Senior Research Analyst

2 weeks ago

Philadelphia, United States Independence Blue Cross Full time
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.

At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

Responsible for reporting and analysis of Value Based Programs.
  • Develop and maintain domain-specific knowledge of all Value Based Programs, including episode grouper logic for methodologies currently in use as well as those being considered for future state.
  • Develop reporting and analysis for Value Based programs, incorporating benchmarks into analysis.
  • Identify opportunities for medical cost savings and quality improvement. Develop an analytical story from the opportunities to share with providers.
  • Identify opportunities for efficiencies in reporting and analysis, interacting effectively with the technical team to move reports to production as appropriate.
  • Support the development and maintenance of provider reporting portal including regular quality control of new and existing reports.
  • Communicate regularly with the Actuarial team and the Pay for Performance Managers to ensure that each team responds to requests for the VBP providers in a timely fashion, using the Service Now tool for tracking the progress of all requests.
  • Skilled in presenting to both internal and health system executives, summarizing performance results and analytic findings.
  • Provide ad hoc reporting and analysis services
  • Provide guidance and support to other analysts, managing project timelines, monitoring and ensuring data integrity, evaluating results, summarizing findings.
  • Ensure sound analytical methods.
  • Other duties as required.


Qualifications
  • Advanced degree in business, health care, or related quantitative area desired, undergraduate degree required.
  • Three to five years' experience analyzing large datasets, demonstrable technical experience and data management skills including data development, data extraction, transformation, QA, and analytic skills.
  • Demonstrated skill in advanced programming (R, SQL) with large datasets; working knowledge of visualization tools (e.g. Tableau) required.
  • Strong attention to detail to assure quality control in reporting.
  • Strong demonstrated skills in carrying out analytic projects, along with writing and speaking skills.
  • Demonstrated leadership qualities that include presenting complex information in a way that is easy to understand.


Hybrid

Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.

Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app. Senior Research Analyst - Provider Analytics (Hybrid)

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