VBP Data Analyst 2

PacificSource•Springfield, OR

6d•$64,871 - $110,281

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 applicable state and federal guidelines. The analyst collaborates with level 3 and 4 analysts and analytics management, as well as multiple departments, to deliver timely, accurate, understandable contractually required reporting for external provider audiences. The role may also support validation of data used in VBP settlement and payment processes, documentation and process development, financial guidance, cost-saving and process-improvement efforts, and financial governance and oversight. Work includes extracting, cleaning, transforming, analyzing, and visualizing data; developing reports and analytical processes; supporting financial reconciliation; presenting findings; and contributing to quality assurance. The position works inside in a general office setting with ergonomically configured equipment and requires travel approximately less than 5% of the time.

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 in a team environment 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.
Skill with Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.
Skills in accountability, collaboration, written and verbal communication, flexibility, active listening, organization and planning, problem solving, and teamwork.
Ability to stoop and bend; sit and/or stand for extended periods; perform repetitive motions such as typing, sorting, and filing; and lift and carry files and business materials in light loads.
Ability to read and comprehend written and spoken English and communicate clearly and effectively.

Nice To Haves

Healthcare analytics experience is preferred.
Familiarity with Medicare Five-Star, Oregon Quality Incentive Measures, NCQA HEDIS, the Health Care Payment Learning & Action Network (LAN), or the Alternative Payment Model framework.
Familiarity with the Facets claims processing system.
Working knowledge of medical costs; experience with medical coding and terminology.
A 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 business-critical analysis and reporting needs.
Extract complete and accurate data from data warehouses and nonstandard sources; clean, transform, and preprocess it 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 and analytical solutions and processes for RFPs, large employers, ASO groups, and state and federal requests.
Calculate and analyze value-based payment terms; develop reports, run monthly reporting processes, and support financial reconciliation reporting.
Present complex data, analyses, and findings clearly to teams.
Develop and maintain documentation, training materials, and job aids.
Evaluate the impact of business changes on risk-report specifications, including changes to plans, benefits, networks, provider configuration, payments, and operations.
Prepare ad hoc analyses of cost and utilization opportunities for RFPs, employer groups, ASO groups, and 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 specialized knowledge of assigned analytics support areas.
Meet department and company performance and attendance expectations.
Follow PacificSource privacy policies and HIPAA requirements concerning the confidentiality and security of protected health information.
Perform other duties as assigned.