Business Analyst

2 weeks ago


Boise Idaho, United States St. Luke's Health System Full time
Overview:
The Business Analyst partners across business segments within the St. Luke's Health Plan to support the development of business processes and delivery of insights and health insurance data analysis that are in alignment with identified strategies and tactics, while working with cross-functional stakeholders.

Supports the analysis and interpretation of health insurance data, including eligibility, premium, medical, and pharmacy claims data. Works to develop subject matter expertise on available health insurance data. A creative problem solver in applying that data to identify, escalate, and resolve operational issues.

Understands and interprets operational processes and business context to translate technical, clinical, financial, and operational problems into analysis, which yield insights and information to support decision making.

Will collaborate with business owners to develop expertise with one or more health insurance regulatory programs and requirements, as well as associated data, such as HEDIS/quality programs, risk adjustment, or utilization management.

Supports high value health insurance data analysis, assisting with the calculation and interpretation of key business metrics to aid business leaders and key stakeholders for decision making and operational planning.

Supports business decisions with analytical rigor, insights, and judgments to drive better decisions.

Partners with internal Data & Analytics team to define scope, requirements, data validation, and provide prioritization input on requests and needs. Collaborates with vendors and other external parties to develop data requirements and ensures appropriate data validation and integrity.

Works with and contributes to data management and data governance to understand and help define data policies and standards to ensure high quality data and analytics.

Develops and maintains a high degree of functional, analytical, and technical acumen. Builds successful partnerships with key internal customers and cross functional teams.

Performs assigned reporting tasks for colleagues in other functions.

Participates in special projects and on workgroups and teams, as assigned.

Completes other duties and responsibilities as assigned. 

 

 


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