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Job Summary
An inspired team player with an agile mindset to lead the analytical delivery of our population health activities in value-based care arrangements, including our networks and alternative payment models. Responsible for providing value added insights to directly impact outcomes and recommendations on future applications.
Accountabilities
- Presents and develops analyses performance of value-based populations. Responsible for clearly communicating and visualizing the opportunities/initiatives to customers and monitoring the results as implemented. - 30%
- Provides actionable analysis to improve cost, quality and outcomes. Recommends metrics and methodology to support improvement. - 20%
- Performs routine audits and analytics for existing programs to validate attribution, quality performance and financial reconciliations to payer reports and vendor tools. - 20%
- Provides monthly report out and document on key statistics and work for populations. Provides financial modelling for contract negotiations and future payment methodologies. - 20%
- Works collaboratively with team members on the execution of projects supporting the strategy. - 10%
Supervisory/Management Responsibility
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
- Bachelor's Degree in Accounting, Finance, Business, Statistics, Economics, Public Health or other related degree
- 5 years of experience: strong quantitative and analytical abilities with sound experience in analyses including ROI, cost/benefit, cost savings and in value propositions models.
In Lieu Of The Above Minimum Requirements
CPA, MBA, MHA or related Masters Degree in lieu of 3 of years experience.
Other Required Skills and Experience
- Healthcare data analytics, payer reimbursement methodologies, or claims analytics. - Preferred
- Critical and logical analytical thinking skills - Required
- Aptitude for troubleshooting and identifying the cause of results and why. - Required
- Ability to establish relationships with internal/external customers - Required
Work Shift
Day (United States of America)
Location
Prisma Health Corporate Office
Facility
7002 Value-Based Care and Network Services
Department
70028457 Analytics & Intelligence
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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