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Value Based Analyst Sr, Corporate, Full Time, Days

Prisma Health
United States, South Carolina, Greenville
300 East McBee Avenue (Show on map)
Nov 15, 2024

Inspire health. Serve with compassion. Be the difference.

Job Summary

Job Profile 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.
Job Description

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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