1,458 Healthcare Analyst Positions jobs in the United States

Healthcare Analyst

01880 Wakefield, Massachusetts Beth Israel Lahey Health

Posted 15 days ago

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Job Description

Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Exempt

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Under the general supervision of the Manager, Clinical Analytics, the Health Care Analyst is responsible for providing high quality analyses that answer questions about the most pressing healthcare needs and is comfortable utilizing various data modelling approaches to forecast future network's performance. Interprets and provides recommendations on quality and cost utilization trends by identifying key drivers of performance. Is capable of writing appropriate drill down queries (SQL based queries) to identify opportunities for improvement. Assures, by data testing, the quality and accuracy of BILHPN's claims and EMR data. Responsible for developing reports for upper-level management and preparing monthly reporting packages. Compiles medical, pharmacy and EHR related information via the use of computer-based applications which are then used to understand the current trends and drivers in the health care system and to make well-informed decisions about performance improvements of the plan and care management of the patients. Participates in setting definitions and efficient ways to analyze various healthcare concepts and promotes defining data related efficiencies. Handles the data with confidentiality especially around PHI and sensitive information.

This position is responsible for a full range of activities which ensure the analytical effectiveness and excellence of the BILHPN team.

Job Description:

Essential Duties & Responsibilities including but not limited to:

  • Understands the medical and pharmacy claims adjudication circle terminology, healthcare quality and EHR terminology and general healthcare related concepts.

  • On regular basis, from analytical perspective, tests healthcare concepts in BILHPN's data warehouse to assure accuracy and integrity of data.

  • Collaborates with other analysts and contributes/leads the process to define appropriate mappings for healthcare terminologies to be displayed in the data warehouse.

  • Understands and utilizes back-end entry to data warehouse, knows SQL and apprehends complexities of data architecture.

  • Designs and performs complex analyses for variety of stakeholders within BILHPN and network using either the super pivots, running own SQL queries to drill through data or other computer-based applications.

  • Translates analytical findings into easy-to-follow recommendations and summaries.

  • Performs own quality checks on performed analyses and utilizes internal benchmarks to verify the results. Documents performed processes and assures the correct documentation exists in the reporting documentation repository.

  • Collaborates with the Medical Director(s) and business associates (e.g., healthcare plan, PBM, consultants) to define the best approaches to find areas for improvement and trend mitigations.

  • Serves as analytical resource and internal consultant for organization's multidisciplinary quality and utilization improvement initiatives.

  • Upon discussions with other stakeholders, provides actionable data and models the impacts of various opportunities (such as cost savings opportunities) for BILHPN's population.

  • Assists in reporting package preparation for the Local Care Units' Leadership and Board of Directors.

  • Collaborates with others to identify, understand and promote opportunities to analyze data more efficiently and accurately, and improve data integrity.

  • Uses visualization tools to display data for key customers.

  • Works independently and can handle multiple projects simultaneously with little supervision.

Organizational Requirements:

  • Maintain strict adherence to the Beth Israel Lahey Health Performance Network (BILHPN) Confidentiality policy.

  • Incorporate BILHPN Standards of Behavior and Guiding Principles into daily activities.Comply with all BILHPN Policies.

  • Comply with behavioral expectations of the department and BILHPN.

  • Maintain courteous and effective interactions with colleagues and patients.

  • Demonstrate an understanding of the job description, performance expectations, and competency assessment.

  • Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.

  • Participate in departmental and/or interdepartmental quality improvement activities.

  • Participate in and successfully completes Mandatory Education

  • Perform all other duties as needed or directed to meet the needs of the department.

Minimum Qualifications:

Education:

  • Requires a minimum of a Bachelors' degree. Prior experience from the payers or other provider system a plus.

  • A master's degree in directly related program may be considered in lieu of some of the required work experience.

Licensure, Certification & Registration :

  • None

Experience :

  • A minimum of 3-5 years of healthcare work experience is necessary either through a prior Health System or a Payer experience. Knowledge of programming language (e.g. SQL) is required, experience of Epic/Healthy Planet, data visualization tool of Power BI or Tableau is a plus

Skills, Knowledge & Abilities :

  • Strong written and verbal communication skills, project management skills, computer skills, and database skills.

  • Strong problem-solving abilities and analytical skills to ensure end-user needs are met.Possesses good organizational skills and the ability to multitask and prioritize daily assignments to ensure smooth workflow.

  • Advanced Excel Skills demonstrated ability in using query tools and relational data bases such as SQL.

  • Data visualization Skills demonstrated ability in using Power BI or Tableau.

  • Knowledge of claims-based health care data, including medical terminology and standard coding systems (ICD9, ICD10, CPT, MS-DRG, etc.), HEDIS.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. Learn more ( about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

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Healthcare Analyst

01880 Wakefield, Massachusetts Beth Israel Lahey Health

Posted 16 days ago

Job Viewed

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Job Description

**Job Type:** Regular
**Time Type:** Full time
**Work Shift:** Day (United States of America)
**FLSA Status:** Exempt
**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.**
Under the general supervision of the Manager, Clinical Analytics, the Health Care Analyst is responsible for providing high quality analyses that answer questions about the most pressing healthcare needs and is comfortable utilizing various data modelling approaches to forecast future network's performance. Interprets and provides recommendations on quality and cost utilization trends by identifying key drivers of performance. Is capable of writing appropriate drill down queries (SQL based queries) to identify opportunities for improvement. Assures, by data testing, the quality and accuracy of BILHPN's claims and EMR data. Responsible for developing reports for upper-level management and preparing monthly reporting packages. Compiles medical, pharmacy and EHR related information via the use of computer-based applications which are then used to understand the current trends and drivers in the health care system and to make well-informed decisions about performance improvements of the plan and care management of the patients. Participates in setting definitions and efficient ways to analyze various healthcare concepts and promotes defining data related efficiencies. Handles the data with confidentiality especially around PHI and sensitive information.
This position is responsible for a full range of activities which ensure the analytical effectiveness and excellence of the BILHPN team.
**Job Description:**
**Essential Duties & Responsibilities including but not limited to:**
+ Understands the medical and pharmacy claims adjudication circle terminology, healthcare quality and EHR terminology and general healthcare related concepts.
+ On regular basis, from analytical perspective, tests healthcare concepts in BILHPN's data warehouse to assure accuracy and integrity of data.
+ Collaborates with other analysts and contributes/leads the process to define appropriate mappings for healthcare terminologies to be displayed in the data warehouse.
+ Understands and utilizes back-end entry to data warehouse, knows SQL and apprehends complexities of data architecture.
+ Designs and performs complex analyses for variety of stakeholders within BILHPN and network using either the super pivots, running own SQL queries to drill through data or other computer-based applications.
+ Translates analytical findings into easy-to-follow recommendations and summaries.
+ Performs own quality checks on performed analyses and utilizes internal benchmarks to verify the results. Documents performed processes and assures the correct documentation exists in the reporting documentation repository.
+ Collaborates with the Medical Director(s) and business associates (e.g., healthcare plan, PBM, consultants) to define the best approaches to find areas for improvement and trend mitigations.
+ Serves as analytical resource and internal consultant for organization's multidisciplinary quality and utilization improvement initiatives.
+ Upon discussions with other stakeholders, provides actionable data and models the impacts of various opportunities (such as cost savings opportunities) for BILHPN's population.
+ Assists in reporting package preparation for the Local Care Units' Leadership and Board of Directors.
+ Collaborates with others to identify, understand and promote opportunities to analyze data more efficiently and accurately, and improve data integrity.
+ Uses visualization tools to display data for key customers.
+ Works independently and can handle multiple projects simultaneously with little supervision.
**Organizational Requirements:**
+ Maintain strict adherence to the Beth Israel Lahey Health Performance Network (BILHPN) Confidentiality policy.
+ Incorporate BILHPN Standards of Behavior and Guiding Principles into daily activities.Comply with all BILHPN Policies.
+ Comply with behavioral expectations of the department and BILHPN.
+ Maintain courteous and effective interactions with colleagues and patients.
+ Demonstrate an understanding of the job description, performance expectations, and competency assessment.
+ Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
+ Participate in departmental and/or interdepartmental quality improvement activities.
+ Participate in and successfully completes Mandatory Education
+ Perform all other duties as needed or directed to meet the needs of the department.
**Minimum Qualifications:**
Education:
+ Requires a minimum of a Bachelors' degree. Prior experience from the payers or other provider system a plus.
+ A master's degree in directly related program may be considered in lieu of some of the required work experience.
**Licensure, Certification & Registration** **:**
+ None
**Experience** **:**
+ A minimum of 3-5 years of healthcare work experience is necessary either through a prior Health System or a Payer experience. Knowledge of programming language (e.g. SQL) is required, experience of Epic/Healthy Planet, data visualization tool of Power BI or Tableau is a plus
**Skills, Knowledge & Abilities** **:**
+ Strong written and verbal communication skills, project management skills, computer skills, and database skills.
+ Strong problem-solving abilities and analytical skills to ensure end-user needs are met.Possesses good organizational skills and the ability to multitask and prioritize daily assignments to ensure smooth workflow.
+ Advanced Excel Skills demonstrated ability in using query tools and relational data bases such as SQL.
+ Data visualization Skills demonstrated ability in using Power BI or Tableau.
+ Knowledge of claims-based health care data, including medical terminology and standard coding systems (ICD9, ICD10, CPT, MS-DRG, etc.), HEDIS.
**As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. Learn more ( about this requirement.**
**More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.**
**Equal Opportunity** **Employer/Veterans/Disabled**
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Senior Healthcare Analyst

02254 Bhei

Posted today

Job Viewed

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Job Description

Boston Health Economics, Inc. (BHE) is a leading research and consulting firm specializing in the economic evaluation of pharmaceuticals, medical devices, disease management programs, and related healthcare interventions. Our clients include most of the world's leading pharmaceutical, biotechnology, and medical device manufacturers. Our staff includes accomplished economists, health services researchers, clinicians, and business professionals, many of whom are internationally recognized.

We conduct creative and innovative research studies, most of which are geared toward publication in peer-review journals. BHE staff members have the opportunity to work across several groups within the company, including Data Analytics, Health Economics, and Modeling.

Our continued growth has created opportunities at several levels. We currently are accepting applications for a Senior Healthcare Analyst/Project Manager.

The ideal candidate for this position will have a strong interest in health economics and experience or an advanced degree in a field such as economics, epidemiology, biostatistics, or health services research. The candidate should be able to work independently in an office setting with limited supervision. An ability to interact with staff (at all levels) in a fast-paced environment, sometimes under pressure, remaining flexible, proactive, resourceful and efficient, with a high level of professionalism is crucial to this role at BHE. Expert-level written and verbal communication skills, strong decision making abilities, and attention to detail are equally important.

Essential Duties and Responsibilities:

  • Assist in the design of data oriented outcomes studies across a wide array of therapeutic areas
  • Contribute to the development of research plans and study reports
  • Conduct data analyses and manage databases of all types (e.g., claims, surveys, clinical trials)
  • Participate in the design of conduct studies to evaluate the value of new healthcare interventions including pharmaceuticals and medical devices. Studies may involve decision analytic models, prospective data from clinical trials, and retrospective claims data
  • Coordinate with other BHE personnel to ensure the timely and quality preparation of project deliverables based on the assigned scope of services
  • Provide ongoing mentoring and performance feedback for managed team members
  • Presentation of research, including dissemination at scientific conferences and submission of manuscripts to peer-reviewed scientific journals
  • Provide proposal content and support of other activities to ensure a high quality, timely proposal submission
  • Mentor junior research staff
  • Participate in the publication process
Competencies:
  • Ability to manage own time and proactively identify prioritized tasks for multiple concurrent projects
  • Ability to communicate appropriate status and issues to senior management
  • Entrepreneurial spirit, drive, and work ethic for internal initiatives
  • Focus on attention to detail
  • Demonstrated proficiency with computers, especially Microsoft Office (Word, Excel, PowerPoint, and Outlook)
Requirements

Qualifications:
  • An advanced degree in health economics, epidemiology, biostatistics, health services research or other related field, and/or 5-7 years of relevant job experience
  • Demonstrated analytical, organizational, creative problem solving, and structured communication skills
  • Fluency in English (will be required to write, speak, and understand English to conduct day-to-day business)
  • Masters degree in Economics, Health Policy, Epidemiology, or Biostatistics with 3+ years of experience in research-oriented healthcare consulting
  • Strong technical skills
  • Proficiency with relevant software (e.g., SAS, Microsoft Excel, decision analysis software)
  • Excellent communication, organizational, and management skills
  • An interest in publishing


BHE offers a competitive compensation and benefits package, along with challenging work in a stimulating, collegial environment where everyone is dedicated to conducting the highest quality research in the industry.

For consideration please email your CV with cover letter to (Click Here to Email Your Resum), or mail to:

Boston Health Economics, Inc.
Attention: Human Resources
20 Fox Road
Waltham, MA 02451-1007
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Senior Healthcare Analyst

60063 Deerfield, Illinois Walgreens

Posted 5 days ago

Job Viewed

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Job Description

Job Description:

Job Summary:

We are seeking a highly skilled and multidisciplinary professional with deep expertise in health analytics. This role is ideal for someone passionate about transforming complex healthcare data into actionable insights and scalable solutions. In this role, you will develop, test, and maintain robust data processing pipelines that integrate structured and unstructured data from diverse sources.

.

Job Responsibilities:

  • Acts as subject matter expert and advisor on topic of assigned analytical tools, enterprise data systems and/or analytical methodologies for the team

  • Utilizes innovative data visual presentation strategies to ensure data is conveyed in meaningful and interpretive formats for all audience levels.

