Responsibilities
As part of the I.D.E.A.S. team at Milliman, this role will analyze and interpret Medicaid data to support decision-making processes, improve healthcare outcomes, ensure compliance with regulatory requirements, and streamline claims management data processing. Below are enhanced and specific responsibilities aligned with the team’s needs:
1. Data Collection and Management:
o Collect, clean, and manage large datasets from various sources including electronic health records (EHR), claims data, and other healthcare databases
o Ensure data integrity, accuracy, and completeness
2. Claims Management Data Processing:
o Analyze claims data to identify trends, patterns, and anomalies in Medicaid claims
o Develop and implement processes for claims data validation and reconciliation
o Collaborate with claims management teams to streamline data processing workflows and ensure timely and accurate claims adjudication
3. Data Analysis and Modeling:
o Conduct complex data analysis to identify trends, patterns, and insights related to Medicaid services and utilization
o Develop and implement analytical models using SQL, Databricks, and Python
o Utilize Azure and AWS for data storage, processing, and analysis
4. Reporting and Visualization:
o Create comprehensive reports, dashboards, and visualizations to communicate findings to stakeholders
o Use tools such as Tableau, Power BI, and RShiny to develop interactive visualizations
o Present data insights and recommendations to healthcare providers, administrators, and policymakers
5. Compliance and Quality Assurance:
o Ensure compliance with federal and state Medicaid regulations and reporting requirements
o Conduct quality assurance checks to ensure data accuracy and reliability
6. Collaboration and Support:
o Work closely with Milliman business teams, including IT, clinical staff, and management, to support data-driven decision-making
o Provide training and support to staff on data-related tools and processes
7. Continuous Improvement:
o Identify opportunities for process improvements and implement best practices in data analysis and management
o Stay updated with the latest trends and advancements in healthcare data analytics and Medicaid policies
8. Deliverables:
o Deliver data artifacts post-analysis on a monthly, weekly, and ad-hoc basis to Milliman business teams
o Ensure timely and accurate delivery of data insights and recommendations
Qualifications
• Excellent analytical and problem-solving skills
• Strong attention to detail and accuracy
• Ability to interpret complex data and present findings in a clear and concise manner
• Strong communication and interpersonal skills
• Ability to work independently as well as part of a team
• Ability to support data analysis projects, develop reports and dashboards, and assist in data cleaning and preparation
• Knowledge of healthcare data standards and privacy regulations (e.g., HIPAA)
Required:
• Bachelor’s degree in Data Science, Statistics, Public Health, Health Informatics, or a related field
• Minimum of 5 years of experience in data analysis, preferably in a healthcare or Medicaid environment
• Strong understanding of Medicaid policies, procedures, and regulations
• First-hand experience with SQL, Databricks, and Python
• Proficiency in 1 or more cloud platforms, such as, Azure and AWS
Preferred:
• Master’s degree in Data Science, Statistics, Public Health, Health Informatics, or a related field
• Experience with one or more: SAS, R, and RShiny
The Team
As a member of the Indy Data Engineering, Architecture, and Science (I.D.E.A.S.) team, you will provide analytical support services to our key state clients and their dedicated core teams, under the mentorship of senior data consultants. Our data team works cross-functionally with professionals from a variety of disciplines and backgrounds including: actuarial, policy, finance, pharmacy, data management and more. Our practice has been strategically structured to best serve state Medicaid and other health and human service agency clients. The Indianapolis Health practice has 215+ full-time employees, from various academic and professional backgrounds, working together with the common goal of best serving our clients’ needs. We offer challenging projects, expert colleagues, a collaborative environment, and diverse client projects for all employees to work, learn, and grow with our practice.
Location
The person hired for this role will work in a dynamic, hybrid environment, with 2 to 3 days per week of on-site work required in our Indianapolis office on a weekly basis.
Benefits
At Milliman, we focus on creating an environment that recognizes – and meets – the personal and professional needs of the individual and their family. We offer competitive benefits which include the following based on plan eligibility:
• Medical, dental and vision coverage for employees and their dependents, including domestic partners
• A 401(k) plan with matching program, and profit sharing contribution
• Employee Assistance Program (EAP)
• A discretionary bonus program
• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked
• Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period
• A minimum of 8 paid holidays
• Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage
• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs