Financial Analyst - Boise, United States - Idaho State Job Bank

Idaho State Job Bank Boise, United States

3 weeks ago

Description

Financial Analyst (Actuarial Focus) at Humana in Boise, Idaho, United States Job Description Description The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP).

DVACO is a joint venture among three stakeholders:
Humana, Main Line Health System, and Jefferson Health System. Humana takes the lead in providing administrative support in various areas including HR.

DVACO's MSSP participation accounts for the region's largest Medicare ACO grouping, with more than 2,000 physicians and approximately 70,000 Medicare fee-for-service beneficiaries.

Additionally, DVACO currently holds performance-based contracts with private payers and manages population health initiatives for the employees and dependents of Jefferson Health and Main Line Health, enhancing DVACO's total number of beneficiaries to over 200,000.

Responsibilities The Financial Analyst (Actuarial Focus) will be responsible for interpreting data, leveraging analytical tools and making recommendations to key stakeholders at the DVACO.

The Financial Analyst is seen as a subject matter expert and will lead DVACO governance committees and maintain ongoing relationships with all levels of management, key third party staff, internal constituents, and external customers at participating Clinical organizations to gather information, share data and effectively move projects forward.

+ Works with Vice Presidents, Medical Directors, Clinical Operations, Finance, Network Contracting, IT and other departments or stakeholders + Performs all aspects of financial informatics analysis including data acquisition and data management, advanced SAS or SQL programming, advanced data visualization, quantitative and qualitative data analysis + Analyzes and forecasts financial data, medical and pharmacy claims data, and other data to provide accurate and timely information for strategic and operational decisions.

+ Forecasts financial performance in Value Based Contracts using claims data, payer reports, Medicare public use files, etc.

+ Tracks and projects HCC risk scores for contract level reconciliations, calculating risk adjusted key performance indicators, closing gaps, etc.

+ Works with the clinical and financial team to identify trends and patterns in complex data sets, draw conclusions, develop summaries utilizing charts, graphs and images for presentations to stakeholders + Works with and educates the leadership team to present statistical and operational reports of key m To view full details and how to apply, please login or create a Job Seeker account

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