Value-Based Contracting Data Analyst

Medical MutualCleveland, OH
Hybrid

About The Position

Supports the operational infrastructure for the Value Based Contracting (VBC) provider incentive program. Develops and maintains internal and external data flows to optimize analytics tool (EZ Info) capabilities for value based contracting programs. Assists with managing vendor relationship.

Requirements

  • Bachelor’s degree in healthcare administration, business, information technology or related field.
  • 3 years of health care data and/or systems analysis experience with strong preference for managed care experience.
  • Knowledge of provider contracting, provider incentive programs, and related regulations.
  • Intermediate Microsoft Office (Excel, Word, Access, and PowerPoint) skills.
  • Intermediate to advanced SAS and/or SQL and query and report writing skills.
  • Knowledge of business intelligence and analytical tools.

Nice To Haves

  • Experience with provider contracting incentive programs preferred.

Responsibilities

  • Compiles and maintains documentation of flows, file formats, data sources, and timing for VBC operational processes.
  • Assists with managing/directing data flow between VBC vendor and the Company including updating and maintaining VBC specific files that are needed to support EZ Info reporting.
  • Analyzes output and conducts quality assurance on EZ Info reports to identify opportunities for improvements.
  • Assists with managing the relationship with vendor including identifying additional development needs, scoping, reviewing change orders and associated costs.
  • Sets up EZ Info tool configurations – user permissions, structures, report development, automation, and exports and identifies opportunities to enhance existing capabilities.
  • Collaborates with capitation payment team and sets up capitation contracts within the pricing and payment tool (EZ Cap).
  • Stays current on provider contracting processes, regulations, and best practices.
  • Collaborates with other departments to support value based contracting operations.
  • Performs other duties as assigned.

Benefits

  • Laptop, monitors, keyboard, mouse and headset provided.
  • On-site fitness centers or gym membership reimbursement.
  • On-site cafeteria.
  • Discounts at many places in and around town.
  • Opportunity to earn cash rewards for shopping with customers.
  • Business casual attire, including jeans.
  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance.
  • Access to an Employee Assistance Program.
  • Company holidays.
  • Up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • Parental leave for eligible employees who become parents through maternity, paternity or adoption.
  • Career development programs and classes.
  • Mentoring and coaching.
  • Tuition reimbursement up to $5,250 per year.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.
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