  • Uses analytical and/or statistical methodologies and supporting tools for evaluating Company processes, business problems, and/or ROI of products and services.

  • Collaborates with the account teams and contracting to identify and isolate variances resulting from over/under payment practices and factoring these into actual-to-expected results.

  • Leads the utilization of all models and tools used to compare executed contract terms and conditions to parameters included in internal and external data sources. Identifies data source deficiencies among company data and suggests path to resolve.

  • Performs specific tasks identified in the compliance monitoring program to include evaluation of definitions, price increase maintenance and network identification.

  • Recommends improvements to standard model assumptions and multifaceted business problems within the organization. Updates processes, using findings from performance monitoring (For example, adding order logic steps to improve on data matching).

  • Works cross functionally with peers in Sales, Finance, Law, Contract Development, and Contract Operations

About Walgreens

Founded in 1901, Walgreens ( has a storied heritage of caring for communities for generations and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.

Walgreens is the flagship U.S. brand of Walgreens Boots Alliance, Inc. (Nasdaq: WBA), an integrated healthcare, pharmacy and retail leader. Its retail locations are a critical point of access and convenience in thousands of communities, with Walgreens pharmacists playing a greater role as part of the healthcare system and patients care teams than ever before. Walgreens Specialty Pharmacy provides critical care and pharmacy services to millions of patients with rare disease states and complex, chronic conditions.

The actual salary an employee can expect to receive, plus bonus pursuant to the terms of any bonus plan if applicable, will depend on experience, seniority, geographic location, and other factors permitted by law. To review benefits, please visit jobs.walgreens.com/benefits More Company information is available at .

Job ID: 1658336BR

Title: Senior Healthcare Analyst

Company Indicator: Walgreens

Employment Type:

Job Function: Marketing

Full Store Address: 104 WILMOT RD,DEERFIELD,IL 60015

Full District Office Address: 104 WILMOT RD,DEERFIELD,IL,60015-05121-01104-2

External Basic Qualifications:

  • Bachelor's Degree and at least 1 year of experience in Finance, Economics, Accounting, Math, Business, Actuarial Science, or Computer Science OR High School Diploma / GED and at least 4 years of experience in Finance, Economics, Accounting, Math, Business, Actuarial Science, or Computer Science.

  • Experience collaborating with internal and external resources to develop strategies and project plans that meet department goals within budget and established timelines.

  • Experience establishing and maintaining key relationships with internal (peers, business partners and leadership) and external (business community, clients and vendors) within a matrix organization to ensure quality standards for service.

  • Experience developing ways of accomplishing goals with little or no supervision, depending upon oneself to resolve issues to ensure completed objectives and determining when escalation of issues is necessary.

  • Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates.

  • Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems.

  • Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions.

  • Advanced level skill in Microsoft Excel (for example: using AVERAGE function, merging and centering cells, printing centered page and/or creating a pivot table).

  • Advanced level skill in Microsoft PowerPoint (for example: changing picture styles, customizing animation and/or setting automatic slide timings).

  • Advanced level skill in Microsoft Word (for example: adding developer tab, creating a macro, formatting table style, inserting comments and/or creating a mail merge).

  • Willing to travel up to 10% of the time for business purposes (within state and out of state).

Preferred Qualifications:

  • Bachelor's degree and at least 5 years of experience -OR- Master's degree credential with at least 3 years of experience. Experience should be in healthcare related research or analytics. Degree should be in a healthcare or analytics related field such as computer science, statistics, epidemiology, mathematics. social sciences, or comparable field.

  • Utilize advanced analytical tools and programming languages such as SQL, SAS, Python, R, or similar, across varied data environments such as Azure/Databricks.

  • Design, implement, and support scalable, fault-tolerant clinical data products, including performant data access interfaces.

  • Experience presenting and reporting on analytical results to appropriate internal stakeholders including senior management

  • Lead the design and execution of intermediate to complex analytic studies, evaluations, predictive models, reports, dashboards, and data-driven solutions.

  • Effectively communicate analytical findings and insights to internal stakeholders, clients, and external vendors.

We will consider employment of qualified applicants with arrest and conviction records.

Shift:

Store:

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Senior Healthcare Analyst

94199 San Francisco, California San Francisco Health Plan

Posted 7 days ago

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Job Description

Reporting to the Manager, Business Analytics, the Senior Healthcare Analyst will transform data into applicable insights that drive process improvement, financial sustainability, and inform organizational strategy. You will often serve as the lead analyst on projects, partnering with teams across SFHP to support our goals. This is a hands-on role for someone who enjoys problem-solving, innovation, and continuous learning.

