Data Analyst

4 weeks ago


Juneau, Alaska, United States Highmark Health Full time
Job Summary

We are seeking a highly skilled Data Analyst to join our team at Highmark Health. The successful candidate 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 Data Analyst will deliver analytics and insights to key decision-makers to guide and design programs and initiatives. This will involve performing data modeling, partnering with data management staff, and reporting 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 and trend drivers of overall financial/quality performance.
  • Design basic scorecards and dashboards using analytic tools to support value-based reimbursement arrangements with large strategic partners in the market.
  • 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.
  • Insurance or healthcare work experience.
Preferred Qualifications
  • Masters degree in Mathematics, Statistics, Finance & Accounting, Actuarial Science, Economics or related field.


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