Westborough, Massachusetts
Population Health Reporting Specialist Job Opening in Westborough, Massachusetts - Health Plans Inc., a Harvard Pilgrim Health Care Company , is the region's largest Third Party Administrator. Health Plans provides a comprehensive range of claims and care management strategies to ensure that our clients? goal of high quality, cost effective health care for their employees is met and exceeded. We specialize in providing claims processing and care management services to clients that self-fund employee health benefits.
As a key member on our Sales Reporting team, the Population Health Reporting Specialist will participate in all aspects of health care data analytics fulfillment for Health Plans, Inc. clients. The role will perform analysis of client claim experiences, identify strategies using healthcare intelligence, insight and analysis of data, to provide recommendations, and leverage clinical information and technology, process design, change management and evidence to improve the client experience.
The ideal candidate will have a Bachelor?s Degree or equivalent work experience (3 ? 5 years?) in public health, health informatics or healthcare management. Candidates must have experience in analytical reporting and be able to manage large data sets in various file formats, knowledge and experience with healthcare data and claims, and comprehension of medical spend concerns and risk scoring methodologies. Must also be detailed, organized and able to prioritize tasks, work within timeframes and meet deadlines, recognize and maintain confidentiality, and communicate in a professional manner. Advanced skills with Microsoft Word and Excel required. Experience with Verisk or comparable clinical risk management tool a plus.
Health Plans, Inc. offers an excellent working environment and a competitive wage/benefit package, including 401(k) with company match, employer-paid life insurance and disability benefits, and quarterly bonuses.
? Employer?
Job Type: Full-time
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