Government Programs Analyst - Medicare at Cambia Health Solutions in Medford, Oregon

Posted in Other 6 days ago.





Job Description:

Government Programs Analyst or Senior
Any office location or remote

The Government Programs Analyst creates competitive advantage for our Govt. Programs business unit by facilitating more efficient aggregation and analysis of information. This will be accomplished by collecting, aggregating and analyzing information from a variety of internal and external sources, then proactively identifying and communicating potential risks and opportunities to management.

Responsibilities
  • This role exists to create competitive advantage for Govt. Programs by facilitating more efficient aggregation and analysis of information as well as providing insights from that analysis to the organization.
  • Develops methodologies and approaches to new tasks and projects through design and development of analytical models and reports.
  • Proactively identify issues and concerns to management.
  • Develops knowledge of health plan operations, health plan data sources and structures, and cost containment strategies.
  • Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.
  • Identifies needed reporting, assembles or directs the assembly of reports and distributes such information.
  • Performs acceptance testing of new reports, programs and models.
  • Documents business requirements and methods used to generate work output.
  • Drives analytic innovation and best practices within Cambia.
  • Actively identifies and eliminates inefficient or ineffective use of resources and provides recommendation on process improvements.
Minimum Requirements
  • At least 2 years of Medicare Advantage experience.
  • Keen analytical and problem-solving skills.
  • Solid oral and written communication skills. Ability to "connect the dots", meaning analyze information from multiple sources to determine risks and opportunities for the Govt. Programs division.
  • Skilled user of PowerPoint, Excel and Tableau. Ability to design and develop reporting tools and dashboards. Knowledge of analytic programming tools and methods such as SAS, SQL, OLAP, Business Objects or Crystal. Knowledge of Alteryx prefer
  • Business sense (finance, accounting, economics, risk management, public health economics, social service research or epidemiology).
  • Ability to organize, plan and prioritize assignments within multiple projects.
  • Must be able to work with minimal direction and be very flexible to coordinate complex activities that are often subject to rapid or extensive changes.
  • Demonstrated success with project management.
Normally to be proficient in the competencies listed above
  • Government Programs Analyst would have a bachelor's degree in business, finance, mathematics, actuarial science, statistics, or related field and 3 years of related experience or equivalent combination of education and experience.
  • Government Programs Analyst Senior would have a bachelor's degree in business, finance, mathematics, actuarial science, statistics, or related field and 7 years of related experience or equivalent combination of education and experience.
Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions.

Regence is 2.2 million members, here for our families, co-workers and neighbors, helping each other be and stay healthy and provide support in time of need. We've been here for members more than 90 years. Regence is a nonprofit health care company offering individual and group medical, dental, vision and life insurance, Medicare and other government programs as well as pharmacy benefit management. We are the largest health insurer in the Northwest/Intermountain Region, serving members as Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (in Washington). Each plan is an independent licensee of the Blue Cross and Blue Shield Association.

If you're seeking a career that affects change in the health care system, consider joining our team at Cambia Health Solutions. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers' engagement in their health care decisions, and offering a diverse range of products and services that promote the health and well-being of our members. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check are required.

Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy .