Lead Value Based HealthCare Data Analyst - Providence, United States - Blue Cross & Blue Shield of Rhode Island

Description

Schedule:
Hybrid (MA, RI & CT)

Jump into the new world of health insurance:
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that is large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you.

Join others who know diversity is strength:

We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression.

Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode Island population.

Why this job matters:
Independently manages the financial analytics and reporting for all value-based programs and initiatives to internal and external customers. Responsible for monitoring, reporting, and presenting actionable insights to improve healthcare delivery, quality, and cost effectiveness.

Provide recommendations and insights on key financial topics, develop new analyses and reporting metrics to assist management with strategic decision making.

What you will do:
Lead and initiate analytics projects to provide strategic information to assist decision making. Provide and recommend decision alternatives, through quantitative means.

Prepare project results or recommendations for a wide range of audiences (internal and external) using written reports and presentation exhibits/graphics.

Participate in and lead projects within the department and report on status. Regularly review results to ensure accuracy and consistency with desired goals and objectives using financially sound principles.

Effectively complete projects within the necessary time frames, while determining the appropriate amount of detail associated with each project and provide supplementary information as necessary.

Assist in the oversight, development and distribution of financial reports, reconciliations, analyses and settlements as they relate to value-based agreements (upside/downside risk models, PCP capitation, global capitation, episode-based payments and others).

Collaborate with finance to ensure accruals are in place for value-based incentives and assist with the annual budgeting and forecasting cycle.

Provide recommendations and input to new contract provisions for performance guarantees or potential changes to financial models or data reporting requirements.

Collaborate with vendors to create business requirements documents, solutions requirements specifications, systems operation guide, system design documents. Monitor all aspects of project implementation.
Perform other duties as assigned.

What you need to succeed:
Bachelor's Degree in Mathematics, Statistics, Economics, Business Administration, or related field; or an equivalent combination of education and experience
Seven or more years' experience in quantitative business analyses and mathematical modeling
Knowledge of mathematical modeling with proven analytical skills
Analytical mindset with good problem-solving skills
High attention to detail
Strong interpersonal skills
Excellent written and verbal communication skills
Advanced Microsoft Office skills, including Access.

Extras:
Experience working on cross-functional team projects
Experience with value-based payment models
Experience in the health insurance industry

Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal.

We actively support associate well-being and work/life balance and offer the following schedules, based on role:

In-office: onsite 5 days per week

Hybrid:
onsite 2-4 days per week

Remote:
onsite 0-1 days per week.

Permitted to reside in the following states, pending approval from the Human Resources Department:
Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia

At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges of today's healthcare industry.

BCBSRI is an equal opportunity, affirmative action employer.

We provide equal opportunities without regard to race, color, religion, gender, age, national origin, disability, veteran status, sexual orientation, genetic information and gender identity or expression.

The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression.

Please visit to view the "EEO is the Law" poster.

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