Aetna Sr Informatics Analyst in Blue Bell, Pennsylvania

Req ID: 48945BR

POSITION SUMMARY

This position is located in the National Quality Management, Quality Reporting department, and will be working as a member of a team that is responsible for implementing a new measure framework solution for the successful reporting of 40 existing and 6 new provider performance measures. Post- implementation, this team will be responsible for the ongoing maintenance, enhancements, and support of the quarterly measure runs. Provider performance measures are a key component of Value Based Contracting for Accountable Care Organizations and other strategic networks. Measure outcomes impact provider value based incentive reimbursements and plan sponsor payments.

Fundamental Components

Perform research and analysis, including writing sql queries to identify the logic needed to update existing measure specifications and create new measure specifications.

Translate the business requirements defined in the measure specifications for developers.

Analyze measure results to confirm validity and perform complex root cause analysis to identify issues.

BACKGROUND/EXPERIENCE

3+ years of relevant programming or analytic experience. Healthcare or pharmaceutical industry experience is preferred.

Strong knowledge of health care claims, products, and systems.

Experience in working in a data warehouse environment as well as the ability to work with large data sets from multiple data sources.

Strong SQL and SAS programming skills (e.g., SAS Base, SAS STAT, SAS Macros)

Knowledge of analytic programming tools and methods (SAS, SQL, OLAP, Business Objects, Crystal).

Experience in statistical analysis and database management.

Understanding of relational databases, data systems and data warehouses.

Demonstrated analytical and problem-solving skills.

Solid Understanding of complex databases and UNIX or mainframe environments.

Deep knowledge of health care industry, policy, research design, univariate and multivariate statistical analyses, predictive modeling, case-mix and risk adjustment methods and tools.

Demonstrated written and verbal communication skills. Able to present information to various audiences.

Knowledge of other reporting platforms such as: Business Objects, Microsoft Access, web development technology, big data analytics, data mining, Visual Basic.

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES

Functional - Information Management/Business information analysis/4-6 Years

Functional - Information Management/Data acquisition, data management, programming and documentation/4-6 Years

Functional - Information Management/Informatics/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Development Languages/SQL/4-6 Years/

Technical - Reporting Tools//1-3 Years/

REQUIRED SKILLS

General Business/Turning Data into Information/ADVANCED

General Business/Consulting for Solutions/FOUNDATION

General Business/Ensuring Project Discipline/FOUNDATION

DESIRED SKILLS

Technology/Leveraging Technology/ADVANCED

Telework Specifications

Telework will be considered for current internal teleworkers working in the Eastern or Central Standard Time zone.

ADDITIONAL JOB INFORMATION

This position is an excellent opportunity to develop advanced SQL and SAS programming abilities in Hadoop or big data analytics environment, including use of statistical analysis techniques or business intelligence application development.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

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Job Function: Health Care