Provider Data Analyst

Provider Data Analyst at Highmark Health in Boise, Idaho, United States Job Description Company : Highmark Health Job Description : JOB SUMMARY The incumbent works closely with internal customers responsible for enterprise value based reimbursement programs' strategy, design, and operations. The incumbent understands key provider reimbursement concepts and has the ability to communicate and present those concepts effectively. Delivers high-quality analytics and insights to key decision-makers to help guide and design programs and initiatives. Performs innovative data modeling and routinely partners with data management staff in order to work efficiently and capitalize on data automation opportunities. Reports on value based reimbursement program outcomes, trends, and drivers to improve financial performance. ESSENTIAL RESPONSIBILITIES + Develops internal and external facing provider reports/analytic tools to highlight key performance indicators for value based reimbursement programs and clearly define the significant trend drivers of overall financial/quality performance. + Designs scorecards and dashboards using advanced analytic tools to support value based reimbursement arrangements with large strategic partners in the market. Understands how the reports are used by strategic partners. + Supports the creation of value based reimbursement programs across the enterprise including initiatives for PCPs, specialists, facilities, post-acute providers, and ancillary providers. Understands how design of these programs creates financial value for the enterprise. + Interprets raw claims, provider, quality, and member data to build data sets for analytic and reporting purposes. Executes transparent and repeatable processes to access data. + Assists with provider cost savings analyses related to value based reimbursement and understands how return on investment impacts the enterprise and the provider. Helps generate ideas for potential cost-saving initiatives. + Reports on financial outcomes of value based provider arrangements and provider incentives to accurately reflect financial position. Assesses potential risks and opportunities and clearly defines scenarios for achieving certain outcomes. + Enhances department influence by providing responsive service and understanding customer needs. Effectively explains technical concepts to both technical and non-technical people. ? ? EXPERIENCE Required + 3 years of Relevant analytic work experience Preferred + 3 years of Insurance or healthcare work experience To view full details and how to apply, please login or create a Job Seeker account