Sr Data Analyst

Responsiblties:

• Performs statistical and/or actuarial analysis by applying appropriate protocols in analyzing data and reaching accurate conclusions.
• Categorizes stratifies and assigns priorities to risk factors for covered clients.
• Data mine multiple massive data sources and perform various analysis on the data subset.
• Array the data in terms of demographics, eligibility components, age, sex, severity of illness, etc., and use of data in conjunction with analysis of various services.
• Provide statistical and accounting data to obtain federal approval for State of Utah waiver requests.
• Conduct financial studies to assure reimbursement rates and methodologies conform to agency policy.
• Determine provider reimbursement rates.
• Establish capitation rates.
• Forecast changes for implementation of new initiatives.
• Maintain areas of the State Plan and Administrative Rules dealing with reimbursement, including interfacing with federal officials to ensure compliance with federal regulations.
• Ability to make detailed analysis, summarize findings and communicate effectively to management and other staff.

Key Skills:

• Critical thinking.
• Strong communication. 
• Problem-solving. 
• Creativity. 
• Adaptability. 
• Statistical analysis. 
• Machine learning algorithms. 
• Proficiency in SQL.

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