About Fallon Health
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.
Brief Summary of purpose:
Senior Healthcare Data Analyst will partner with the Manager, Medical Economics as a subject matter expert in data and analysis, demonstrating an in-depth understanding of financial, clinical, and other business data. The position works directly with operational leadership in the design and development of analytical capabilities, reports, and dashboards needed for short and long-term decision-making to achieve success in managing care. This individual provides complex ad hoc analysis and reporting as directed by management to include the evaluation of financial, operational, clinical and general business programs and processes. The Senior Analyst is responsible for data quality and data integrity as they relate to reporting and analytical activities.
Analysis, Decision Support and Business Intelligence – 45%
Regulatory & Clinical Model Design and Support – 30%
Ad-Hoc Support – 25%
Bachelor’s degree in Business, Finance or Public Health
Strong candidates for this role will have at least three- five years’ experience in health-related complex data analysis, including measurement of cost, quality and health care utilization,
experience working with healthcare claims, clinical and financial data, an understanding of the mechanics of health care cost, and spending and payment.