VBP Data Analyst 2

PacificSource•Springfield, OR

About The Position

The VBP Data Analyst 2 provides analytical support for reinsurance, large employer RFPs, large employer and ASO business, and state or federally mandated reporting and analyses. The role may involve value-based payments, provider contract language, healthcare utilization and benefits, and state and federal guidelines. The analyst works with level 3 and 4 analysts and analytics management, coordinating with multiple departments to deliver timely, accurate, and understandable contractually required reporting for external provider audiences. The position also supports validation of data used in VBP settlement and payment processes, documentation and process development, financial guidance, cost savings and process improvement, and financial governance and oversight. It develops reports, analytical solutions, and data visualizations; performs data extraction, cleaning, transformation, and preprocessing; and supports analysis, reconciliation, quality assurance, and communication of findings. The role requires building health insurance business knowledge and specific expertise in its assigned analytics areas.

Requirements

Three years of experience in health insurance or a related field.
Bachelor’s degree in Mathematics, Computer Science, Statistics, Engineering, Health and Medical Economics, Public Health, or a similar research-related field.
General knowledge of business principles, theories, and concepts.
Ability to manage multiple projects and competing deadlines.
Ability to manage workload within a team or with minimal direct supervision.
Ability to conceptualize solutions to complex problems, anticipate problems, and identify solutions.
Ability to handle confidential information responsibly.
Ability to develop, document, and follow department policies and procedures.
General knowledge of at least one statistical or analytical programming tool, such as R, SAS, or SPSS.
General knowledge of technical applications such as Tableau, Power BI, and web-based database tools.
Proficiency with Microsoft Office, including Word, Excel, PowerPoint, and Outlook.
Competencies in building customer loyalty, building strategic work relationships, contributing to team success, planning and organizing, continuous improvement, adaptability, building trust, and work standards.
Skills in accountability, collaboration, written and verbal communication, flexibility, active listening, organization and planning, problem solving, and teamwork.
Ability to read and comprehend written and spoken English and communicate clearly and effectively.

Nice To Haves

Healthcare analytics experience.
Familiarity with Medicare Five-Star, Oregon Quality Incentive Measures, NCQA HEDIS, the Health Care Payment Learning & Action Network (LAN), and the Alternative Payment Model framework.
Familiarity with the Facets claims processing system.
Working knowledge of medical costs; experience with medical coding and terminology.
Master’s degree or above in Mathematics, Computer Science, Statistics, Engineering, Health and Medical Economics, Public Health, or a similar research-related field.

Responsibilities

Provide data support and coordinate analysis and reporting for business-critical needs.
Extract data accurately and completely from data warehouses and nonstandard sources; clean, transform, and preprocess data using tools such as T-SQL and SAS.
Support development of interactive data visualizations using tools such as Tableau or Microsoft Power BI.
Develop reports, analytical solutions, and processes for RFPs, large employer and ASO business, and state and federal requests.
Calculate and analyze value-based payment terms, develop reports, run monthly reporting processes, and support financial reconciliation.
Present complex data, analysis, and findings clearly to teams.
Develop and maintain documentation and training materials, including job aids.
Help evaluate the effects of business changes on risk-report specifications, including changes to plans, benefits, networks, provider configurations, payments, and operations.
Prepare ad hoc cost and utilization analyses for RFPs, employer groups, ASO groups, and other Sales and Marketing requests.
Support quality assurance by participating in data validation projects and providing feedback on unit testing, error checks, and validation processes.
Develop general health insurance business knowledge and specific knowledge of assigned analytics areas.
Meet department and company performance and attendance expectations.
Follow PacificSource privacy policies and HIPAA requirements for protecting confidential information and protected health information.
Perform other duties as assigned.