Inspire health. Serve with compassion. Be the difference.
Job Summary
Leads the analytical delivery of health activities in value-based care arrangements, including networks and alternative payment models. Responsible for providing value added insights to directly impact outcomes and recommendations on future applications.Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
Presents and develops analyses performance of value-based populations. Responsible for clearly communicating and visualizing the opportunities/initiatives to customers and monitoring the results
Provides actionable analysis to improve cost, quality and outcomes. Recommends metrics and methodology to support improvement.
Performs routine audits and analytics for existing programs to validate attribution, quality performance and financial reconciliations to payer reports and vendor tools.
Provides monthly report out and document on key statistics and work for populations. Provides financial modelling for contract negotiations and future payment methodologies
Works collaboratively with team members on the execution of projects supporting the strategy.
Performs other duties as assigned.
Supervisory/Management Responsibility
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
Education - Bachelor's degree in Accounting, Finance, Business, Statistics, Economics, Public Health or related field of study
Experience - Five (5) years of experience
In Lieu Of
CPA, MBA, MHA or related Masters degree and three (3) years of experience may be considered.
Required Certifications, Registrations, Licenses
NA
Knowledge, Skills and Abilities
Quantitative and analytical abilities with sound experience in analyses including ROI, cost/benefit, cost savings and in value propositions models.
Critical and logical analytical thinking skills
Aptitude for troubleshooting and identifying the cause
Ability to establish relationships with internal/external customers
Healthcare data analytics, payer reimbursement methodologies, or claims analytics knowledge - Preferred
Work Shift
Day (United States of America)Location
Prisma Health Corporate OfficeFacility
7002 Value-Based Care and Network ServicesDepartment
70028457 Analytics & IntelligenceShare 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.
Job details are sourced from the employer's original posting.
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