The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
Must reside in California.
Our Vision:
Continuously improve the health of our community.
Our Mission:
We provide healthcare value and advance wellness through community partnerships.
Essential Functions:
Required
- Develops and maintains effective analytic processes, solutions, visualizations, metrics, and KPIs, consistent with best practices.
- Creates actionable data insights and collaborates with stakeholders to develop action plans that will deliver meaningful outcomes to the business.
- Works with key business partners to understand business priorities, identify strategic initiatives, and develop effective and timely analytic solutions.
- Delivers analytical insight and recommendations in succinct and compelling presentations for internal and external customers and for an executive audience.
- Supports ad-hoc analytic requests for raw data through presentation quickly, efficiently, and accurately.
- Propses and implements business metrics for management reviews and works with other departments to design and develop data driven solutions to support business efficiency.
- Develops and maintains various financial, forecasting, analytical, and predictive models.
- Identifies and implements process improvements.
- Supports internal and external audits, and assists in the preparation of recommendations, responses, and reports.
- Collaborates with external and internal stakeholders to maintain the availability, validity, and integrity of data sources.
- Maintains appropriate and required data, records, and other operational and regulatory report documentation.
- Complies, develops, and submits internal and external reports and dashboards, including all mandated and regulatory reports, responses, and corrective action plans.
- Provides input on analytic best practices; socializes agreed upon practices across the organization.
What You Bring:
Knowledge, Skills, Abilities and Competencies
Required
- In-depth knowledge of analytics principles, concepts, best practices and performance measures, with the ability to effectively use, implement, and maintain them.
- Strong oral and written communication skills, including the ability to communicate professionally to diverse individuals and groups inside and outside of HPSJ, and explain complex information.
- Strong listening skills, with the ability to accurately receive and understand messages.
- Basic leadership skills, including but not limited to the ability to influence without authority and motivate others.
- Demonstrates a commitment to HPSJ’s strategy, vision, mission and values.
- Advanced skills in SQL Query development, including but not limited to the ability to write SQL scripts for reports, testing, and Tableau data connections.
- Advanced skills in Excel, including ability to create complex formulas, pivot tables, data tables, simulations and solvers.
- Ability to speak and be understood in English.
- Ability to treat confidential information with appropriate discretion.
- Data accuracy and process: Ability to conduct accurate analysis validation processes to ensure data accuracy and reliability and drive data decisions.
- Synthesizing and Analytical Skills: Applies knowledge of various analytical techniques to boil down multiple, related issues of varying complexity to their essential elements and communicate trends, advice and recommendations in terms easily understood.
- Data Visualization: Implements contemporary techniques, dynamic visual displays with illustrative and interactive graphics to present patterns, trends, analytical insights from data or new concepts for the target audience.
- Problem-solving Approach: Approaches a problem by using a logical, systematic, sequential approach.
- Requirements Gathering: Identifies, scopes and documents a wide variety of moderately complex to complex requirements and priorities through information gathering, probing questions, and analysis as well as clarification of the solutions, initiatives and programs.
- Business Knowledge: Ability to understand claims systems, data structures and data warehousing, adjudication processes, procedures, and metrics; ability to apply knowledge of the business and the external landscape to advance organizational goals.
- Data Sourcing and Mining: Sources, extracts and validates a variety of identified and unknown data from a wide variety of sources to provide integrated information leading to accurate and timely decision making and planning; chooses appropriate data sources.
- Interpersonal savvy: Relates openly and comfortably with diverse groups of people; interacts effectively with individuals both inside and outside of HPSJ; establishes and maintains effective working relationships.
- Demonstrates initiative; identifies what needs to be done and takes appropriate action.
- Optimizes Work Processes: Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
Preferred
- In-depth knowledge of and ability to effectively use analytical tools (i.e. Tableau, Power BI, Qlikview).
- Knowledge of ability to utilize statistical methods and techniques (predictive modeling, segmentation, regression, etc.).
- Knowledge of regulatory guidelines and reporting requirements related to State and Federally sponsored healthcare programs (i.e., Medi-Cal, Medicaid).
- Knowledge of healthcare analytics principles, concepts, best practices and performance measures, with the ability to effectively use, implement, and maintain them.
- Knowledge of key provider networks/contracting and claims data sets.
- Working knowledge of R or Python statistical programming.
What You Have:
Education and Experience
Required
- Bachelor’s degree with an emphasis in economics, business, statistics, finance, accounting, information technology, mathematics, or a related field; and
- At least five years progressive experience in financial/statistical analysis and reporting; or
- Equivalent combination of education and experience.
Preferred
- Experience in financial or statistical analysis and reporting in a managed care commercial or Medi-Cal health plan including experience with reimbursement coding, contract predictive modeling and pricing analysis for Medicaid, Medi-Cal and/or commercial managed care.
- Experience analyzing complex data, managing multiple projects with increasing difficulty and complexity, and developing meaningful reports by drawing accurate conclusions from the data.
- Experience with Tableau, or similar data visualization tool; developing worksheets dashboards, data extracts, scheduling, performance tuning and stories in Tableau.
What You Will Get:
HPSJ Perks:
- Competitive salary
- Robust and affordable health/dental/vision with choices in providers
- Generous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
- CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
- Two flexible spending accounts (FSAs)
- Employer-Paid Term Life and AD&D Insurance
- Employer-Paid Disability Insurance
- Employer-Paid Life Assistance Program
- Health Advocacy
- Supplemental medical, legal, identity theft protection
- Access to exclusive discount mall
- Education and training reimbursement in addition to employer-paid elective learning courses.
- A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.
- A shorter commute – if you’re commuting from the Central Valley to the Bay Area.
- Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.
We are an equal opportunity employer and diversity is one of our core values. We believe that differences including race, ethnicity, gender, sexual orientation, and other characteristics, will help us create a strong organization that is sensitive to the needs of those we serve. Employment decisions are made on the basis of qualifications and merit.
HPSJ provides equal employment opportunities to employees and applicants for employment and prohibits discrimination based on color, race, gender (including gender identity and gender expression), religion (including religious dress and grooming practices), marital status, registered domestic partner status, age, national origin (including language use) or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military or veteran status, political affiliation or any other characteristic made unlawful by applicable Federal, State or local laws. It also prohibits unlawful discrimination based on the perception that anyone has these characteristics or is associated with anyone who has or is perceived to have these characteristics.
Important Notice: This job description is not a contract between HPSJ and the employee performing the job. The duties listed in the job description may be changed at the discretion of HPSJ, and HPSJ may request the employee to perform duties that are not listed on the job description.
Equal employment opportunity, including veterans and individuals with disabilities.
