Job Description

Key Responsibilities:

•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

Knowledge and Skill Requirements:

• 1-3 years of analytics overall experience, including at least 1 years of quantitative analysis in the Health Industry.

• Hands on experience in Predictive analytics projects involving statistical modeling, customer segmentation etc.

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.

Professional Development Skills: Project Dependent