US Healthcare Analyst
The Walt Disney Company
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Lake Buena Vista, FL, USA
Posted 6+ months ago
Job Summary:
The US Healthcare Analyst is responsible for providing analytical insights and management for healthcare programs and initiatives. This position will support the US Healthcare & Well-Being Programs team, reporting directly to the Manager, Healthcare Analytics. The role will partner with internal and external resources to design and execute complex analytical projects, to provide ongoing review of current healthcare programs, while evaluating future opportunities.
Responsibilities:
Performs analysis of healthcare and prescription claims, health assessment data, and disease management programs
Coordinates with stakeholders, vendors, and benefits team members to complete analytical projects
Conducts regular analyses of demographics, industry trends, and program utilization
Evaluates market landscape, legislation and other trends, proactively bringing forward considerations and impacts to Disney
Reviews ongoing pharmacy and clinical program offerings for success and identifies future opportunities to address needs
Primary data consultant for supporting on-site medical centers and direct-contract healthcare agreements
Assists with benefit program plan design and cost sharing to evaluate market relevance and recommend changes
Reviews initiatives and data/financial modeling brought forward by vendors and consultants for feasibility, while making sure all factors were considered and auditing of data
Provides support for vendor relationships, financial reviews, contracting, operational decisions, benefits delivery models, vendor integration, data reviews, and other initiatives that arise
Implement and monitor outcomes of medication therapy management, including therapeutic optimization and digital solutions
Basic Qualifications:
Minimum 5+ years of experience with data analytics in an Employee Benefits, Human Resources, or Finance field in a complex organization
Demonstrated experience with actuarial projections and statistical forecasting processes with an understanding of financial aspects of benefits programs
Experience working with confidential data and protecting data confidentiality, including compliance with HIPAA, various data sharing agreements, NDA agreements and other contractual and legal requirements
Working knowledge of healthcare industry regulations and practices as well as familiarity with various other benefit types
Adept with MS Access, Excel, and other data management software, including ability to build and maintain custom database solutions to support ongoing analysis and reporting
Proficiency with Word, Excel, PowerPoint, Outlook and project management software
Excellent verbal and written communication skills, including data visualization
Detail oriented and extremely high work ethic
Demonstrated ability to work effectively in decentralized matrix organization with colleagues at various levels
Excellent analytical and problem-solving skills
Customer-focused and solutions oriented
High energy, self-starter accustomed to adapting to multiple competing priorities
Preferred Qualifications:
Experience with SAP, Workday, and Tableau
Knowledge of health care provider networks, contract negotiation, and administration
Experience with data warehouse environments, including data maintenance and programming dashboards and reports
Working knowledge of medical claims coding processes
Experience with financial processes used in employee benefits accounting and budgeting, including calculations of savings models and Return on Investment (ROI)
Required Education:
Bachelor’s Degree in an analytical, financial, business or actuarial field, or equivalent work experience
Preferred Education:
Enrolled Actuary
Master’s degree (MBA, MA, MPH, MS)
Certified Employee Benefits Specialist (CEBS) or related certifications (Group Benefits Associate)
The hiring range for this position in California is $101,800.00-$124,400.00 per year. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographic region, job-related knowledge, skills, and experience among other factors. A bonus and/or long-term incentive units may be provided as part of the compensation package, in addition to the full range of medical, financial, and/or other benefits, dependent on the level and position offered.
This job is no longer accepting applications
See open jobs at The Walt Disney Company.See open jobs similar to "US Healthcare Analyst" AnitaB.org.