Job details
Job type full-time
Full job description
***this position allows working remote within the us***
The health business analyst within the commercial network performance analytics team will provide analytical support for episode based payment (ebp) bundles, assessing financial reimbursement models, and various provider network initiativesAdditionally, analytical support may be needed across other key functional areas of the organization including actuarial, payment integrity, product, and segment requiring development of analytical approaches, conclusions and effective communication to various targeted audiencesThe ideal candidate will have strong critical thinking skills, experience working with large data sets, ability to draw inferences, an understanding of various provider reimbursement methodologies and a natural curiosity to understand health insurance informatics.
The skills you bring:
Act as support analyst for assigned projects and proactively identify topics for analysis.
Assist in development of routine financial reconciliations and process payments to episode based provider groups.
Identify drivers of performance as it pertains to quality and affordability for the episode bundle population.
Ability to extract, research, and analyze complex data and logic used to enable healthcare grouper or episodic bundlesCombines technical and analytical skills to communicate logic to enable decision support.
Routinely update and analyze performance dashboards used to monitor and evaluate patterns, costs, and trends as they relate to vbp population management
Produce basic spreadsheets, documents and presentations that are well-documented and easy to follow (e.g., excel, powerpoint, tableau).
Modify existing programs and write basic sas, sql or r programs for data extraction.
Proactively seeks training and builds knowledge/experience of technical tools, coding languages and data sources.
Ability to work in team environment emphasizing collaboration and the development of synergies.
Required skills:
2+ years related analytical work experience with a focus in the health or medical industry or equivalent combination of transferable experience and education
Master’s degree in relevant field can be substituted for work experience requirement
Bachelor`s degree required
Experience with analytics and demonstrated clinical thinking skills
Experience writing sql/sas code or related code
Preferred skills:
Bachelor’s degree in business, finance, analytics, statistics, data science, health economics or similar program
Master’s degree in a related field
Working knowledge of various provider reimbursement methodologies
General knowledge and experience in the healthcare industry
Familiarity with data warehouse concepts and practices
General physical demands
Sedentary work: exerting up to 10 pounds of force occasionally to move objects.
Jobs are sedentary if traversing activities are required only occasionally.
We are an equal opportunity/protected veteran/disabled employer committed to creating a diverse, inclusive and equitable culture for our employees and communities.
