✨ AI Summary
Bupa Arabia is seeking a Manager for Healthcare Analytics to execute and complete specific deliverables and activities related to analyzing, validating, and standardizing data-gathering processes. The role involves reporting statistical data and performance metrics from various sources such as insurance processing, performance metrics, clinical operations, demographics, and costing reports. Key responsibilities include designing data models that integrate patient data, analyzing member health risk segmentation and chronic cases profiling, investigating data for patterns and trends, and pulling/integrating data from multiple sources to aid in healthcare management and decision-making. The manager will also publish monthly reports for mega accounts, develop reports and presentations, ensure accurate completion of daily and monthly performance metrics reports, and communicate analytical insights to management. The role also involves data cleansing, applying advanced categorization of services, validating doctor names and specialties, and modifying the unified service coding process. Collaboration with business units for big data projects, digital enhancements, transformations, and implementations is expected, along with interpreting and validating data for advanced analytics and ML models, and automating manual reports using Power BI.
This position requires 2-4 years of experience in an analytical role, with a preference for experience within a healthcare provider or health insurance setting. Candidates must have intermediate to advanced skills in MS Excel and PowerPoint, and Power BI. Experience in data analysis, including healthcare claims data manipulation, is crucial. The ability to interpret both high-level and detailed views of the data, along with excellent analytical and communication skills, is essential. A Bachelor's degree in medicine and surgery, pharmacy, or related medical fields is required.
Requirements
Requires 2-4 years of experience in an analytical role, preferably within a healthcare provider or health insurance setting. Must possess intermediate to advanced skills in MS Excel, PowerPoint, and Power BI, with experience in data analysis including healthcare claims data manipulation. Strong analytical and communication skills are essential.
Description
Job DescriptionExecute and complete specific deliverables and activities that analyse, validate, standardize the data-gathering process as well as report statistical data & performance metrics from multiple sources (e.g. insurance processing, performance metrics, clinical operations, demographics, costing reports ... etc) in order to fulfil our business and customers needs.Healthcare Data AnalysisDesign data models that integrate patient data from multiple sources to create complete views of health data.Analyze members health risk segmentation and chronic cases profiling (e.g., chronic disease, cancer, hepatic disease, renal failure).Investigate data to find patterns and trends.Performance Analysis and ReportingPull and integrate data from multiple sources.Analyze data to assist in delivering optimal healthcare management and decision making.Publish monthly reports for mega accounts including different dimensions.Develop reports and presentations.Ensure accurate and timely completion of daily and monthly reports of all performance metrics.Communicate analytical insights with management.Data CleansingApply advanced categorization of services with standardized and concise mapping.Ensure proper validation of doctor names in the data, specialties, modifying and validating of the unified service coding process.Analysis and reporting transformation initiativesCollaborate with the different business units and functions in order to execute the assigned objectives related to big data projects and digital enhancements, transformations and implementations.Interpret and validate data to be incorporated into advanced analytics and ML models.Automate the manual reports through power BI.Skills 2-4 years plus experience in analytical role (Preferred healthcare provider/ health insurance).Intermediate to advanced skill level with MS Excel and PowerPoint and Power BI.Data analysis including healthcare claims data manipulation.Ability to interpret both high level and detailed view of the data.Excellent analytical and communication skills.Bachelor's degree in medicine and surgery / pharmacy or related medical fields