Please note that while SFHP supports a hybrid work environment, you are required to be onsite and in-office a minimum of 4 days per month. This is a hybrid position, based in our Downtown San Francisco office.

Salary: $130,000 - $160,000 per year

WHAT YOU WILL DO:

  • Apply your knowledge of managed care, data analysis, and healthcare operations to solve business problems, enable decision-making, and create actionable knowledge.
  • Lead or contribute to multiple analytics projects, either independently or as part of a collaborative initiative.
  • Consult with internal customers to understand their needs, document requirements, and develop reporting and analytics solutions.
  • Create insights and recommendations based on data analysis to support strategic decision-making.
  • Present findings to senior leadership and our teams, adapting messaging for different audiences.
  • Build and maintain partnerships with team members and customers to support a culture of data-informed decision-making.
  • Support the development and optimization of data structures that ensure efficient reporting and analysis.
  • Document business processes, data logic, and reporting methodologies to ensure transparency and consistency.

WHAT YOU WILL BRING:

  • Bachelor's degree in quantitative field (e.g. economics, statistics, data science), or other relevant areas; or equivalent work experience is required.
  • Master's in a quantitative field, or a degree or certification in a Data Science related field is preferred.
  • 3-5 years of hands-on experience with healthcare analytics; in a managed care or government program setting (e.g., Medicare or Medicaid).
  • SQL experience working with relational databases.
  • Experience with healthcare industry metrics, standards, and administrative datasets.
  • Proficiency with Power BI and Excel (can maintain complex spreadsheets).
  • Familiarity with tools such as Python, R.
  • Knowledge of statistical methods and data visualization best practices.

WHAT WE OFFER:

  • Health Benefits
    • Medical: You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.
    • Dental: You'll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
    • Vision: Employee vision care coverage is available through Vision Service Plan (VSP).


  • Retirement - Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
  • Time off - 23 days of Paid Time Off (PTO) and 13 paid holidays.
  • Professional development: Opportunities for tuition reimbursement, professional license/membership.

ABOUT SFHP:

Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.

#LI-Hybrid

(Hybrid remote/in-office)

Please see job description

PI277335893

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Healthcare Analyst, Medtech

10261 New York, New York Guidepoint

Posted 17 days ago

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Job Description

Overview:

The Insights product is an offering for Guidepoint's Institutional investment and corporate clients, that offers teleconferences, surveys, and in-person events. Transcripts of the teleconferences live in a library portal, which enables our clients to make informed decisions. All content features experts from Guidepoint's proprietary global network and is hosted by former investment professionals (i.e. private equity/hedge fund) and sell-side equity research analysts.

This is a hybrid position out of our NYC office.

What You'll Do:
  • Within the MedTech and Healthcare Services coverage universe, you will monitor clinical data releases, earnings reports, and product launches to create timely, topical, and actionable content for Guidepoint's Healthcare clients
  • Moderate teleconferences focused on subsectors such as Cardiology, Drug Discovery and Simulation, Healthcare Facilities, Healthcare IT, and Infusion Centers
  • Develop proprietary surveys using physicians from Guidepoint's network.
  • Master use of Guidepoint's property CRM database to identify potential experts
  • Build on Guidepoint Insight's Content Library through creative series, workshops, and expert interviews.
What You Have:
  • Bachelor's degree or Master's degree in business or healthcare-related major
  • Minimum 4 years of work experience in the finance (buy-side / sell-side / corporate), consulting, business development, healthcare services, or medical device industry
  • Familiarity with Healthcare Services and MedTech companies and curiosity to learn additional industry knowledge
  • Ability to work in a fast-paced entrepreneurial environment
  • Outgoing personality with the ability to speak with people at all professional levels
  • Effective time management and organizational skills
  • Demonstrated ability to work both individually and as part of a team
  • New-York based
What We Offer:

The annual base salary range for this position is $100,000-$10,000. The base salary for the successful candidate may vary depending on job-related knowledge, skills, and experience. Additionally, this position is eligible for an annual discretionary bonus based on performance.

You will also be eligible for the following benefits:
  • 15 PTO Days, 10 legal holidays, and sick days
  • Comprehensive Medical, dental, and vision plans
  • Will match up to 10% of employee contribution for 401(k), life insurance, paid time-off and parental leave plans
  • Commuter benefits and a corporate discounts
  • Development opportunities through the LinkedIn Learning platform
  • Friday happy hour, "Summer Fridays", and free snacks and beverages in the office
  • Year-round corporate athletic league
  • Casual work environment, team building, and other social events

About Guidepoint:

Guidepoint is a leading research enablement platform designed to advance understanding and empower our clients' decision-making process. Powered by innovative technology, real-time data, and hard-to-source expertise, we help our clients to turn answers into action.

