Senior Professional Data Analyst

Remote (Eastern Time Zone)

Note: All candidates must have valid work authorization in the United States without need for visa-sponsorship.

Description:

DSI is searching for a Senior Professional Data Analyst who will support required analytics, report design, data integration and transformation processes crucial to the function of the Single Pharmacy Benefits Manger services for Ohio Medicaid and serve as a data analyst performing research and requirement analysis, creation and design of data specifications and mapping documents, and presents findings to team members, clients, and vendors.

Responsibilities:

• Work closely with engineers to deploy models to production both in batch and real-time while systematically tracking model performance.
• Build complex data sets from multiple data sources and write complex data flows using Databricks, SQL, Spark, and scripting languages (e.g., Python, R).
• Use data visualization tools (e.g., Tableau, PowerBI) to share ongoing insights.
• Present findings to both technical and non-technical audiences.
• Assist engagements with key business stakeholders in a discussion on business opportunities.
• Generate performance metrics such as accuracy, sensitivity, specificity, positive predictive value, ROG, AUG, calibration, SHAP (Shapley Additive explanations).
• Design, develop, test, validate, and deploy Machine Learning (ML) /Statistical models to not only learn from our vast amounts of data but to build new products.
  
  

Requirements:

• Demonstrated knowledge of drug data file elements published by drug compendia/databases. Examples are, but not limited to ICD, Medi-span, Financial Bank (FDB).
• Familiarity with Pharmacy and non-Pharmacy Medicaid claims processing data inclusive of the Financial and Institutional data elements.
• Previous work experience with analyzing, monitoring healthcare plan data focusing on medical claim, data mining, and financial processing member eligibility processing, provider networks and Managed Care Organization (MCO) contract details, audit, and reporting in compliance with Federal and State requirements.
• Ability to create meaningful data presentations along with reports, including but not limited to hot-spotting, graphics, and other intuitive depictions of the data using Tableau.
• Proficient in SQL, data models, data element dictionary and schema, with the ability perform data business analysis.
• MS in Public Health/Public Health Administration or Computer Sciences - Statistics.
• SQL knowledge and experience working with relational databases, query authoring (SQL) as well as a proficiency with the SSRS Reporting tool and Tableau.
• Experience with Application and Data Analytics testing strategy and execution.
• Work with stakeholders including the Executive, Product, Data, and Design teams to assist with data-related technical issues and support their data analytics needs.
• Streamline existing and introduce enhanced reporting and analysis solutions that leverage complex data sources derived from multiple internal systems.
• Experience with Data mining, Data Science, and Predictive analytics is a plus.
• Knowledge of Payment Reform methodologies under the Affordable Care Act and related initiatives in the Medicaid space.
• Healthcare knowledge within a Medicaid / Healthcare plan claims processing environment.
• Excellent verbal and written communication skills.
• Ability to abide by Gainwell policies.
• Ability to maintain attendance to support required quality and quantity of work.
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers.
  
  

About Diversified Systems

Founded in 1990, Diversified Systems is an award-winning Technology Services corporation providing all levels of IT project consulting services nationwide. DSI is headquartered in Columbus, Ohio with regional offices in the American Midwest and East Coast. We offer our consultants a number of flexible and competitive compensation benefit packages.

Diversified Systems is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.

Diversity, Equity and Inclusion

DSI values authenticity and is committed to making sure our employees and partners are valued and respected. At DSI, we believe building a diverse culture is important because we know when people work together, we can achieve better results as a team. DSI realizes that everyone comes from various backgrounds. We celebrate these differences because our employees are our greatest asset as we strive to best meet the needs of those we serve. As part of our ongoing efforts, DSI is focused on advancing equality, diversity, and inclusion by setting high standards to continually evolve our culture. This includes but is not limited to recruiting, community involvement, client delivery, and career development.