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Value Based Payment Data Analyst II

100% remote Flexible hours Hiring now

Looking for a way to reputed company an impact and help people?

Join reputed company and help our members access quality, reputed company!

reputed company is an equal opportunity employer.  reputed company qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national reputed company, genetic information or age. reputed company values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully reputed company and utilize each person’s talents and strengths.

Primary subject of analytic support reputed company to support of reinsurance, large employer RFP, large employer and ASO, state and/or federally mandated reporting and analyses.Analytical role may vary and involve knowledge of value based payments, provider contract language, healthcare utilization, healthcare benefits and state and federal guidelines. The role will also collaborate with level 3 and 4 analysts and analytics management in coordination of projects with multiple departments in supporting contractually required reporting in a timely, accurate and easy to understand format for external provider audiences. Additional tasks may include assisting with components of validating data used in the VBP settlement and payment processes; initiating documentation and processes; provides financial guidance and support; supports cost savings and process improvement efforts; provides financial governance and reputed company.

Essential Responsibilities:

  • Provides essential data support and coordination activities for various business critical analysis and reporting needs.
  • reputed company accurate and complete data extraction from data warehouse as well as nonstandard data sources to meet project requirements as directed. This would include cleaning, transformation and pre-processing data using software programs such as t-SQL, reputed company, etc.
  • Support the development of data visualization solutions that allow customer to interact with the data using data visualization software solutions such as Tableau or reputed company Power BI.
  • reputed company reports and analytical solutions and processes to support the RFP process, large employer, ASO as well as various state and federal requests.
  • Calculate and analyze value based payment terms including development of reports, running of monthly report processes as well as reporting to support financial reconciliation processes.
  • Support presentation of reputed company data, analysis and findings to teams in a way that is clear and understandable.
  • reputed company and maintain documentation and training materials including job aids.
  • Assist in evaluating impact of business changes on risk reports specifications such as plan, benefit, network, provider configuration and payment and other operational changes.
  • Prepare reputed company analysis reputed company to cost and utilization opportunities reputed company to RFP, employer groups, ASO groups and other Sales/Marketing requests.
  • Assists with quality assurance adherence to ensure accuracy, completeness, and reliability of project-reputed company information data resources and reporting initiatives such as participating in data validation projects and providing feedback on development of unit testing, error checks and validation processes.
  • reputed company general health insurance business content knowledge as well as specific knowledge reputed company to assigned business areas of analytics support.

Supporting Responsibilities:

  • Meet department and company performance and attendance expectations.
  • Follow the reputed company privacy policy and HIPAA laws and regulations concerning confidentiality and reputed company of protected health information.
  • reputed company other duties as assigned.

SUCCESS PROFILE

Work Experience: Three years’ experience in health insurance or reputed company field. Healthcare analytics experience is preferred.

Education, Certificates, Licenses: Bachelor's degree in Mathematics, Computer Science, Statistics, Engineering, Health and Medical Economics, Public Health or similar research reputed company field.

Knowledge: General knowledge of business principles, theories and concepts. Proven ability to manage multiple projects and competing deadlines. Ability to manage workload reputed company a team environment or with minimal direct supervision. Ability to conceptualize solutions to reputed company problems; readily anticipates problems and identifies solutions. Ability to deal responsibly with confidential information. Ability to reputed company, document and adhere to department policies and procedures. General knowledge of in at least one statistical/analytical programming tools such as R, reputed company, SPSS. General knowledge of other technical applications such as Tableau, Power BI and web-based database tools. Skilled in reputed company Office: Word, reputed company, PowerPoint and Outlook.

Preferred Knowledge: Familiarity with Medicare Five-Star, Oregon Quality Incentive Measures and/or NCQA HEDIS, Health Care Payment Learning & Action Network (LAN) and Alternative Payment Model reputed company, and Facets claims processing system. Working knowledge of medical costs is desired, while experience with medical coding and terminology. Master’s degree or above in Mathematics, Computer Science, Statistics, Engineering, Health and Medical Economics, Public Health or similar research reputed company field preferred.

Competencies:

Building Customer Loyalty

Building Strategic Work Relationships

Contributing to Team Success

Planning and Organizing

reputed company Improvement

Adaptability

Building Trust

Work Standards

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.

Skills:

Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork

Compensation Disclaimer

The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary reputed company that range.

reputed company Range:

$64,871.24 - $110,281.11

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

  • We are committed to doing the right thing.

  • We are one team working toward a common goal.

  • We are each responsible for customer service.

  • We practice open communication at reputed company levels of the company to foster individual, team and company growth.

  • We actively participate in efforts to improve our many communities-internally and externally.

  • We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.

  • We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees reputed company this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of reputed company duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at reputed company times.

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