Company: Fresenius Medical Care
Posted on: June 10, 2021
PURPOSE AND SCOPE:
Responsible for transforming data into analytical insights to
inform decisions for both internal and external stakeholders. Works
with healthcare claims data to generate measures of quality, cost
and utilization of care. Comfortable working with large databases
using tools such as SQL/SAS, and creates reports and dashboards
using Tableau or other reporting tools
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Ensures data integrity is maintained throughout the reporting
Implements reporting and reconciliation workflows and document
Responsible for experience studies and medical trend
Responsible for running queries and providing required analysis
in order to understand related drivers (such as medical cost and
utilization), as well as providing insightful commentary and
sensitivity modeling analysis.
Reports production to support financial reporting and
Pulls ad-hoc reporting as needed.
Performs research and collection of data, including data mining
and reporting, which is provided to various internal and external
Refers to senior level staff for assistance with high level
problems that arise.
Develops and test interim solutions, manages basic process
changes, as needed, evaluates and monitors results making the
appropriate changes/improvements as applicable.
Automates manual reporting and analysis of business implication
Drives efforts to continually improve data capabilities and
quality of department analysis and reporting.
Development of revenue and medical claims expense models for
evaluating and projecting risk based contracts with health plan
clients, ACOs and government partners.
In depth claims of baseline and ongoing contract monthly
Profitability analysis and drill down analysis into actual
Assists with various projects as assigned by direct
- Performs other duties as assigned.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
- The physical demands and work environment characteristics
described here are representative of those an employee encounters
while performing the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities
to perform the essential functions.
- Little to no travel is expected for this position.
- Bachelor's Degree; Advanced Degree desirable or an equivalent
combination of education and experience
EXPERIENCE AND REQUIRED SKILLS:
- 2- 5 years of related experience.
- Strong computer skills with demonstrated proficiency in word
processing, spreadsheet, presentation, database and email
- Strong interpersonal skills with the ability to collaborate
with multiple departments.
- Excellent oral and written communication skills to effectively
communicate with all levels of management.
- Pursuing ASA designation
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual
Fresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state laws.
Keywords: Fresenius Medical Care, Austin , Actuarial Analyst, Other , Austin, Texas
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