Value Based Analytics - Health Business Analyst

Blue Cross Blue Shield Of Florida Fort Lauderdale , FL 33301

Posted 4 weeks ago

Health Business Analyst - Value Based Analytics

The Health Business Analyst within the Value Based Analytics team will be accountable for supporting a diverse range of analytical projects while owning routine reporting processes. This role will be focused on Provider Value Based Programs (Alternative Payment Models) including ACO, PCMH, Episode Based Payment (EBP) Bundles, and MLR Shared Savings incentive programs. The Health Business Analyst is relied upon to apply business knowledge to Analytics projects and provide value-added insights to directly impact business outcomes. The ideal candidate will have strong technical skills, great communication skills, experience analyzing and communicating drivers of financial outcomes in the Healthcare business (particularly in the Individual and Small Group ACA market), and a natural curiosity to understand health insurance informatics.

The Skills You Bring:

  • Act as support Analyst for assigned projects and proactively identify topics for analysis.

  • Assist in development of routine financial reconciliations and process payments to Value Based Provider (VBP) groups.

  • Identify drivers of VBP performance as it pertains to Quality, Access, and Affordability for the attributed population.

  • Routinely update and analyze performance dashboards used to monitor and evaluate patterns, costs, and trends as they relate to VBP population management

  • Produce basic spreadsheets, documents and presentations that are well-documented and easy to follow (e.g., Excel, PowerPoint, Tableau).

  • Modify existing programs and write basic SAS, SQL or R programs for data extraction.

  • Proactively seeks training and builds knowledge/experience of technical tools, coding languages and data sources.

Required Skills:

  • 2 years related analytical work experience with a focus in the health or medical industry or equivalent combination of transferable experience and education

  • Bachelor's degree required

  • Experience with analytics and inferential statistics

  • Experience writing SQL/SAS/R code or related code

Preferred Skills:

  • Bachelor's degree in Business Analytics, Statistics, Data Science, Health Economics or similar program

  • Master's degree in a related field

  • Working knowledge of Alternative Payment Models, including but not limited to concepts such as risk adjustment, member-to-provider attribution methodologies, episodic groupers, and the ACA.

  • Experience analyzing Alternative Payment Models with a focus on identifying population-based performance drivers and compiling financial reconciliations.

General Physical Demands

  • Sedentary work: Exerting up to 10 pounds of force occasionally to move objects.

  • Jobs are sedentary if traversing activities are required only occasionally.

We are an Equal Opportunity Employer/Protected Veteran/Disabled

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Value Based Analytics - Health Business Analyst

Blue Cross Blue Shield Of Florida