Highmark Health Decision Support Analyst in Pittsburgh, Pennsylvania

Description

JOB SUMMARY

GENERAL OVERVIEW:

This position directly supports Gateway Health’s internal risk stratification process, data flow(s) and performance measurement processes across all lines of business. Under the direction of Management and Senior Analysts/team members, this position works to support the efforts of internal customers and design teams and assists in prioritizing data and information requirements. Determines how decision support systems will provide information required to make effective business decisions; translates requirements into applications that employ appropriate decision support and reporting tools. Recommends innovative approaches to analytical investigations. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure delivery of knowledge and information.

ESSENTIAL RESPONSIBILITIES

  • Responsible for supporting the Risk Stratification process within Gateway Health for all lines of business

  • Develop and foster internal relationships across the corporation.

  • Provide analytic and consultative support to a broad spectrum of internal customer areas and external business partners.

  • Determinehow decision support systems will provide information required to make effective business decisions, translates requirements into applications that employ appropriate decision support and reporting tools.

  • Use broad experience and technical knowledge to propose solutions to complex business problems.

  • Supports in driving the implementation of the recommended solutions.

  • Supports in defining issues and ideas to be studied as well as the approach (methodological and technical) to be used in addressing studies and projects. Creates and/or developnew methods of analysis, database design and performance measurement or, in some cases, adaptation of existing solutions to new areas.

  • Supports in performmodeling of data sources and flows, work with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure deliver of knowledge and information.

  • Provideassistancewith interpretation of raw data, statistical results or otherwise compiled information, identify follow-up action items and prepare or assist in the preparation of written reports and/or oral presentation of findings to internal and external audiences, customer managers, clinical staff, compliance agencies, group accounts, providers, agent plans, and brokers.

  • Developand maintainmoderate- to extremely-complex computer programs using 4GL programming languages (such as SAS, R, SQL) and other database technology (DB2, Teradata, and Oracle).

QUALIFICATIONS

Minimum

  • A four-year bachelor's in or related to Computer/Information Science, Mathematics/Statistics, Economics

  • 3 years of relevant, progressive experience in Industrial Engineering or Operations Research, or related field. Grandfathered experience requirements effective August 2016

Preferred

  • Experience and demonstrated proficiency as a Decision Support Analyst or equivalent training and experience in a business or clinical environment with direct responsibility for applying technology.

  • An advanced degree in or related to Computer/Information Science, Mathematics/Statistics, Economics, Industrial Engineering or Operations Research

Knowledge, Skills and Abilities

  • Strong technical skills in the mainframe, PC and Internet-based technologies to be effective and must be comfortable and proficient using large and complex databases.

  • Strong skills using various third-party office and report generation products such as Microsoft Office, Business Objects, Cognos, and Enterprise Guide.

  • Strong communication skills. Must be comfortable presenting findings and offering recommendations to senior management.

REQNUMBER: J132244

Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity