Healthcare Informatics Analyst

Role Snapshot

The Healthcare Informatics Analyst is responsible for collecting, processing and analyzing data to provide actionable insights that support strategic decision-making. The role serves the division through statistical data analysis, identification of existing issues, and supporting divisional strategies of process and technology innovation and profitable growth to ensure continued quality improvement and prevent fraud, waste, and abuse. This includes analyzing, interpreting, and visualizing claims, clinical, and/or operational data from various sources and recommending best approaches for intervention.

Salary Range

$60,000 - $85,000

The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.

Work Location
Our first consideration will be to have this new employee live in the state of Wisconsin to take advantage of Hybrid work and collaboration. Employees within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to be able to work Hybrid 2 days a week on a regular basis.

*As a secondary consideration, we do offer remote work in the following approved states:
Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin

In this role you will:

• Create, test, and deploy models, reports, and analyses.
• Develop and maintain dashboards and reports using tools such as Excel, Tableau, Power BI, or similar.
• Work with cross-functional teams to understand data needs and recommend analytical approaches.
• Analyze data trends to identify patterns, outliers, and opportunities for improvement.
• Participate in and/or lead projects to ensure requests are completed efficiently and accurately in accordance with contract requirements.
• Assist in ad hoc data requests for operational areas and their Medicare contract requirements, as necessary.
• Identify, recommend, and implement process improvement changes to existing processes.
• Research, recommend, and master new industry analytical techniques and business intelligence tools.
• Ensure data integrity, security, and compliance with company and industry standards.
• Other job-related responsibilities may be assigned as required.

How do I know this opportunity is right for me? If you:

• You communicate with confidence, clarity, and sound reasoning when discussing concerns, ideas, and suggestions with all levels of staff and management.
• Enjoy working with BIG DATA!
• Are creative, innovative, and get excited about using data differently.
• Seek opportunities to utilize your personal responsibility to interpret and analyze data from various sources and recommend best approaches.
• Are good at presenting technical information to non-technical audiences.
• Have the drive to manage your own projects from start to completion.
• Keep current with industry quality analytic approaches and proficiency with business intelligence tools.

What will I gain from this role?

• Get to perform fun and exploratory data analysis that will have real world business implications!
• Working with a forward thinking and highly collaborative team.
• Learning about the Medicare Program.
• Serving Medicare beneficiaries and actively protecting the Medicare Trust Fund.
• Working in a continuous performance feedback environment.
• Experience working in an environment that serves our Nation's military, veterans, Guard and Reserves and Medicare beneficiaries.

Minimum Qualifications

• Bachelor's Degree in Data Analytics, Mathematics, Statistics, Computer Science or related field or equivalent combination of education and experience.
• 1 or more years of experience querying, reshaping, and visualizing data and systems.
• Proficient with business intelligence/analytical tools and programming languages.
• Ability to interpret analytic results and create summarizations for presentations.
• Proficient with Microsoft Office applications.
• Strong written and verbal communication skills.
• Strong problem-solving, analytical, and critical thinking skills.
• Basic understanding of health insurance systems and the claims processing workflow.

Preferred Qualifications

• Experience with Medicare, Medicaid, TRICARE, VA, or healthcare claims.
• Experience in a clinical or business data analytics role.
• Master's Degree in Data Analytics, Mathematics, Statistics, Computer Science or related field.

Remote Work Requirements

• Wired (ethernet cable) internet connection from your router to your computer.
• High speed cable or fiber
• Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).
• Please review Remote Worker FAQs for additional information.

Benefits

• Remote and hybrid work options available.
• Performance bonus and/or merit increase opportunities.
• 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately).
• Competitive paid time off.
• Health insurance, dental insurance, and telehealth services start DAY 1.
• Professional and Leadership Development Programs.
• Review additional benefits: (https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml).

Who We Are

WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than 75 years. Proud to be military and veteran ready.

Culture Drives Our Success

WPS' Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.

We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.

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*This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.