Data Analyst

3 days ago


Sacramento, California, United States Highmark Health Full time
Job Summary

The Data Analyst - Provider Insights will work closely with internal customers to design and operate enterprise value-based reimbursement programs. This role requires a strong understanding of key provider reimbursement concepts and the ability to communicate effectively with stakeholders. The incumbent will deliver analytics and insights to key decision-makers to inform program design and initiatives.

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 primary care physicians, 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 the impact on return on investment.
  • Report on financial outcomes of value-based provider arrangements and provider incentives to accurately reflect the financial position.
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, or 6 years of relevant work experience in lieu of a Bachelor's Degree.
Preferred Qualifications
  • Masters degree in Mathematics, Statistics, Finance, Accounting, Actuarial Science, Economics, or a related field.
Language and Travel Requirements

English is the primary language for this role. Travel requirements are minimal, with occasional travel to various work sites or from site-to-site.


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