Value Based Analyst Sr, Corporate, Full Time, Days
Inspire health. Serve with compassion. Be the difference.
Job Summary
Job Profile Summary
Lead 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 values: 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
• Strong 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. - 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.
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