Backed by a network of nearly 1.75 million experts and Guidepoint's 1,600 employees worldwide, we inform leading organizations' research by delivering on-demand intelligence and research on request. With Guidepoint, companies and investors can better navigate the abundance of information available today, making it both more useful and more powerful.

At Guidepoint, our success relies on the diversity of our employees, advisors, and client base, which allows us to create connections that offer a wealth of perspectives. We are committed to upholding policies that contribute to an equitable and welcoming environment for our community, regardless of background, identity, or experience.

#LI-AA1

#LI-HYBRID

Base salary may vary depending on job-related knowledge, skills, and experience, as well as geographic location. Additionally, this position is eligible for an annual discretionary bonus based on performance.

Compensation

100,000- 110,000 USD
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Senior Healthcare Analyst

60015 Deerfield, Illinois Walgreens

Posted today

Job Viewed

Tap Again To Close

Job Description

**Job Description:**
**Job Summary:**
We are seeking a highly skilled and multidisciplinary professional with deep expertise in health analytics. This role is ideal for someone passionate about transforming complex healthcare data into actionable insights and scalable solutions. In this role, you will develop, test, and maintain robust data processing pipelines that integrate structured and unstructured data from diverse sources.
 .
**Job Responsibilities:**
+ Acts as subject matter expert and advisor on topic of assigned analytical tools, enterprise data systems and/or analytical methodologies for the team
+ Utilizes innovative data visual presentation strategies to ensure data is conveyed in meaningful and interpretive formats for all audience levels.
+ Uses analytical and/or statistical methodologies and supporting tools for evaluating Company processes, business problems, and/or ROI of products and services.
+ Collaborates with the account teams and contracting to identify and isolate variances resulting from over/under payment practices and factoring these into actual-to-expected results.
+ Leads the utilization of all models and tools used to compare executed contract terms and conditions to parameters included in internal and external data sources. Identifies data source deficiencies among company data and suggests path to resolve.
+ Performs specific tasks identified in the compliance monitoring program to include evaluation of definitions, price increase maintenance and network identification.
+ Recommends improvements to standard model assumptions and multifaceted business problems within the organization. Updates processes, using findings from performance monitoring (For example, adding order logic steps to improve on data matching).
+ Works cross functionally with peers in Sales, Finance, Law, Contract Development, and Contract Operations
**About Walgreens**
Founded in 1901, Walgreens ( has a storied heritage of caring for communities for generations and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Walgreens is the flagship U.S. brand of Walgreens Boots Alliance, Inc. (Nasdaq: WBA), an integrated healthcare, pharmacy and retail leader. Its retail locations are a critical point of access and convenience in thousands of communities, with Walgreens pharmacists playing a greater role as part of the healthcare system and patients care teams than ever before. Walgreens Specialty Pharmacy provides critical care and pharmacy services to millions of patients with rare disease states and complex, chronic conditions.
The actual salary an employee can expect to receive, plus bonus pursuant to the terms of any bonus plan if applicable, will depend on experience, seniority, geographic location, and other factors permitted by law. To review benefits, please visit jobs.walgreens.com/benefits More Company information is available at .
**Job ID:** 1658336BR
**Title:** Senior Healthcare Analyst
**Company Indicator:** Walgreens
**Employment Type:**
**Job Function:** Marketing
**Full Store Address:** 104 WILMOT RD,DEERFIELD,IL 60015
**Full District Office Address:** 104 WILMOT RD,DEERFIELD,IL,60015-05121-01104-2
**External Basic Qualifications:**
+ Bachelor's Degree and at least 1 year of experience in Finance, Economics, Accounting, Math, Business, Actuarial Science, or Computer Science OR High School Diploma / GED and at least 4 years of experience in Finance, Economics, Accounting, Math, Business, Actuarial Science, or Computer Science.
+ Experience collaborating with internal and external resources to develop strategies and project plans that meet department goals within budget and established timelines.
+ Experience establishing and maintaining key relationships with internal (peers, business partners and leadership) and external (business community, clients and vendors) within a matrix organization to ensure quality standards for service.
+ Experience developing ways of accomplishing goals with little or no supervision, depending upon oneself to resolve issues to ensure completed objectives and determining when escalation of issues is necessary.
+ Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates.
+ Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems.
+ Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions.
+ Advanced level skill in Microsoft Excel (for example: using AVERAGE function, merging and centering cells, printing centered page and/or creating a pivot table).
+ Advanced level skill in Microsoft PowerPoint (for example: changing picture styles, customizing animation and/or setting automatic slide timings).
+ Advanced level skill in Microsoft Word (for example: adding developer tab, creating a macro, formatting table style, inserting comments and/or creating a mail merge).
+ Willing to travel up to 10% of the time for business purposes (within state and out of state).
**Preferred Qualifications:**
+ Bachelor's degree and at least 5 years of experience -OR- Master's degree credential with at least 3 years of experience. Experience should be in healthcare related research or analytics. Degree should be in a healthcare or analytics related field such as computer science, statistics, epidemiology, mathematics. social sciences, or comparable field.
+ Utilize advanced analytical tools and programming languages such as SQL, SAS, Python, R, or similar, across varied data environments such as Azure/Databricks.
+ Design, implement, and support scalable, fault-tolerant clinical data products, including performant data access interfaces.
+ Experience presenting and reporting on analytical results to appropriate internal stakeholders including senior management
+ Lead the design and execution of intermediate to complex analytic studies, evaluations, predictive models, reports, dashboards, and data-driven solutions.
+ Effectively communicate analytical findings and insights to internal stakeholders, clients, and external vendors.
We will consider employment of qualified applicants with arrest and conviction records.
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Healthcare Analyst - Zero Balance

