Healthcare Analytics and Insights Specialist

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

This position is responsible for collecting, analyzing, and interpreting complex data sets to provide actionable insights that support business goals and improve operational efficiency.

You will...

• Strong familiarity with data warehousing solutions to support comprehensive analytics.
• Ensure seamless integration of data from multiple sources.
• Conduct data profiling to assess data quality, identify anomalies, and ensure data integrity.
• Develop strategies to cleanse and enrich data for optimal analysis.
• Perform in-depth data analysis to identify trends, patterns, and key business insights.
• Generate ad hoc reports and analyses to support various departments within the organization.
• Write and optimize complex SQL queries to extract, manipulate, and analyze large datasets.
• Develop and maintain scripts to automate data processes and enhance data management workflows.
• Develop and maintain interactive dashboards and visualizations using BI tools, specifically Tableau.
• Translate complex data findings into clear, concise, and actionable insights for stakeholders.
• Establish and manage the User Acceptance Testing (UAT) process to ensure data solutions meet business requirements.
• Oversee comprehensive testing protocols and collaborate with stakeholders to validate system performance and data accuracy.
• Analyze eligibility and encounter data from a health plan perspective to derive actionable insights.
• Work closely with healthcare teams to understand and integrate health plan-specific requirements into analytical models.
• Work closely with cross-functional teams to understand business requirements and tailor analyses accordingly.
• Present findings and recommendations to senior management and other key stakeholders.
• Collaborate with IT, compliance, payers, and state agencies to improve data quality, regulatory compliance, and adherence to HIPAA, CMS, and Medicaid/Medicare guidelines.
• Analyze EDI healthcare transactions, including 837 encounters, 835 remittances, 270/271 eligibility, and 277CA claim acknowledgments to ensure compliance with health plan and regulatory requirements.

We are excited to speak to someone with the following...

• Bachelor's Degree in Computer Science, Statistics, Mathematics, or related field required.
• Five (5) plus years of experience as a Data Analyst, Data Scientist, or a similar role.
• Or equivalent combination of education and/or experience

• Healthcare Experience with Claims Eligibility or Encounters-Preferred

• Strong familiarity with data warehousing solutions to support comprehensive analytics.
• Excellent analytical and problem-solving skills with the ability to work with large, complex data sets.
• Strong proficiency in data analysis tools and programming languages such as Excel, SQL, Python, R, or similar.
• Demonstrated experience with data visualization tools like Tableau, PowerBI, or others.
• Strong understanding of statistical concepts and methodologies, including regression analysis, clustering, and time-series analysis.
• Exceptional communications and presentation skills to convey technical findings to non-technical stakeholders.
• Excellent attention to detail and commitment to data accuracy and quality.
• Ability to work collaboratively in a team environment and meet deadlines.
• Demonstrated ability to handle conflicting priorities and demands.

Salary: $81,000 - $120,000

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received.  We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. 

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

• EEO is The Law - click here for more information
• Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
• We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at hr.recruiting@modivcare.com