Healthcare Data Analyst

Let’s do great things, together

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.

We are seeking a full time Data Analyst to join our Healthcare Services department. The Healthcare Data Analyst performs research and analysis of healthcare claims, enrollment, and other related data, to report on network utilization, cost structure, and/or quality, has an understanding of data sources, flow, and limitations, and is able to review and provide feedback on work done by other analysts. This position will focus on providing analytic support for our quality measure improvement activities as well as general reporting for healthcare services programs and processes.

Primary Functions:
1.Report and evaluate on all health care services & quality programs and activities
2.Support operational efficiency, quality improvement and pay-for-performance efforts
3.Analyze medical, dental and lab/pharmacy claims/cost data to identify trends & patterns, pinpoint issues and areas for improvement, and recommend solutions & alternatives
4.Design and conduct statistical analyses/modeling and program evaluations, and generate matrices of quality indicators & performance measures and narrative reports
5.Produce ad hoc, monthly, quarterly and annual reports and communicate to a wide range of audiences using visual aids and user-friendly formats & interfaces
6.Summarize and synthesize data and information from multiple sources, interpret and translate findings into meaningful information and actionable reports
7.Produce and support analytical, administrative and efficiency tools for other departmental use and provide on-going technical assistance and consultation
8.Abstract data for and work with CMS, NCQA, OHA/DMAP, OEBB, Q-Corp and other regulatory bodies and partners/stakeholders
9.Assist with HEDIS and CAHPS data collection, validation, analyses and reporting
10.Perform other duties and tasks as assigned

Are you ready to be a betterist?

If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.

EOE/M/F/D/V