Value Based Analyst Sr, Corporate, Full Time, Days

Prisma Health • Greenville, SC

11d • Onsite

About The Position

Leads the analytical delivery of health activities in value-based care arrangements, including networks and alternative payment models. Responsible for providing value added insights to directly impact outcomes and recommendations on future applications. Presents and develops analyses performance of value-based populations. Responsible for clearly communicating and visualizing the opportunities/initiatives to customers and monitoring the results. Provides actionable analysis to improve cost, quality and outcomes. Recommends metrics and methodology to support improvement. Performs routine audits and analytics for existing programs to validate attribution, quality performance and financial reconciliations to payer reports and vendor tools. Provides monthly report out and document on key statistics and work for populations. Provides financial modelling for contract negotiations and future payment methodologies. Works collaboratively with team members on the execution of projects supporting the strategy.

Requirements

• Bachelor's degree in Accounting, Finance, Business, Statistics, Economics, Public Health or related field of study
• Five (5) years of experience
• Quantitative and analytical abilities with sound experience in analyses including ROI, cost/benefit, cost savings and in value propositions models.
• Critical and logical analytical thinking skills
• Aptitude for troubleshooting and identifying the cause
• Ability to establish relationships with internal/external customers

Nice To Haves

• In Lieu Of CPA, MBA, MHA or related Masters degree and three (3) years of experience may be considered.
• Healthcare data analytics, payer reimbursement methodologies, or claims analytics knowledge

Responsibilities

• Presents and develops analyses performance of value-based populations.
• Responsible for clearly communicating and visualizing the opportunities/initiatives to customers and monitoring the results
• Provides actionable analysis to improve cost, quality and outcomes.
• Recommends metrics and methodology to support improvement.
• Performs routine audits and analytics for existing programs to validate attribution, quality performance and financial reconciliations to payer reports and vendor tools.
• Provides monthly report out and document on key statistics and work for populations.
• Provides financial modelling for contract negotiations and future payment methodologies
• Works collaboratively with team members on the execution of projects supporting the strategy.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior