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Sr. Medical/RX Data Analyst in Canton at Huntington

Date Posted: 10/3/2018

Job Snapshot

Job Description

Reporting directly to VP, Employee Benefits Product Manager, performs clinical and medical analytics under the general direction/supervision of VP, Data Analytics/Benefits Innovation, wellness strategist, and/or lead benefits consultant in support of actuarial, underwriting, and decision making. This position includes but is not limited to a full understanding of self-funded and fully insured products, underwriting, renewal development, claims forecasting and risk analysis. Additionally, a working knowledge of specific and aggregate stop-loss pricing, aggregating specific deductibles, lasering, plan reserves, COBRA/fully-insured equivalent rates, administrative costs, network discounts, and provider disruption/discount reports are all necessary ingredients in this persons daily duties. The ability to articulate clinical assessments and predicted risk is critical for decision making towards achievement of clients' strategic business objectives using existing analytic tools, insurance carrier resources and underwriting guidelines.

MINIMUM REQUIREMENTS:

  1. Bachelor degree
  2. Current Ohio Life, Accident & Health Licensed or, become licensed within 12-months of hire
  3. Minimun of 3 years work experience with demonstrated performance in a professional environment performing routine analytical work, including but not limited to Excel spreadsheet data and database development and maintenance

PREFERRED REQUIREMENTS:

  1. Previous underwriting or medical claim management experience is a plus.
  2. Thorough understanding of Prescription drug benefits, plan design, discounts and rebate arrangements.
  3. Possesses a thorough understanding of self-funding health plans, stop-loss, aggregate and underwriting concepts and principals.
  4. Strong working knowledge of ERISA and HIPPA guidelines
  5. Effective team player with very good interpersonal relationship skills and can work and relate well with co-employees and customers.
EEO/AA Employer/Minority/Female/Disability/Veteran/Sexual Orientation/Gender Identity Tobacco-Free Hiring Practice: Visit Huntington's Career Web Site for more details. Huntington does not accept solicitation from Third Party Recruiters for any position.
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