Providence Health & Services Actuarial Analyst 1 in Portland, Oregon
Providence St. Joseph Health is calling a Healthcare Data Analyst 1 to our location in Portland, OR.
In this position you will have the following responsibilities:
Use statistical and mathematical tools to solve business problems.
Work on core actuarial functions: Pricing, Reserving and Forecasting.
Develop solutions to quantitative problems.
Analyze healthcare data on a book of business and provide essential data support and coordination activities for various business critical analysis and reporting needs.
Develop processes, write programs and/or create databases using analytic tools to produce accurate and timely completion of analytic solutions.
Assist in identifying issues or problems in carrying out performance measurement initiative protocols and recommend changes to streamline and improve the quality of data management and collection.
Partner with peers to establish, evaluate, and continually improve measurement methodologies while adhering to nationally accepted analytic and reporting standards. Facilitate routine and ad-hoc information requests by running pre-programmed SQL scripts and macros and by creating queries/reports through the appropriate programs.
Interpret, communicate, and present results to customers in a consistent and easy to understand format that facilitates fact-based decision making.
Assist with quality assurance adherence to ensure accuracy, completeness, and reliability of project-related information data resources and reporting initiatives.
Assist with NCQA/HEDIS compliance and accreditation by compiling and maintaining effective and satisfactory hard copy resources and references detailing procedural backgrounds, information/data flows, and business rules.
Required qualifications for this position include:
Bachelor's Degree in a highly quantitative field (e.g. statistics, mathematics, actuarial science, economics, engineering/physics, accounting, or computer science)
3 years of experience in data analysis or equivalent experience
General proficiency in database, presentation, spreadsheet and word processing software
General proficiency in mathematical concepts
General understanding of data management principles
Basic skill with relational databases
Broad understanding of health insurance terms and concepts
Analytical knowledge necessary to generate analytic solutions
Preferred qualifications for this position include:
Demonstrated experience with at least one programming language (examples: SAS, R, Python, etc.)
Healthcare organization/health insurer experience
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Health Plan/Insurance Nursing
Req ID: 211657