Help develop enterprise wide Clinically Integrated Network teams that focus on specific clinical areas/service lines such as oncology or cardiology Perform network analysis and strategy development and implementation Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness Obtain, validate and a

Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably.

Support Clinical Performance Quality Assurance initiatives in the following capacities Support data architecture, lead data movement design, and data modelling initiatives to expand and refine reporting and analytical content Partner with the broader Clinical Performance organization to align on and enhance data environments Contribute to and advance data architecture str

Responsibility for processing healthcare claims data from multiple sources using SAS (UNIX or PC) Extracting and programming required variables per specifications provided by a statistician Producing various analytic datasets and descriptive analyses for statistician to use and review Execute quality control processes to maintain and improve product standards Communicatin

Creation and maintenance of pricing source data customer specific fee schedules, Medicare or Medicaid Assemble large and complex data sets that meet business functional requirements Identify, design, and implement internal process improvements by working with stakeholders to understand opportunities related to provider pricing functions Build analytic tools that utilize p

Design, code and execute programs to extract, aggregate and manipulate pharmacy and medical claims from various sources in support of scientific and product development research Develop new and maintain existing SAS programs to analyze healthcare claims to support ad hoc data requests Transform data and/or develop insights for use in business decisions Develop methods, pe

70% Develop and deliver internal facing and client facing analytics and reporting activities, support client relationship building, and overall project management of externally focused analytic deliverables Utilizes MicroStrategy and SQL to create standard and customized suite of client facing reports based on the business requirements and specifications outlined by the I

Gather business requirements from Client Services Personnel Direct communication with Clients and Client Service Personnel US time based communication opportunity required 70% of this position is SAS Programming including AZURE cloud and SAS VIYA and SAS Studio Provide internal users, sales staff, and external clients support for proprietary software, Internet hosted solu

Own the creation, maintenance and updates to key business intelligence dashboards used by business partners. This includes development of the data model through a combination of SQL and Qlikview/Qliksense scripting and UI design Own the coordination and delivery of intended release milestones for the BI dashboards you own Work with BA's and the business to understand and

Refine, maintain, and develop proprietary operations dialer loading process Manage the client intake requests and build into ad hoc request Develop new capability to incorporate target campaigns Establish process to report model output and achieve historical data Provide ad hoc analysis based on output to business to address short term/long term concerns Work with other t

LOCATION Plymouth Assists in the BSA Manager with the implementation, monitoring and administration of all aspects of the Bank Secrecy Act (BSA) compliance program under the guidance of the AVP BSA Officer and department management. Responsible for thoroughly investigating and documenting various levels of Anti Money Laundering (AML)/fraud alerts as assigned and, when nec

Leads new client onboarding and transformation by utilizing a diverse group of resources (people and technology) to integrate new clients into the standard GOM Leads the PMO/PM discipline for technology implementations Establish the standard methodology to measure productivity, efficiency, scalability, human touch volume, and total transaction volumes Leads analytics effo

Analyze plan characteristics, assess past experience as to frequency and severity of loss, assess current ongoing risks, utilizes established underwriting criteria, policies and methodologies to establish a profitable quote/pricing Anticipate customer needs and proactively develops solutions to meet them Serve as a key resource on complex and/or critical issues Solve prob

Identify new data points to advance analytic capabilities and help turn into actionable information Drive implementation of Government Programs view of consumer into reporting and forecasting Build strong relationship with Finance, Product and Sales Predict emerging customer needs and develops innovative solutions to meet them Solve unique and complex problems with broad