Healthcare Analyst II

Network Health's success is rooted in its mission to create healthy and strong Wisconsin communities. It drives the decisions we make, including the people we choose to join our growing team.

The Healthcare Analyst II gathers, validates, maintains, analyzed, and manipulates data used in reporting and decision-making processes, supporting Network Health Plan, plan sponsors, and plan providers affecting decisions, activities, and processes in several departments, including Finance, Group Administration, Claims, IS, Sales, Quality Improvement, and Care Management.

This position uses a variety of methods and tools to develop and document reports and processes that support ongoing activity or ad hoc requests. Interpret data, identify trends, establish/utilize benchmark data, and present information to customers in clear, concise, and useful formats, including data visualizations and interpretation of information.

Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to for a hybrid work environment (reliable internet in your home is required)

Hours: 1.0 FTE, 40 hours per week, 8am-5pm Monday through Friday

Check out our 2024 Annual Report video to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.

Job Responsibilities:

• Demonstrate commitment and behavior aligned with the philosophy, mission, values and vision of Network Health
• Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies
• Using a variety of programming languages and query tools, e.g. SAS, SQL, etc., develops and distributes information from integrated databases, e.g. Data Warehouse, Excel, third party purchased data, etc., validates reports to ensure accuracy of reported.
• Interpret data, identify trends, establish/utilize benchmark data, and present information to customers in clear, concise, and useful formats, including data visualizations and interpretation of information
• Understands and identifies data elements used in reporting packages and determines impact on management reports needing integrated data.
• Works with various departments to create new fields in base system or reporting databases to enhance reporting capabilities.
• Documents process used in transforming raw data to meaningful information. This will provide the customer with a fully defined report, an analysis of the results, and the process used to create the information

Job Requirements:

• Bachelor's degree in a technical, business, actuarial or scientific field
• Three years of experience in an analytics position, using statistical analysis, report development and analytics
• Two years of experience in insurance and/or health care related industry
• Strong oral and written communication skills with the ability to listen mindfully, identify gaps and ask appropriate questions
• Ability to organize one's work and space to ensure successful completion of assigned tasks within the identified timeframe
• Ability to adapt to new circumstances, information and challenges in a fast-paced environment
• Ability to work independently, as well as part of a team
• Experience with programming languages and query tools. Prefer SAS and/or SQL
• Ability to communicate with business users and other sources to accurately derive and define project requirements, specifications, and design
• Ability to work at both a conceptual and detail level with strong analytical, problem solving, and decision-making skills
• Must be able to analyze and formulate complex design alternatives and recommend appropriate solutions from both a business and technical perspective

Network Health is an Equal Opportunity Employer