
• Advanced analytical skills, with the ability to collect, interpret, and present data accurately and effectively.
• Extensive experience with healthcare databases and data sources, including claims, encounters, lab results, and EMR systems.
• In-depth knowledge of healthcare/medical economics data such as hospital/physician/ASC claims, utilization data and healthcare industry coding systems ICD-10, CTP/HCPCS, Revenue Codes, MS/APR-DRGs and APC.
• Strong analytical skills with the ability to collect, organize, analyze, conceptualize, problem solve, and disseminate information confidently and collaboratively with attention to detail, accuracy, and timeliness.

RSC is committed to fostering an inclusive, innovative, and results-driven work environment. If you are a motivated professional seeking to make a meaningful impact in the healthcare sector, we encourage you to apply.

At Risk Strategies Company, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, and life insurance, retirement savings, and paid time off and paid holidays for eligible employees. The total compensation for a position may also include other elements dependent on the position offered. The expected base pay range for this position is between $109,400 - $130,000 annually. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience.

Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices and over 5,000 employees across the US and Canada.

Our industry recognition includes being named a Best Places to Work in Insurance for five years and on the Inc. 5000 list as one of America’s Fastest Growing Private Companies. We are committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues.

Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: www.risk-strategies.com/careers.

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