Healthcare And Financial Analyst
Long Beach, Ca
Developing reports and analysis for senior leadership on claims, encounters, authorizations, and pharmacy with MS SQL query reporting tool.Creating cost and utilization studies and identifying and analyzing trends in areas such as Emergency Department, OB Deliveries, and Bed Days to support executive decisions. Providing drill-down of what population, region, hospital, group, diagnosis, and member is driving the utilization.Developing monthly and quarterly cost and/or utilization analysis to evaluate program efficiency for vendors such as MedSolutions, HCI and Pacific Coast Pharmacy. Recognizing prospects for potential improvement and/or growth.Creating ad hoc reporting for various departments as needed to support business decisions and cost improvement strategies. Developing monthly and quarterly scorecards to track performance, trends, goals or expected performance levels.