VBP Data Analyst 2
About The Position
The VBP Data Analyst 2 provides data and analytical support for reinsurance, large employer RFPs, large employer and ASO business, and state- and 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 collaborates with senior analysts and analytics management across departments to deliver timely, accurate, understandable reporting for external provider audiences. Additional work can include validating data for VBP settlement and payment processes, documenting processes, providing financial guidance, supporting cost savings and process improvements, and providing financial governance and oversight. The position extracts, cleans, transforms, and analyzes data from data warehouses and other sources; supports interactive data visualization; develops reports and analytical processes; calculates and reports value-based payment terms; and communicates complex findings clearly. It also supports quality assurance, evaluates the effects of business changes on risk-report specifications, prepares ad hoc cost and utilization analyses, and develops health insurance and assigned-business-area knowledge. Work is performed inside in a general office setting with ergonomically configured equipment. Travel is required 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.
- Proficiency with Microsoft 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 typing, sorting, and filing; and lift and carry files and business materials.
- 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), and the Alternative Payment Model framework.
- Familiarity with the Facets claims processing system.
- Working knowledge of medical costs is desired.
- 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 business-critical analysis and reporting.
- Extract data accurately and completely from data warehouses and nonstandard sources, and 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 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 reporting.
- Present complex data, analyses, and findings clearly and understandably to teams.
- Develop and maintain documentation and training materials, including job aids.
- Evaluate the impact of business changes on risk-report specifications, including changes to plans, benefits, networks, provider configurations, payments, and other 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 support areas.
- Meet department and company performance and attendance expectations.
- Follow PacificSource privacy policy and HIPAA requirements concerning confidentiality and security of protected health information.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
