Moda Health. Healthcare from your head to your toes.

Formerly ODS Health

  • Home
  • About Moda Health
  • Contact us
  • Portal Home
  •  |  Create Profile
  •  | 

Search Jobs

job title, keywords, job number

city, state OR zip/postal (optional)
Show/Hide Advanced Search
job category
sort by
radius (US/CAN Only)

Job Description
Job Title Health Plan Reporting Manager ***
Position ID 482295
Begin Date 7/25/12
Duration Open Until Filled
Location Portland,  OR 97204
Other Location
Description
Responsible for integrating reporting and results from several different reporting arenas and synthesize into consistent and useful information.   Lead person in the development and dispersion of the on-line reporting toolset, support for several jumbo groups who need in-depth individualized analysis and group reporting on both a periodic and adhoc basis.  Will be responsible for incorporating pharmacy data from external sources for monthly reporting.   Will assist on adhoc and report development as needed, as well as Rx/medical integration.

 

*** Position could be eligible for employee referral incentive
Required Skills 1. Degree in mathematics, chemistry, physics, public health, computer science or related field and equivalent work experience to show a facility with healthcare data.
2. Adept with the Microsoft Office Suite and familiar with basic query methods.
3. Understands large group health care insurance dynamics and provisions, including funding types, benefit designs, stop loss, and underwriting.
4. Conversant with measures such as prevalence rates, PMPMs, utilization metrics, member counting, service categorization and risk scores.
5. Familiar with cost containment and care management programs such as wellness programs, disease management programs and large case management.
6. Ability to convey complex information in a direct and straightforward manner.
7. Ability to be effective in managing information flow for a fast-paced, dynamic, team environment; to interact with all levels of management, and to prioritize/manage multiple tasks and deadlines. Self-directive and flexible.
8. Strong communication skills both in writing and verbally.
9. Strong customer service skills and a demonstrated desire to help groups understand and manage their health insurance costs and products.

 
  Option 1: Create a New Profile
 
 
 
  Option 2: Login and Apply
Username
Password
 

© Health Services Group
Health plans in Oregon, Washington and Alaska provided by Moda Health Plan, Inc. Dental plans in Oregon provided by Oregon Dental Service. Dental plans in Alaska provided by Oregon Dental Service dba Delta Dental of Alaska.

  • Press room
  • Careers
  • Feedback
  • Terms of use
  • Privacy policy
  • HIPAA