Data Modeling Analyst, Sr. jobs in Virginia Beach, VA

Sentara Health Plan is currently hiring a Sr. Healthcare Data Analyst!

This is a Full-Time position with day shift hours and great benefits!

Work Location:

Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

Job Responsibilities

This role is part of the Cost of Care Analytics team. This position will analyze and report medical expense trends, support medical expense cost saving initiatives, assess the viability of vendor partnerships, complete ROI analyses, and support SIU and strategic expansion goals.

Requires the ability to data mine, interpret, understand, and summarize payer data including (but not limited to) medical, behavioral health, and pharmacy claims, as well as clinical, financial, member, and provider information. This position will also create summaries, reports, and dashboards using various methodologies in an effort to provide clear and concise information for stakeholder decision support. Requires excellent oral and written communication skills.

-Data mine and analyze insurance payer claims, as well as member and provider data from disparate sources using multiple criterion within the context of specified projects.

-Identify and analyze medical expense trends within inpatient, outpatient, professional, and pharmacy claims data/utilization.

-Assist cost of care stakeholders with health plan cost saving initiative ideation through data stewardship and adoption.

Job Requirements:

• Required- Bachelor's degree.
• Data Analysis - 5 years,
• Healthcare – 3 years
• SQL, Tableau, Excel
• Preferred: Experience in payer claims data

​Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. 

Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.

For applicants within Washington State, the following hiring range will be applied:  $87,477.36 to $ 103,608.96 annually.

Sentara Health Plans is the health insurance division of Sentara Healthcare doing business. 

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health. 

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. 

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-31818

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Talroo – Health Plan

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Keywords: Medical expense, cost of care, Insurance company, Medical expense trend, SQL, Tableau, Excel, Power BI, Healthcare, Health Plan, in-patient, out-patient, pharmacy, professional claims, cost savings, medical cost savings, cost savings initiatives, ROI, Member utilization, Claims utilization. Care management data. Ad-hoc reporting, Authorizations, Claims, Providers, Benefits. Remote, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming