Required:
At least 3 years of experience in analytics, data management, or reporting, preferably within healthcare, managed care, or a related industry.
Hands-on experience with SQL, reporting tools (Tableau, Power BI), and operational dashboards.
Experience in one or more domains (Authorization & Claims, Population Health, Quality, etc.) at a functional or project level.
Experience analyzing community supports, care management, health education, Managed Long-Term Support Services (MLTSS), and intervention programs.
Experience translating data into actionable insights to guide interventions, resource allocation, program improvements, and new ideas for member programs based on population needs.
Preferred:
Experience in health plan operations or managed care analytics.
Experience participating in enterprise reporting or dashboard projects with governance standards.
Experience understanding and responding to ongoing California Department of Health Care Services (DHCS) requirements for various programs, such as CalAIM.