Job Overview
Location
Remote
Job Type
Full-time
Category
Data Science
Date Posted
June 6, 2026
Full Job Description
đź“‹ Description
- • Analyze healthcare utilization data to identify patterns, variations, and outliers in medical costs across markets
- • Identify and quantify opportunities to reduce medical expenses through data-driven insights
- • Evaluate the effectiveness of existing medical cost reduction initiatives and recommend improvements
- • Develop analytical tools to compare market performance across and within healthcare products
- • Provide actionable analysis and recommendations to improve network provider performance
- • Monitor the efficiency and efficacy of clinical programs, interventions, and care processes
- • Support intake, prioritization, and coordinated execution of ad-hoc analytics requests from cross-functional departments
- • Identify variables and methodologies (qualitative, quantitative, spatial) to define population cohorts eligible for targeted health interventions
- • Segment population data using longitudinal trend analyses and advanced cluster analyses to generate holistic intelligence
- • Conduct root cause analyses of adverse population health outcomes by examining demographic, socioeconomic, and clinical factors
- • Utilize healthcare data including medical and pharmacy claims, EMR data, HIE data, and UM data to inform analyses
- • Communicate findings and recommendations clearly through written and verbal reporting to stakeholders
- • Maintain proficiency in data visualization and analytical platforms including Transact-SQL, SAS, Microsoft Power BI, or Tableau
- • Organize complex datasets to enable informed inferences, conclusions, and strategic decision-making
- • Perform additional job duties as assigned to support organizational goals
🎯 Requirements
- • Bachelor’s Degree or equivalent years of relevant work experience
- • Minimum of two (2) years of experience in healthcare analytics
- • Proficient in Transact-SQL, SAS, Microsoft Power BI, or Tableau
- • Knowledge of healthcare data sources including medical and pharmacy claims, EMR, HIE, and UM data
- • Demonstrated written and verbal communication skills
- • Managed care experience strongly preferred
🏖️ Benefits
- • Salary range of $72,200.00 - $115,500.00
- • Eligibility for a bonus tied to company and individual performance
- • Comprehensive total rewards package including well-being initiatives
- • Remote work arrangement
Skills & Technologies
About CareSource Management Group Company
CareSource is a nonprofit, multi-state managed care organization headquartered in Dayton, Ohio. Founded in 1989, it administers Medicaid, Medicare Advantage, and Marketplace health plans serving over two million members in Ohio, Kentucky, Indiana, West Virginia, and Georgia. The company focuses on improving health outcomes for low-income and vulnerable populations through integrated care management, behavioral health services, and social determinants programs.
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