Job Information
Magellan Health Services Clinical Analyst - Remote Opportunity in United States
Demonstrates quality and competency in developing efficient and effective solutions to complex business problems, and will respond with equanimity in a dynamic environment. Builds analyses and reports using persuasive data visualization and oral and written communication skills that can translate complex analytic findings and concepts to a varied audience of users.
Performs exploratory data analysis and data mining of healthcare claims and authorizations data.
Designs, documents, develops and rolls out financial, clinical and utilization analyses using a variety of computing tools.
Performs adhoc analyses that will vary in duration and complexity
Participates in defining issues to be studied as well as the methodology to be used in addressing these issues.
Interprets results and preparation of data findings in easily understandable format for varying levels of the organization
Develops/maintains subject matter expertise in data extraction and quality assurance as well as current and historical cost experience and trend drivers
Utilizes SQL, Excel, and other BI tools to define, extract, validate, shape, and interpret data to meet business needs.
Owns accountability for accuracy of work product.
Other Job Requirements
Responsibilities
Experienced in an analytics environment or field (healthcare, economics, epidemiology, statistics, other).
Strong verbal and written communication skills.
Ability to forge effective business relationships across functional groups.
Ability to effectively liaison between technical and non-technical groups.
Strong analytical and problem solving skills.
Must be able to provide accurate estimates of work effort and deliver results within a committed time frame.
MS Suite power user; Expert level knowledge of SQL, Qlikview, Tableau or similar business intelligence tools, experience in SPSS, SAS, R, Python, MatLab or other analytic tool.
Demonstrated experience working with healthcare medical and pharmacy claims, normalized and denormalized data structures; and will have experience manipulating data using SAS,SPSS, R, Python, SageMaker, SQL, Tableau, Qlik, Power BI, SnapLogic and/or other data mining tools.
An understanding of CPT, NDC and/or GPI, ICD, revenue and billing codes is critical.
Demonstrated quality and competency in developing efficient and effective solutions to complex business problems and ability to respond with equanimity in a dynamic environment.
Ability to build analyses and reports and display persuasive data visualization, oral and written communication skills that can translate complex analytic findings and concepts to a varied audience of users.
General Job Information
Title
Clinical Analyst - Remote Opportunity
Grade
24
Work Experience - Required
Analytics/Informatics
Work Experience - Preferred
Education - Required
Education - Preferred
A Combination of Education and Work Experience May Be Considered., Bachelor's
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$58,440
Salary Maximum:
$93,500
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.
Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.
Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .
Warning: Employment Scam
It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. “Interviews” are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.
Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.
If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911