Value Based Analyst Sr, Corporate, Full Time, Days
Summary
Day-shift analytical work in value-based care arrangements, including networks and alternative payment models, with reporting, audits, financial modeling, and recommendations to improve cost, quality, and outcomes. Requires a bachelor's degree and 5 years' experience, or a CPA/MBA/MHA with 3 years.
Highlights
- Shift
- Day
- Experience
- 5 years; 3 years with CPA, MBA, MHA, or related master's degree
- Education
- Bachelor's degree in a related field; master's degree may be considered
- Department
- Analytics & Intelligence
- Reports To
- Supervisor, manager, director, or executive
- Type
- Full-Time
Job description
Inspire health. Serve with compassion. Be the difference.
Job Summary
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.
Essential Functions
Supervisory/Management Responsibility
Minimum Requirements
In Lieu Of
Required Certifications, Registrations, Licenses
Knowledge, Skills and Abilities
Work Shift
Day (United States of America)
Location
Prisma Health Corporate Office
Facility
7002 Value-Based Care and Network Services
Department
70028457 Analytics & Intelligence
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Job Summary
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.
Essential Functions
- All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
- 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.
Supervisory/Management Responsibility
- This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
- Education - Bachelor's degree in Accounting, Finance, Business, Statistics, Economics, Public Health or related field of study
- Experience - Five (5) years of experience
In Lieu Of
- CPA, MBA, MHA or related Masters degree and three (3) years of experience may be considered.
Required Certifications, Registrations, Licenses
- NA
Knowledge, Skills and Abilities
- 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
- Healthcare data analytics, payer reimbursement methodologies, or claims analytics knowledge - Preferred
Work Shift
Day (United States of America)
Location
Prisma Health Corporate Office
Facility
7002 Value-Based Care and Network Services
Department
70028457 Analytics & Intelligence
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.