[Hiring] VBP Data Analyst 2 @PacificSource Health Plans

Role Description

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care!

Primary subject of analytic support related to:

• Support of reinsurance
• Large employer RFP
• Large employer and ASO
• State and/or federally mandated reporting and analyses

Analytical role may vary and involve knowledge of:

• Value based payments
• Provider contract language
• Healthcare utilization
• Healthcare benefits
• State and federal guidelines

The role will also collaborate with level 3 and 4 analysts and analytics management in coordination of projects with multiple departments in supporting contractually required reporting in a timely, accurate and easy to understand format for external provider audiences.

Essential Responsibilities:

• Provides essential data support and coordination activities for various business critical analysis and reporting needs.
• Perform accurate and complete data extraction from data warehouse as well as nonstandard data sources to meet project requirements as directed.
• Support the development of data visualization solutions that allow customer to interact with the data using data visualization software solutions such as Tableau or Microsoft Power BI.
• Develop reports and analytical solutions and processes to support the RFP process, large employer, ASO as well as various state and federal requests.
• Calculate and analyze value based payment terms including development of reports, running of monthly report processes as well as reporting to support financial reconciliation processes.
• Support presentation of complex data, analysis and findings to teams in a way that is clear and understandable.
• Develop and maintain documentation and training materials including job aids.
• Assist in evaluating impact of business changes on risk reports specifications such as plan, benefit, network, provider configuration and payment and other operational changes.
• Prepare ad hoc analysis related to cost and utilization opportunities related to RFP, employer groups, ASO groups and other Sales/Marketing requests.
• Assists with quality assurance adherence to ensure accuracy, completeness, and reliability of project-related information data resources and reporting initiatives.
• Develop general health insurance business content knowledge as well as specific knowledge related to assigned business areas of analytics support.

Supporting Responsibilities:

• Meet department and company performance and attendance expectations.
• Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
• Perform other duties as assigned.

Qualifications

• Three years’ experience in health insurance or related field. Healthcare analytics experience is preferred.
• Bachelor's degree in Mathematics, Computer Science, Statistics, Engineering, Health and Medical Economics, Public Health or similar research related field.

Requirements

• General knowledge of business principles, theories and concepts.
• Proven ability to manage multiple projects and competing deadlines.
• Ability to manage workload within a team environment or with minimal direct supervision.
• Ability to conceptualize solutions to complex problems; readily anticipates problems and identifies solutions.
• Ability to deal responsibly with confidential information.
• Ability to develop, document and adhere to department policies and procedures.
• General knowledge of at least one statistical/analytical programming tool such as R, SAS, SPSS.
• General knowledge of other technical applications such as Tableau, Power BI and web-based database tools.
• Skilled in Microsoft Office: Word, Excel, PowerPoint and Outlook.

Benefits

• Compensation range: $64,871.24 - $110,281.11

Company Description

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age.

PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.