94501 Alameda, California Aspirion Health Resources

Posted 7 days ago

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Job Description

What is Aspirion?

For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers’ compensation, Veterans Affairs, and out-of-state Medicaid.

At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, “Our teammates are the foundation of our success.” United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time. 

We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor.

What do we need?

We are seeking an engaged and driven Healthcare Analyst for our Zero Balance team. As a Healthcare Analyst, you will work closely with your team on assigned project(s) to be a trusted point of contact for our clients and team members. The Healthcare Analyst will support the success of the Zero Balance department by evaluating and reviewing contracts between hospitals and insurance carriers and researching trends and why underpayments are occurring. The ideal candidate for this position will have a demonstrated interest in healthcare and a desire to strengthen their analytical, team, leadership, and client relations skills. 

What will you provide?

  • Review contracts between hospitals and insurance carriers, model claims data, and identify lost revenue
  • Contact responsible party for claim payment
  • Prepare and forward claim appeal letters with supporting documentation for denial overturn
  • Establish working relationships with individuals at insurance companies
  • Communicate with teammates and leadership to discuss and identify trends
  • Contact insurance companies via phone, email, and written appeal to recover dollars
  • Perform analysis on large data sets to identify underpayment and denial trends
  • Conduct research on current laws and regulations pertaining to hospital reimbursement methodology
  • Contribute to client decks and weekly reports to track progress of project goals and present to leadership
  • Strive to maintain a personal hourly rate by meeting project metrics and goals efficiently
  • Attend Privacy and Security Training as required by the HIPAA Awareness Program and comply with all guidelines, policies and procedures to assure sensitive or confidential information is protected in accordance with the HIPAA rules and regulations Other duties as assigned

Requirements

  • Detail-oriented and organized with the ability to manage time effectively and prioritize competing tasks
  • Excellent communication skills both written and verbal
  • Basic to experienced knowledge of Excel
  • Effective documentation skills
  • Strong organizational skills
  • Possesses analytical capabilities and financial acumen
  • Must have private and dedicated workspace that ensures confidentiality
  • Understanding of health insurance, EHR’s, EMR’s, and claims handling

Education and Experience

  • Undergraduate degree or internship in a healthcare related field preferred
  • Healthcare operations experience preferred
  • Understanding of auditing and reporting tools such as SQL
  • Presentation skills and client relations experience a plus
  • 3 + years of experience in Revenue Cycle or Healthcare Claims preferred

Benefits

At Aspirion we invest in our employees by offering unlimited opportunities for advancement, a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, and incentive programs.

The US base pay range for this position starts at $24.00 hourly. Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered. In addition to base salary, a competitive benefits package is offered.  

AAP/EEO Statement

Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to.

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Healthcare Analyst - Health - Hybrid

53244 Milwaukee, Wisconsin S.C. International, Ltd.

Posted 19 days ago

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Job Description

Description

Our client looking to fill 2 Healthcare Analyst positions. Need to be located in Wisconsin so you can get into their Milwaukee office from time to time.

The Healthcare Analyst gathers, validates, maintains, analyzes, and manipulates data used in reporting and decision-making processes, supporting plan sponsors, and plan providers affecting decisions, activities, and processes in several departments, including Finance, Group Administration, Claims, IS, Sales, Quality Improvement, and Care Management.

This position uses a variety of methods and tools to develop and document reports and processes that support ongoing activity or ad hoc requests. Interpret data, identify trends, establish/utilize benchmark data, and present information to customers in clear, concise, and useful formats, including data visualizations and interpretation of information.

