Analyst/Consultant - Healthcare Analytics

JD - Analyst/ Consultant - H&PS Analytics

OVERALL PURPOSE OF JOB:

Provide onsite and/or offsite consulting for delivering advanced / predictive analytics and perform quantitative ad-hoc and descriptive analyses to create valuable insights from data that help clients solve their issues such as lowering the costs and increasing the profits.

Responsibilities/Authorities : 

Apply statistical techniques to solve real world business problems for health community (Payer/ Provider, Public Health, Pharmacy Benefit Management companies). You should be able to find actionable solutions that are efficient and simple for the client needs. The person is expected to be knowledgeable and could be working on any of the areas below:

Health

- Customer Profiling, Scoring, and customer segmentation(behavioral, needs and value based)

- Retention models - loyalty, plan choice, customer service, satisfaction, propensity to churn, attrition models

- Pricing Analytics - Plan Pricing, Underwriting, Provider Contracting

- Fraud Analytics - Fraud Modeling, Network Analysis, Anomaly detection for unidentified Fraud

- Health Management - identification and risk stratification, risk scores, disease management, gaps in care analytics.

- Provider and Network Management - competitor analysis, contract pricing, physician loyalty, etc.

- Quality of Care Metrics - CMS/ JCAHO Measures, CMS star ratings, CAHPS/ HCAHPS Metrics, Survey Analysis

- Cost optimization Analytics - Strategies to reduce cost of care for payers, providers, and members, Alternative treatments/ Medications

- Predictive Modeling - Linear Regression, Logistic Regression, Cluster Analysis, Neural Networks, etc

Work with onsite teams and provide end to end offsite support through the life cycle of a project. Onsite support may be required depending upon business requirements

Must Have Skills:

- Experience in using R/SAS/Python required

- Understand Machine Learning; experience with Machine Learning a plus

- Excellent written and oral communication skills with ability to clearly communicate ideas and results to non-technical business people.

- Strong aptitude, ability, motivation and interest in placing quantitative analysis in the context of marketing and business economics.

Good to Have Skills:

- Demonstrate a proven practice of project management discipline; project management skills a plus;

- Ability to derive insight from large amounts of data from diverse sources

- Ability to work on multiple projects and set priorities.

- Good Understanding of healthcare market (prior experience working on US based Health projects will be a plus), OR Educational qualification(s) in Medical and experience with analytics.

Educational Qualification:

- Should MSc/MPhill in Statistics/Economics/OR Engg. Degree from Top Tier Local Engineering College, OR MBBS