Let’s do great things, together!
About Moda
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. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Pay Range
$64,394.27 - $96,705.18 annually (depending on experience).
*Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Please fill out an application on our company page, linked below, to be considered for this position.
Primary Functions:
1. Performs research and analysis of healthcare claims, enrollment, and other related data, to report on network utilization, cost structure, and/or quality.
2. May combine and manipulate data from multiple sources.
3. Depending on experience, reviews, writes, and/or presents healthcare utilization and cost containment reports.
4. Manages a workload of recurring reports, focusing on quality and delivery timeliness.
5. Identifies anomalies and troubleshoots potential problems. Updates and revises report criteria as appropriate to meet changing business conditions.
6. Meets with internal customers to brainstorm what kind of information/report is needed for each situation.
7. Thinks creatively about how to solve a problem or meet a specific business need, given the data available.
8. Collaborates with the other members of the Pharmacy Analytics team to expand analytical capabilities, methods, and toolkits.
9. Participates in user groups to share analysis tips and techniques
10. Create and maintain project and process documentation
11. Other duties as assigned
Required Skills & Experience:
1. Bachelor’s degree or equivalent experience.
2. Minimum 2 years’ experience analyzing data. Experience with health care data preferred.
3. Strong analytical and problem solving skills.
4. Strong verbal, written, and interpersonal communication skills.
5. Experience with using data analysis and visualization tools such as SAS, SQL, PowerBI, Microsoft Access, Microsoft Excel, Tableau, or other similar applications.
6. Ability to read, write, and modify complex SAS programs and projects preferred.
7. Ability to read, write, and modify complex SQL statements preferred.
8. Ability to work well under pressure and with constantly shifting priorities.
9. Ability to project a professional image and maintain complete confidentiality.
10. Ability to transform and integrate data from multiple tables, databases, and/or systems preferred
11. Deep understanding of health care data sources, flow, and limitations preferred
12. Experience with continuous quality improvement methodologies preferred
13. Experience with software development lifecycle methodologies preferred
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. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
Description of the role:Sheridan Auto Body is currently seeking a skilled Body Shop Manager to oversee the operations of our body shop in Elsmere, DE.Responsibilities:* Manage day-to-day operations of the body shop* Supervise staff and ensure quality work*...
...ELIZABETHTON CITY SCHOOLS POSITION ANNOUNCEMENT Title: Assistant Football Coache, T. A. Dugger Jr. High School Requirements: Hold a high school diploma. Successful experience in the coaching field, with successful experience in the school environment...
...Live In Caregiver Legacy Home Care Earn up to $1600 per pay period + Up to $2000 in Bonuses! As a Live-In Caregiver with Legacy Home Care, you will be temporarily residing in-home with the client, providing personal care and...
...Job Description Social Media Content Creator We are looking for Social Media Content Creator, who will be responsible for concepting... ...and photography content that supports a global social media and digital marketing team. This role is critical in bringing the consumer...
...ideal candidate will be responsible for all project direction, planning, completion, and... ...must be organized and have excellent time management skills. Responsibilities Manage... ...project schedule and manage deadlines Assist with estimation and bidding process...