.. severity of illness and the site of service. This position will be supporting our Washington State Medicare plan. We are seeking a candidate with previous Case Management experience and a LCSW or LCISW licensure. Medicare knowledge/experience is highly preferred. Proficient knowledge of MS Suite is very .. ver más
About SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.
The Job
The Senior Business Analyst provides analytics support to the Pharmacy Department to ensure that the department is well positioned to address emerging industry trends and requirements through the design, implementation, and enhancement of effective and efficient programs and processes. This role acts as liaison among stakeholders in order to elicit, analyze, communicate and validate requirements. for changes to business processes, policies and information systems. The analyst understands business problems and opportunities in the context of the requirements, and recommends and implements solutions that enable the department to achieve its goals. Build cross-functional business analyst relationships to foster collaboration and develop best analytics practices.
You Will
Creates and runs ad hoc queries (SQL) and reports using internal and external data sources to support the department.
Develops, edits, and maintains requirements, functional and system design specifications, business processes and recommendations related to proposed solutions.
Develops and creates data analytic reports as directed by the manager to identify opportunities to enhance programs and processes improving quality of care, cost, and/or utilization.
Conducts impact analyses to define both impacts and opportunities created by emerging industry trends and regulatory requirements.
Monitors and coordinates data analytic activities with vendors.Facilitate access, test reports, track and troubleshoot issues as they arise.
Maintains strong working relationships with all SCAN departments to facilitate organizational communication. Facilitates discussion of relevant topics to achieve consensus among various initiative stakeholders.
Organizes meetings with high quality presentations, agendas, and meeting goals. Assists in enforcement of project deadlines and schedules.
Tracks, documents, and communicates project status/issues/obstacles quickly and clearly through appropriate organizational and project leadership channels.
Leads testing efforts.Ensures issues are identified, tracked, reported on and resolved in a timely manner.Works with client personnel to identify required changes. Communicates needed changes to development team.
Partner with and mentor other business analysts within the department and cross-functionally to build organizational business analyst talent.
Contributes to team effort by accomplishing related results as needed.
Actively support the achievement of SCAN's Vision and Goals.
Other duties as assigned.
Your Qualifications
Bachelor's degree, or equivalent work experience, required. A comparable combination of education/experience and/or training will be considered equivalent to the education listed.
5+ years of experience in analytics and support analytical projects.
3 years of healthcare experience.
3+ years in a role using data analytic software
Ability to extract and analyze data from multiple internal and external systems.
Working knowledge of pharmacy claims data, prescription drug events (PDE), industry drug databases, pharmacy financial data, and formulary data.
Strong system skills including the ability to design and create moderate to complex queries of health care data.
Excellent computing skills with knowledge or Word, Excel, PowerPoint, Access, and specialized audit software. Demonstrated experience with data visualization, SQL, Tableau, and Alteryx.
Proficiency in understanding and implementing business workflows, preferably in a healthcare setting.
Knowledge of CMS requirements and quality improvement initiatives.
Strong analytical and critical thinking skills, required.
Strong communication skills required.
What's in it for you? Base salary range: $80,300.00 to $128,500.00 per yearRemote work modeAn annual employee bonus programRobust Wellness ProgramGenerous paid-time-off (PTO)Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holidayExcellent 401(k) Retirement Saving Plan with employer match and contributionRobust employee recognition programTuition reimbursementAn opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team!Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)