Job Duties:

Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies
Using a variety of programming languages and query tools, e.g. SAS, SQL, etc., develops and distributes information from integrated databases, e.g. Data Warehouse, Excel, third party purchased data, etc., validates reports to ensure accuracy of reported.
Interpret data, identify trends, establish/utilize benchmark data, and present information to customers in clear, concise, and useful formats, including data visualizations and interpretation of information
Understands and identifies data elements used in reporting packages and determines impact on management reports needing integrated data.
Works with various departments to create new fields in base system or reporting databases to enhance reporting capabilities.
Documents process used in transforming raw data to meaningful information. This will provide the customer with a fully defined report, an analysis of the results, and the process used to create the information
Job Requirements:

Bachelor's degree in a technical, business, actuarial or scientific field
1+ year of experience in an analytics position, using statistical analysis, report development and analytics
1+ year of experience in insurance and/or health care related industry
Strong oral and written communication skills with the ability to listen mindfully, identify gaps and ask appropriate questions
Ability to organize one's work and space to ensure successful completion of assigned tasks within the identified timeframe
Ability to adapt to new circumstances, information and challenges in a fast-paced environment
Ability to work independently, as well as part of a team
Experience with programming languages and query tools. Prefer SAS and/or SQL
Ability to communicate with business users and other sources to accurately derive and define project requirements, specifications, and design
Ability to work at both a conceptual and detail level with strong analytical, problem solving, and decision-making skills

To apply please email: Matt Doman |
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Investment Banking - Healthcare - Analyst

94103, California JPMorgan Chase

Posted 3 days ago

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Job Description

We are seeking a highly skilled and experienced Analyst to join our dynamic Healthcare team, offering an exceptional opportunity to contribute to high-profile transactions and drive growth within a leading financial institution.
**Job Summary**
As an Analyst in the Healthcare in the Investment Banking Division, you will be a key player in the execution of the firm's business. You will work with expert professionals at the heart of a leading global investment bank. Senior bankers will get to know you - both as a person and as a valued member of a winning team. You will experience training, hands-on learning opportunities, continuous mentoring and feedback, and numerous development opportunities. You will use your related experience to contribute to the firm's M&A execution and capital raising capabilities while helping build J.P. Morgan's franchise and reputation in the marketplace. You will develop strong functional skills in the major areas of investment banking and become a senior client executive who is capable of generating and executing your own transactions. Joining here means you'll become part of our inclusive teams and culture, unified by the firm's mission and commitment to success.
**Job Responsibilities**
+ Execute transactions: support due diligence, document preparation, negotiation etc and liaising with relevant counterpart at the client/other advisers (accounting, legal, etc)
+ Working with J.P. Morgan product and sector teams
+ Building and using complex financial models, completing valuation and analytical exercises
+ Drafting presentation materials, management presentations, Board materials, Memorandums, and other presentation materials for use in M&A and capital markets transactions or strategic client dialogue Keeping abreast of key market developments and establishing knowledge of the target client base and relevant market dynamics
**Required qualifications, capabilities, and skills**
+ One year of prior work experience in an investment banking front office, or related, role.
+ Strong accounting, finance, quantitative and business writing skills.
+ Bachelors' degree in Finance, Economics, Business Administration, or a related field
+ Understanding of the transaction cycle and the steps in the process and is execution oriented.
+ Impeccable communication skills with the ability to effectively interact with senior professionals, clients and key stakeholders in other line of business.
JPMorganChase, one of the oldest financial institutions, offers innovative financial solutions to millions of consumers, small businesses and many of the world's most prominent corporate, institutional and government clients under the J.P. Morgan and Chase brands. Our history spans over 200 years and today we are a leader in investment banking, consumer and small business banking, commercial banking, financial transaction processing and asset management.
We offer a competitive total rewards package including base salary determined based on the role, experience, skill set and location. Those in eligible roles may receive commission-based pay and/or discretionary incentive compensation, paid in the form of cash and/or forfeitable equity, awarded in recognition of individual achievements and contributions. We also offer a range of benefits and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan, backup childcare, tuition reimbursement, mental health support, financial coaching and more. Additional details about total compensation and benefits will be provided during the hiring process.
We recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. We are an equal opportunity employer and place a high value on diversity and inclusion at our company. We do not discriminate on the basis of any protected attribute, including race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law. We also make reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as mental health or physical disability needs. Visit our FAQs for more information about requesting an accommodation.
JPMorgan Chase & Co. is an Equal Opportunity Employer, including Disability/Veterans
**Base Pay/Salary**
San Francisco,CA $110,000.00 - $135,000.00 / year
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