Data Analyst
5 days ago
Highmark Health is seeking a skilled Data Analyst - Provider Insights to join our team. As a key member of our analytics team, you will work closely with internal customers to design and operate enterprise value-based reimbursement programs. You will have a deep understanding of key provider reimbursement concepts and the ability to communicate them effectively to stakeholders.
The ideal candidate will have a strong analytical background, with experience in data modeling and working with data management staff to capitalize on data automation opportunities. You will be responsible for delivering analytics and insights to key decision-makers to inform program design and initiatives. Additionally, you will report on value-based reimbursement program outcomes, trends, and drivers to improve financial performance.
Key Responsibilities:
- Develop internal-facing provider reports and analytic tools to highlight key performance indicators for value-based reimbursement programs.
- Design basic scorecards and dashboards using analytic tools to support value-based reimbursement arrangements with large strategic partners.
- Support the creation of value-based reimbursement programs across the enterprise, including initiatives for PCPs, specialists, facilities, post-acute providers, and ancillary providers.
- Interpret raw claims, provider, quality, and member data to build data sets for analytic and reporting purposes.
- Assist with provider cost savings analyses related to value-based reimbursement and understand how return on investment impacts the enterprise and the provider.
Requirements:
- Relevant analytic work experience in the insurance or healthcare industry.
- Bachelor's degree in Mathematics, Statistics, Finance, Accounting, Actuarial Science, Economics, or a related field.
- Strong analytical skills, with experience in data modeling and working with data management staff.
- Excellent communication and interpersonal skills, with the ability to work effectively with stakeholders.
Preferred Qualifications:
- Masters degree in Mathematics, Statistics, Finance, Accounting, Actuarial Science, Economics, or a related field.
Language: English
Travel Requirement: 0% - 25%
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