The Company:
Large Insurance Company
What You Will Be Doing:
The Medicare Data Lead Analyst will be responsible for analyzing and interpreting healthcare data related to Medicare programs, specifically focusing on CMS Direct Subsidy, PDE, and MMR. The role involves working with large datasets, ensuring compliance with CMS regulations, and providing insights to improve healthcare outcomes and financial performance. They will work closely with other team members to collaborate and support team processes. They will partner with key business stakeholders to ensure end-to-end processes are built accurately and maintained.
Qualifications:
- Bachelor’s Degree in related field, or equivalent experience
- 5+ years’ experience in pharmacy benefit management, health insurance, or related industry
- Experience with Medicare Part D data, including PDE and MMR reporting
- Strong understanding of CMS regulations and healthcare analytics
- Intermediate to expert in SQL, SAS, R, Python, or other database languages
- Intermediate to expert in Power BI, Tableau, Qlik, or similar tool, preferred
- Analyze Medicare data, including PDE submissions, MMR reports, and CMS Direct Subsidy allocations
- Ensure data accuracy and compliance with CMS guidelines and reporting requirements
- Maintain and manage large datasets related to Medicare Part D and other relevant programs
Equal Opportunity Employer:
Associate Staffing is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected status under applicable law. We are committed to creating a diverse and inclusive work environment and welcome applicants from all backgrounds to apply for open positions with our company.