Business Analyst III, Medicare VBC
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Job Description
Business Analyst III handling analytics and reporting for local and national Value Based Care provider groups. Leveraging Power BI tools for financial performance and quality outcomes in healthcare.
Responsibilities:
- Perform various analysis and interpretation to link business needs and objectives for assigned function
- Deliver analytics and reporting for local and national Value Based Care (VBC) provider groups
- Leverage corporate Power BI tools to export, analyze, and visualize: Financial performance, Quality outcomes, Risk adjustment metrics and Membership data
- Translate data into insights to support corporate leadership, health plan leadership, and provider partners
- Identify and analyze user requirements, procedures, and problems to improve existing processes
- Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations
- Identify ways to enhance performance management and operational reports related to new business implementation processes
- Coordinate with various business units and departments in the development and delivery of training programs
- Develop, share, and incorporate organizational best practices into business applications
- Diagnose problems and identify opportunities for process redesign and improvement
- Formulate and update departmental policies and procedures
- Serve as the subject matter expert on the assigned function product to ensure operational performance
- Ability to travel
- Performs other duties as assigned
Requirements:
- Bachelor’s degree in related field or equivalent experience
- 4+ years of business process analysis (i.e. documenting business process, gathering requirements)
- Experience in healthcare industry, preferably with managed care techniques and administrative philosophy
- Experience in managed health care experience, preferably with Medicare
- Experience working with and leading diverse teams in matrix managed environments
- Project management experience preferred
- Advanced proficiency in Microsoft Excel and Power BI preferred
- Experiencing leveraging SQL, SAS to access enterprise data warehouses preferred
- Strong experience in understanding provider performance metrics, including Stars, HBR, Risk Score, Compliance rates, and APV rates preferred
Benefits:
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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