Data & Financial Consultant
James L. Dooley & Associates (Jacksonville, Florida)

Data & Financial Consultant

This World Class Health Plan is continually refining their processes and products to offer the best value to more than 4 million members. 

This position reports to the Director of Informatics and will impact company performance by building a partnership between the Finance and Medical Management business areas.

In this role YOU WILL:

·         Provide primary data and analysis support to the Risk Analysis and Cost Estimates area within Informatics

·         Be responsible for supplying ad hoc risk adjusted cost reports in support of medical cost management efforts

·         Create, reconcile, summarize and analyze data

·         Use risk adjustment tools available to normalize data for analysis purposes

·         Provide initial estimates of cost-savings related to initiatives impacting facilities (Professional, Pharmacy)

·         Train others regarding data sources, limitations of data and efficient ways to retrieve data related to risk analysis

·         Represent Informatics on cross-functional workgroups

·         Support the design and development of methods, tools, models, frameworks of analysis and research techniques

·         Support internal and external business users.

·         Provide ad hoc reporting and analysis services.

·         Identify and implement standard reporting processes and continuously improve reporting efficiencies.

·         Identify, document and communicate with Informatics departmental units all business requirements necessary to fill data acquisition and reporting requests.

·         Present and incorporate into the Informatics development roadmap any Finance data and reporting needs as necessary to ensure continued operational success.

Qualifications:

·         Bachelor’s degree in Finance, Statistics, Actuarial Science, Math, Business, Computer Science or Clinical Research.  Equivalent work experience may be acceptable. 

·         5 or more years of experience in programming, database management or data validation

·         Experience with mainframe processing and transferring data between servers, mainframe and PC

·         Experience with programming languages (e.g., HTML, VBscript, Javascript, SAS, SQL)

·         Experience communicating and presenting detailed technical information

·         Knowledge of database management techniques (PC, Mainframe, Client server)

·         Experience in Healthcare finance

·         Knowledge of major Health plan information systems (financial, payment, claims, enrollment, income)

·         Excellent organizational, analytical, interpersonal, written, and verbal communication skills required.

E-mail your resume in a Word Document for Job# 2700 to: Shana Bridge  sbridge@theheadhunter.com  – James L. Dooley & Associates