Friday, June 7, 2013

Data Analyst -- Highmark -- Pittsburgh, PA

***Contact Mike Foster at or by phone at 610-263-3030 x: 4567 for more information***

  • Provides professional staff level support for the Corporation's Medicare Advantage and Medicare Part D lines of business. 
  • Responsible for the data analysis of revenue, cost-based and risk management projects that will ensure proper alignment of disease risk with revenue, increase product viability and stabilize member premium. 
  • Responsible for analyses and initiatives relating to revenue projections, claims, provider performance, disease states and product implications. 
  • Responsible for the research, problem identification, and reporting of projects related to a variety of product management activities including those listed above. 
  • Ensure continuous quality improvement activity and compliance within its duties to ensure the Department meets or exceeds corporate and regulatory expectations.

  • A Bachelors degree in or four years experience in Business, Math, Statistics, Health Administration, or Nursing
  • Three (3) years experience in:
    • Querying relational databases utilizing 4GL programming languages such as: SAS and SQL
  • Three (3) years experience performing project management activities, such as:
    • Problem identification
    • Meeting project standards and deadlines
    • Collection of sufficient and accurate information
    • Weighing implications of sound, original ideas/solutions that seek process improvements
    • Leading project teams

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