***Please note: We will consider candidates who are in/near Denver, or willing to relocate, as this role will eventually be working with a team onsite when we return to our building. 

Pinnacol Assurance does just one thing, and does it better than anyone: provide caring workers’ compensation protection to Colorado employers and employees. Although employers are required by law to provide Worker’s Comp insurance, we believe our service is making a meaningful impact in worker’s lives across Colorado in their moments of need.

We have big hearts and love big ideas. We’ve been around for over 100 years, but don’t let that fool you. Pinnacol is committed to taking care of Colorado employers and workers in the most innovative of ways! We celebrate continuous improvement, new ideas, compassion, teamwork, integrity and excellence.
With our number one priority to keep everyone safe, along with the heart of Pinnacol’s “culture of caring” to do what is right and not what is easy, we’re currently having our team members work from home. During remote work, we’re still making time for fun! We host virtual painting classes, virtual yoga and Zumba classes, and virtual happy hours!

What you’ll do:

Working with a close-knit and highly-collaborative group of colleagues, this is an exciting role that involves developing and applying expertise and creating innovation in multiple domains of insurance operations. The position serves as the primary data analytic and reporting resource for Medical Operations and Healthcare Strategy (MOHS). Areas of focus include medical provider network management, utilization management, bill payment, and others as assigned.

What you can expect:

• Measure and trend aspects of medical provider quality, outcomes, utilization, and clinical practice variation. Interest, and ideally prior experience, in developing novel metrics and measurement methods in these domains.
• Experience in the identification of cost and quality outliers to support the data-driven optimization of medical provider networks, cost containment, and the effective functioning of fraud, waste and abuse programs.
• Detailed understanding and prior experience extracting, merging, and analyzing information from enterprise data warehouses and other kinds of data sources.
• Knowledge of Salesforce.
• Deep knowledge of and experience with Excel, including the use of pivot and lookup tables.
• SQL coding experience. Some experience with relevant non-SQL programming languages such as Python.
• Familiarity with data reporting and visualization tools such as Tableau and Looker.
• Good familiarity with basic statistics and the application-based performance of statistical tests.
• Knowledge of ICD-10, CPT, medical billing, medical cost information, and insurance claims.
• Familiarity with Lean principles.
• Ability to multi-task and work efficiently in a busy environment; flexibility to alternate between on-site and remote work.
• Provide assistance to multiple clients at the same time; strong communication skills and the ability to help clients clarify requests and formulate efficient, actionable queries that will answer clear-cut questions.
• Highly organized; excellent coding documentation skills; strong ability to keep track of tasks and meet deadlines; detail-oriented; attentive to ensuring data integrity and analytic accuracy.
• Proactive about identifying and solving problems; timely and resourceful in relation to soliciting help from external vendors and colleagues in Pinnacol’s Information Services (BIS) department.
• Ability to adapt reports and dashboards for disparate audiences
• Has a curious mindset; an openness to learning about and developing expertise in new software packages and applications.
• Has a reasonable level of comfort with organizational change and sustained attention to continuous improvement.

What you’ll bring to the table:

4 year degree in business/economics, healthcare informatics or related field or relevant experience preferred. HIMSS Certification preferred. Minimum of 2-5 years of experience in a position involving the application of techniques of economic analysis, statistics, financial and/or information analysis in a healthcare related field. Experience in a hospital or managed care environment with a focus on medical data analysis and/or cost and utilization analysis.

We can’t do our work without people like you.
Our employees are extraordinary and committed to making a difference. Here’s some of the ways we show our appreciation.

• Our benefits go beyond the basics. You’ll get to choose from diverse benefit offerings for medical, dental and vision.
• We care about each other. We enjoy a positive, collaborative work environment. We are hard workers and high performers.
• Take a day (or 20!) off. Enjoy 20 paid days off your first full year plus 9 paid holidays.
• Take care of yourself. Sign up for unique wellness programs, including on-site, company-paid fitness facilities and classes
• Get your learning on. We promote a learning culture to help you master your current job and cultivate the skills of the future through a variety of on-site, online, and off-site professional development opportunities.
• Give back and get paid. Through our employee volunteer program, Pinnacol in Action, employees receive paid time off to volunteer with Colorado nonprofits.
• Share in our success. You’ll have the opportunity to earn a quarterly incentive, up to 20 percent of your annual base salary, when your team exceeds their goals and objectives.

When we find the right person, we try to put our best foot forward with an offer that excites you. We consider what you’d like to be paid, the skills and experience you bring, what similar jobs pay in the Denver area and make sure there’s equal pay for equal work among those you’ll be working with. When meeting the requirements, the minimum of what you can expect for this position is $96,300. The actual offer will vary depending on the candidate's skills and competencies.

Want to love your work? Apply today!