Sr Pharmacy Data Analyst

Company: Sentara Health
Location: Virginia Beach
Posted on: June 17, 2022

Job Description:

City/State
Virginia Beach, VA

Overview

Work Shift
First (Days) (United States of America)

Sentara Health Plansis currently hiring a Sr Pharmacy Data Analyst f or Optima Health !

This is aFull Timeposition with day shift hours and great benefits!


Candidates may work remotely in VA, NC, WA, NV, FL, IN, SD, GA, SC, TN, TX, WV and WI!

Network Support and Provider Ops Positions:

The Network Support and Provider Operations (NSPO) team specializes in provider contract modeling, reimbursement, market intelligence, claim utilization, and unit cost budget analyses as well as supporting SHP provider network and operations, system administration, and strategic expansion initiatives.

Job Requirements:

• Bachelor's Level Degree OR
  Master's Level Degree - Experience in lieu of education
  
• Data Analysis - 3 years, Preferred: Financial Analysis - 1 year, Population Management - 1 year, Statistics - 1 year
  
• As an integrated health system, Sentara delivers analytics across a wide variety of domains, including payer functions, ambulatory, acute & post-acute care and support functions. The subject matter expertise required will vary based on the specific opening, but include the following:-Medical expense and trends-Quality including HEDIS reporting, interventions, and STAR ratings-Clinical gaps and adherence-Network Management contracting and pay-for-performance/value-based measures-State and Federal regulatory reporting-Employer groups reporting and client ad-hoc reporting related to clinical and financial services-Population health reporting & analysis-Risk, member/patient stratification, member/patient segmentation, quality, provider scoring, and cost savings-Predictive analytics-Ambulatory, acute & post-acute quality, clinical performance, and operations reporting & analysis-Quality & performance benchmarking-Research data & analytic support Works directly with internal customers and external provider partners. The Healthcare Data Analyst Senior on-boards new team members, and provides guidance and mentorship to junior analysts. Knowledge of SQL and Tableau Excellent Oral and Written Communication Skills Problem Solving Consultative Engagement Skills
  
  
  Sentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier.
  
  Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.
  
  With more than 30 years experience in the insurance business and 20 years experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services - all to help our members improve their health.
  
  Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!
  
  To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: 160991BR.
  
  Talroo-IT, Monster
  
  Job Summary
  
  The Healthcare Data Analyst Senior provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self-service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requirement definition for new analyses and performs ad-hoc analysis as directed. This position supports data quality and data stewardship functions to maintain data accuracy and identify new metrics. As a subject matter expert, the Healthcare Data Analyst Senior uses analytic skills to offer data-driven conclusions and recommendations to business partners.
  
  Qualifications:
  
  BLD - Bachelor's Level Degree (Required), MLD - Master's Level Degree
  
  Data Analysis, Financial Analysis, Population Management, Statistics
  
  Skills
  
  Active Learning, Active Listening, Communication, Complex Problem Solving, Coordination, Critical Thinking, Reading Comprehension, Service Orientation, Time Management, Troubleshooting, Writing
  
  Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
  
  Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.
  
  In support of our mission to improve health every day, this is a tobacco-free environment.

Keywords: Sentara Health, Virginia Beach , Sr Pharmacy Data Analyst, Professions , Virginia Beach, Virginia