Medical Value Analyst II
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Job Description
Medical Value Analyst II analyzing data to assist in design of value based programs at Capital Blue Cross. Collaborating with analysts and resolving operational issues in health care analytics.
Responsibilities:
- Analyze data to assist in the design of our Value Based Programs (VBP) - including accountable care arrangements, medical neighborhoods, and other value-based Initiatives.
- Work with senior business analyst to develop analytic and/or report requirements that support their ability to make informed decisions regarding strategy initiatives/objectives, and/or appropriate tactical level actions.
- Work within the Network Analytics and Pricing (NAP) Unit to help identify, research, and resolve operational and other business issues relating to the value-based programs and initiatives.
- Intake queries from physician practices related to reports and process flows associated with VBP and initiatives (i.e., provide first line of support), refine requirements and coordinate responses from informatics and reporting resources.
- In collaboration with informatics and reporting functional areas and information technology experts, assist in establishing self-service tool requirements that allow for the efficient production of reports and analyses.
- Develop an understanding of various company information assets to leverage for use in the VBP activities.
- Research and understand industry best practices in payment reform and accountable care organizations pilots/initiatives that are being undertaken by other health plans.
Requirements:
- Minimum 2 years’ experience working with data analytics tools such as SAS, Tableau and/or Power BI
- Familiar or experienced in healthcare systems that are peripheral to Facets or other Operational Support (OS) support system configuration
- Prefer a bachelor’s degree in one of the following: business administration, health planning and administration, information systems, computer science; or in lieu of degree minimum 2-3 years of related experience.
Benefits:
- Medical, Dental & Vision coverage
- Retirement Plan
- Generous time off including Paid Time Off, Holidays, and Volunteer time off
- Incentive Plan
- Tuition Reimbursement
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