Enterprise Analytics Outcomes Specialist

Your career starts now. We’re looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Must be permanently authorized to work in the U.S. as a precondition of employment.

Responsibilities:

Under the leadership of the Manager Outcomes Evaluation – Business Insights, the Outcomes Specialist is responsible for sharing insights in a way that is easy to grasp and actionable, building relationships to help drive adoption of data- and insights-driven decision making across a variety of subject matters including, but not limited to Medicare, medical and quality management, authorizations, claims, SIU, statutory/regulatory, non-HEDIS, Jiva/eLTSS and population health. ;Be a key stakeholder at the table of leadership and support strategic vision and goals. ;The candidate will become their go-to source for data, reporting, insights, and guidance.; This team will work with business owners in preparing business requirement documents and engage in data mining and analytics to present reporting or BI dashboards to solve business questions/needs. Prepare and assist the peers in analysis, reporting, process, and program evaluation with results in a manner that’s accepted by a diverse group of stakeholders.;

• Support corporate, plan-level, and departmental strategies and goals by effectively applying both business knowledge and technical expertise to develop and implement data-driven solutions.;
• Define business problems, assess relevant variables and forces that impact the issue, recognize relevant patterns in data, and provide solutions and information to solve business problems and needs;;including BI dashboard development.;
• Drive management, operations units, stakeholders, and the reporting staff to prepare clear, sound, accurate, and informative reports containing findings, analysis, conclusions, and recommendations.
• Generates data analytics to identify recovery opportunities for fraud, waste, and abuse.
• Conduct and document QA testing for analytic and reporting solutions.
• Cross-pollinate across multiple corporate areas to understand workflows, document processes, and ensure the highest quality product delivery.
• Work on a fast-paced team with minimal direction focusing on understanding the application/product/area in detail while delivering high-quality outputs and actionable solutions.
• Serve as thought leader for technical business processes, developing forward-thinking prototypes that promote increased efficiency and productivity on multiple levels.
• Learn rapidly and enthusiastically, focusing on understanding the application/product/area in detail
• Calculate return on investment (ROI) and evaluate potential operational changes.
• Assist with designing new approaches and methodologies.;
• Communicate analytic solutions to stakeholders and implement improvements as needed to operational systems.
• Collaborate across multiple corporate areas to understand workflows, document processes, and ensure the highest quality product delivery.
• Work on a fast-paced team with minimal direction focusing on understanding the application/product/area in detail while delivering high-quality outputs and actionable solutions.
• Perform other duties as assigned by Management.
  
  

Education/Experience: ;

• Bachelor’s Degree in computer science, healthcare analytics, mathematics, or sociology
• ;Advanced analytical and quantitative skills with experience collecting, organizing, mining, analyzing, visualizing, and disseminating abundant information with the utmost accuracy and presentation.
• Superior technical writing skills in business requirements, queries, reports, and presentations.
• Advanced Data Science skills in SQL, PySpark, Databricks, SAS, Tableau, Power BI, or related tools.
• Strong working knowledge of data visualization and geographic data analysis tools such as Tableau and ArcGIS.
• Advanced proficiency with data mining.
• Advanced organizational, technical, analytical, and written/oral communication skills.
• Advanced technical writing skills in business requirements, queries, reports, and presentations
• Advanced analytical and quantitative skills with experience collecting, organizing, mining, analyzing, visualizing, and disseminating abundant information with the utmost accuracy and presentation.
• Efficiently manages time-based on the continual evaluation of priorities, meets deadlines with high-quality deliverables reflecting a complete understanding of expectations, and is able to multitask.
• Experience using mathematics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions.
• Time management skills, with the ability to plan and execute projects on schedule.
  
  

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable being themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.