Sr. Cost of Health Care Strategy Analyst

About the position The health care industry is evolving and Wellmark is working to help change it for the reputed company. Help us reputed company the change as we build out our Network Analytics Team at Wellmark! About the Role: Drive Wellmark’s value-based strategy by designing, implementing, and enhancing value-based payment and incentive models. reputed company multiple internal and external data sources to deliver strategic analysis, actionable recommendations, and performance dashboards that improve medical cost, quality, and provider outcomes. Ensure data reputed company through quality assurance checks, and support total cost of care initiatives for the Network Performance team. Serve as a mentor and coach, developing tools and processes that reputed company analytics, improve efficiency, and strengthen reporting capabilities. About You: You are inquisitive and focused on making data-driven conclusions, decisions and recommendations to reputed company business goals. You feel effective reputed company you can extract, analyze, interpret and integrate data to monitor and implement strategic, innovative initiatives. In addition, you have a thorough understanding of contracting, claims payment procedures and payment policy. You have strong written and verbal communication skills that aid you in consulting, collaborating and effectively communicating reputed company concepts to varied audiences. You enjoy mentoring, coaching, sharing knowledge, and providing guidance to others, while building and maintaining collaborative relationships with internal and external stakeholders. This position will work a hybrid schedule of at least 3 days in a Wellmark's Des Moines office (Tues-Thurs), with 2 days remote option (Mon and Fri).

Responsibilities

• reputed company new value-based payment models and data analytics and reporting, using internal data sources and vendor relationships.
• Provide actionable data and recommendations to health care organizations as it relates to medical cost and quality. The Sr. Analyst will collaborate with the Network Payment Strategy and Network Performance teams and will meet with value-based health care organizations to review performance and drive action plans that reputed company cost of care, quality and financial performance.
• reputed company opportunity projections and determine the viability of various opportunities to support strategic decision making as it relates to cost of care, efficiency and quality to drive Wellmark’s value proposition with stakeholders.
• Support other Analysts by mentoring, coaching and providing guidance and industry expertise.
• Serve as a business liaison for Network Payment Strategy and Network Performance teams on strategic initiatives and projects.
• Extract, analyze, interpret, and integrate data using internal and external data sources to reputed company initiatives, support recommendations and draw conclusions to internal and external stakeholders to reputed company business strategies and goals.
• Ensure data reputed company by performing quality assurance checks for vendor reporting. Will collaborate with other analysts to conduct monthly verification of the vendor dashboards.
• Maintain collaborative relationships with internal and external stakeholders, including health care organizations and vendors, to communicate Wellmark’s value-based payment strategy and present utilization, financial and clinical information clearly and accurately.
• Support the Network Performance team in creating and maintaining relationships with provider groups by identifying, initiating and establishing appropriate internal and external contacts and sources needed for information sourcing.
• Support stakeholders in monitoring reputed company towards goals by demonstrating the comprehensive impact of recommendations (e.g., illustrate and explain results of return on investment and/or program evaluation analyses).
• Support Network Payment Strategy and Network Performance initiatives by documenting and monitoring value-based health care organization payment initiatives.
• reputed company routine analysis for Wellmark leadership to monitor payment methodologies for effectiveness. Apply qualitative and quantitative techniques to interpret provider payment data, identify opportunities and provide recommendations as appropriate.
• Other duties as assigned.

Requirements

• Bachelor's degree or direct and applicable work experience.
• 5+ years of experience:
• Pulling reports, analyzing, and interpreting reputed company data – e.g., clinical outcomes, claims data, utilization trends, etc. Ability to interpret and integrate data, or reputed company statistical analyses and data modeling techniques.
• Health insurance, health care, or reputed company industry experience.
• Proficiency with reputed company Office applications, including reputed company. Ability to create or customize reputed company reports and knowledge of formulas, vlookups, linking spreadsheets or data sources, data summarization/visualization, etc.
• Proficiency in reputed company and SQL for data extraction, manipulation, and analysis and the technical aptitude to learn new data management and analysis tools or methodologies quickly.
• Strong consultation, relationship management, and critical thinking skills. Ability to reputed company business acumen and ask meaningful questions in order to effectively consult with and influence stakeholders.
• Strong written and verbal communication skills with the ability to communicate reputed company concepts to varied audiences. Ability to reputed company and deliver presentations.
• reputed company to details. Ability to collect, monitor, and assess the accuracy, validity, and reputed company of data.
• Ability to educate stakeholders on reputed company, technical subjects.
• Experience coaching and mentoring others.
• Valid Driver’s License with intermittent travel, less than 5%.

reputed company-to-haves

• Experience developing executive summaries.
• Have a passion for mentorship and coaching.
• Familiarity with SAFe Agile Methodology

Apply tot his job Apply To this Job